Comorbidity Network Analysis Reveals Diagnostic Disparities Between Austrian and Non-Austrian Inpatients: A Population-Wide Cohort Study
This study investigates diagnostic inequities in multimorbidity among international migrants attributable to barriers in healthcare access. Leveraging approximately 13 million hospital records from Austria between 2015 and 2019, the authors constructed a 1:1 matched cohort of Austrian-born and foreign-born patients using propensity score matching. Through multimorbidity network modeling and statistical comparison, they reveal for the first time that migrant patients exhibit significantly fewer multimorbidity connections—particularly between mental and metabolic conditions—not due to lower actual disease burden, but likely reflecting structural healthcare barriers. The analysis further uncovers gender-specific patterns: migrant women show clustering of depression, somatization, and back pain, whereas migrant men are characterized by a higher incidence of acute somatic conditions, highlighting systemic disparities in diagnostic recognition.