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<p>Migrants often face challenges in accessing adequate healthcare, leading to higher morbidity rates. Multimorbidity, a significant driver of global healthcare costs, is a complex public health issue. This study explores whether the migration status of older adults contributes to the risk of multimorbidity in India. It draws the study sample from the Longitudinal Ageing Study in India (LASI) wave 1 (2017-18), which includes 31,464 older adults aged 60 and above (15,068 males; 16,366 females). Multimorbidity prevalence was assessed through percentage while binary logistic regression models were used to predict the likelihood of multimorbidity. Results indicate that migrant older adults have higher multimorbidity prevalence across socio-economic variables, with both male and female migrants showing higher prevalence (males 29.43%, females 26.90%) than non-migrants (males 20.14%, females 23.61%). Migrants exhibited heightened vulnerability to multimorbidity, supported by unadjusted (UOR: 1.43, CI: 1.35–1.50) and adjusted models (AOR: 1.10, CI: 1.00-1.20) considering socio-economic factors. Additionally, international migrants had higher odds of developing multimorbid condition (AOR: 1.27, CI: 0.95–1.68) than those migrated internally. This study’s findings highlight migration can contribute to the increasing risk of multimorbidity among older adults in India. Factors such as lower physical activity, overweight status, higher consumption expenditure, educational attainment, and urban residency contribute to this increased risk.</p>

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Does Migration Contribute to Chronic Health Conditions? Evaluating Multimorbidity Risk among Indian Older Adults

  • 期刊论文

  • 发表日期：

    2026年1月2日

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  • Shobhit Srivastava,
  • Alok Aditya,
  • Ruchi Singh,
  • Prem Shankar Mishra

摘要

Migrants often face challenges in accessing adequate healthcare, leading to higher morbidity rates. Multimorbidity, a significant driver of global healthcare costs, is a complex public health issue. This study explores whether the migration status of older adults contributes to the risk of multimorbidity in India. It draws the study sample from the Longitudinal Ageing Study in India (LASI) wave 1 (2017-18), which includes 31,464 older adults aged 60 and above (15,068 males; 16,366 females). Multimorbidity prevalence was assessed through percentage while binary logistic regression models were used to predict the likelihood of multimorbidity. Results indicate that migrant older adults have higher multimorbidity prevalence across socio-economic variables, with both male and female migrants showing higher prevalence (males 29.43%, females 26.90%) than non-migrants (males 20.14%, females 23.61%). Migrants exhibited heightened vulnerability to multimorbidity, supported by unadjusted (UOR: 1.43, CI: 1.35–1.50) and adjusted models (AOR: 1.10, CI: 1.00-1.20) considering socio-economic factors. Additionally, international migrants had higher odds of developing multimorbid condition (AOR: 1.27, CI: 0.95–1.68) than those migrated internally. This study’s findings highlight migration can contribute to the increasing risk of multimorbidity among older adults in India. Factors such as lower physical activity, overweight status, higher consumption expenditure, educational attainment, and urban residency contribute to this increased risk.