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dc.contributor.authorFadnes, Lars Thoreen_US
dc.contributor.authorMøen, Kathy Ainulen_US
dc.contributor.authorDiaz, Esperanzaen_US
dc.date.accessioned2017-05-23T11:34:40Z
dc.date.available2017-05-23T11:34:40Z
dc.date.issued2016
dc.PublishedFadnes LT, Møen KAM, Diaz E. Primary health care utilisation and morbidity among immigrant children compared to non-immigrant children: a population-based study in Norway. BMJ Open. 2016;6:e0122101eng
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/1956/15884
dc.description.abstractObjectives: Health status, disease spectrum and use of healthcare have been reported to vary across groups of migrants and according to the different phases of migration. However, most studies are conducted among adults. This study assesses usage of primary healthcare (PHC) by children with immigrant background compared with non-immigrant children in Norway and describes their relative morbidity burden. Design: Population-based retrospective cohort study. Setting: This study used 3 linked population-based registers in Norway for children under 18 years of age in 2008. Main exposure and outcome measures: Immigrants were defined as children with both parents born abroad, and further classified into first and second generation, and according to the World Bank income categories of their parents’ country of origin. Usage and morbidity were assessed with negative binomial regression and logistic regression analyses, respectively. Further, populationattributable fraction analyses on PHC visits were conducted to estimate the impact on the primary health system. Participants: 1 168 365 children including 119 251 with immigrant background. Results: The mean number of visits to PHC for nonimmigrant children was 1.40 compared with 1.19 for immigrants from high-income countries (HIC) and 1.76 for immigrants from low-income countries (LIC). Compared with non-immigrants, first generation immigrants used PHC significantly less after adjusting for age and sex (incidence risk ratio (IRR) 0.70 (HIC) to 0.93 (LIC)) while second generation immigrant children generally used PHC more (IRR 1.03 (HIC) to 1.43 (LIC)); however, the median number of visits were similar between all groups. The morbidity spectrum also varied between the groups. Conclusions: Compared with non-immigrants, the excess number of consultations attributable to immigrant groups corresponds to around 1.3% of PHC visits among children.en_US
dc.language.isoengeng
dc.publisherBMJeng
dc.rightsAttribution CC BY-NCeng
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/eng
dc.titlePrimary health care utilisation and morbidity among immigrant children compared to non-immigrant children: a population-based study in Norwayen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2017-05-09T11:25:14Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2016 The Author(s)
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2016-012101
dc.identifier.cristin1442518
dc.source.journalBMJ Open


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