Hubert Department of Global Health, Emory University, Atlanta, GA.
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Ethn Dis. 2022 Jul 21;32(3):213-222. doi: 10.18865/ed.32.3.213. eCollection 2022 Summer.
We examined multimorbidity among foreign-born adults in the United States. This population may be particularly affected by chronic conditions and limited health care access.
Longitudinal cohort.
United States.
Foreign-born adults at the point of legal permanent residency.
Multimorbidity defined as two or more of eight chronic conditions (hypertension, diabetes, obesity, arthritis, stroke, cancer, chronic lung disease, and heart problems).
We estimated the prevalence of multimorbidity and patterns over time. Data are from the New Immigrant Survey (NIS), a nationally representative study of adult immigrants at green card status in 2003 (N=8,174) and reinterview in 2008.
The prevalence of multimorbidity was 6% in 2003, and 12% in 2008. The most common condition dyad at both time points was hypertension-obesity; the largest increase over time was in combinations that included hypertension, diabetes, and obesity. The odds of having multimorbidity compared to no chronic conditions were higher among older immigrants and those who had seen a doctor in the past year. The odds of gaining one chronic condition over a 5-year period increased with age; 45-65 years: OR 2.8[CI 2.3,3.5]; aged ≥65 years: OR 3.2 CI[2.2,4.7].
The prevalence of multimorbidity among immigrants was lower than the prevalence in the overall US population of the same age, consistent with studies showing an immigrant health advantage.
我们研究了美国外国出生成年人的多种疾病。这一人群可能特别受到慢性疾病和有限的医疗保健机会的影响。
纵向队列研究。
美国。
具有合法永久居民身份的外国出生成年人。
多种疾病定义为两种或两种以上八种慢性疾病（高血压、糖尿病、肥胖症、关节炎、中风、癌症、慢性肺病和心脏问题）。
我们估计了多种疾病的流行率及其随时间的变化模式。数据来自新移民调查（NIS），这是一项对 2003 年处于绿卡身份的成年移民的全国代表性研究（N=8174），并于 2008 年进行了重新访谈。
2003 年和 2008 年多种疾病的患病率分别为 6%和 12%。在这两个时间点最常见的疾病组合是高血压-肥胖症；随着时间的推移，高血压、糖尿病和肥胖症的组合增加最多。与没有慢性疾病相比，患有多种疾病的移民的几率更高，尤其是那些在过去一年看过医生的移民。在 5 年内获得一种慢性疾病的几率随着年龄的增长而增加；45-65 岁：比值比（OR）2.8[95%置信区间（CI）2.3，3.5]；年龄≥65 岁：OR 3.2 CI[2.2,4.7]。
移民中多种疾病的患病率低于同年龄的美国总人口的患病率，这与表明移民健康优势的研究结果一致。
