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BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Prevalence of chronic diseases by immigrant status and disparities in chronic disease management in immigrants: a population-based cohort study, Valore Project

Authors: Alessandra Buja, Rosa Gini, Modesta Visca, Gianfranco Damiani, Bruno Federico, Paolo Francesconi, Daniele Donato, Alessandro Marini, Andrea Donatini, Salvatore Brugaletta, Vincenzo Baldo, Mariadonata Bellentani, Valore Project

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

For chronic conditions, disparities can take effect cumulatively at various times as the disease progresses, even when care is provided. The aim of this study was to quantify the prevalence of diabetes, congestive heart failure (CHF) and coronary heart disease (CHD) in adults by citizenship, and to compare the performance of primary care services in managing these chronic conditions, again by citizenship.

Methods

This is a population-based retrospective cohort study on 1,948,622 people aged 16 years or more residing in Italy. A multilevel regression model was applied to analyze adherence to care processes using explanatory variables at both patient and district level.

Results

The age-adjusted prevalence of diabetes was found higher among immigrants from high migratory pressure countries (HMPC) than among Italians, while the age-adjusted prevalence of CHD and CHF was higher for Italians than for HMPC immigrants or those from highly-developed countries (HDC). Our results indicate lower levels in all quality management indicators for citizens from HMPC than for Italians, for all the chronic conditions considered. Patients from HDC did not differ from Italian in their adherence to disease management schemes.

Conclusion

This study revealed a different prevalence of chronic diseases by citizenship, implying a different burden of primary care by citizenship. Our findings show that more effort is needed to guarantee migrant-sensitive primary health care.
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Metadata
Title
Prevalence of chronic diseases by immigrant status and disparities in chronic disease management in immigrants: a population-based cohort study, Valore Project
Authors
Alessandra Buja
Rosa Gini
Modesta Visca
Gianfranco Damiani
Bruno Federico
Paolo Francesconi
Daniele Donato
Alessandro Marini
Andrea Donatini
Salvatore Brugaletta
Vincenzo Baldo
Mariadonata Bellentani
Valore Project
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-504

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