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. 2025 Mar 28;25(1):1182.
doi: 10.1186/s12889-025-22297-z.

Health disparities between native and foreign-born older population in India: Does migration status matter in later life?

Affiliations

Health disparities between native and foreign-born older population in India: Does migration status matter in later life?

Vasim Ahamad et al. BMC Public Health. .

Abstract

Background: Ageing and migration are both contemporary phenomena and challenging for modern society in the 21st century. Persons ageing with migration status might have a double risk of vulnerability to poor health outcomes. This study examines the health disparities between foreign-born and native populations in India.

Methods: The data drawn for the study from the Longitudinal Ageing Study in India (LASI) Wave-I (2017-18). The study used univariate and bivariate analysis to examine health disparities between native and foreign-born groups, and logistic regression analysis was used to examine the association between migration status and health outcomes of older persons.

Results: Over fifty percent (56.5%) of the older persons (age 60+ years) were migrants; of these migrants of older persons, 55% were internally migrated, and 1.5% were foreign-born migrants in India. The foreign-born migrants persons showed a higher prevalence of poor SRH, chronic conditions, depression symptoms, and physical limitations than internal migrants and non-migrant groups. Further, the logistic regression result shows that foreign-born migrants were more likely to have poor SRH [AOR:1.72; CI: 1.45-2.04], chronic conditions [AOR=1.56; CI: 1.26-1.81], depression symptoms [AOR 1.14; CI: 1.07-1.21], and physical limitations [AOR 1.29; CI: 1.21-1.38], than non-migrants. Moreover, the study shows that the migrants' health disparities also vary with their length of stay and country of origin.

Conclusions: This cross-sectional study suggests that persons with internal and foreign-born migrant status were more vulnerable to poor health outcomes than non-migrants in their later life. This study predicts that migrants need separate health policies as they are in poorer health conditions than non-migrants. Policymakers should initiate equal access to healthcare services for older internal and foreign-born migrants in India.

Keywords: Ageing; Foreign-born; Health disparities; Immigrants; India; Migration.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: The Given study is a secondary data analysis based on LASI wave-I (2017–18). The Indian Council of Medical Research (ICMR) extended the necessary guidance and ethical approval for conducting the LASI. Therefore, information from respondents is not collected as part of the study, so consent to participate is not required. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Selection of sample size for the study
Fig. 2
Fig. 2
Migration status and level among older persons in India, LASI-1 (2017–18), weighted%
Fig. 3
Fig. 3
Prevalence of health outcomes with migration status among older persons in India, LASI-1 (2017–18), weighted%

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