Carrasco-Garrido Pilar, Jiménez-García Rodrigo, Barrera Valentin Hernández, de Andrés Ana López, de Miguel Angel Gil
Unit of Preventive Medicine and Public Health, Rey Juan Carlos University, Alcorcón, Madrid, Spain.
BMC Public Health. 2009 Jun 25;9:201. doi: 10.1186/1471-2458-9-201.
In the last decade, the number of foreign residents in Spain has doubled and it has become one of the countries in the European Union with the highest number of immigrants There is no doubt that the health of the immigrant population has become a relevant subject from the point of view of public healthcare. Our study aimed at describing the potential inequalities in the use of healthcare resources and in the lifestyles of the resident immigrant population of Spain.
Cross-sectional, epidemiological study from the Spanish National Health Survey (NHS) in 2006, from the Ministry of Health and Consumer Affairs. We have worked with individualized secondary data, collected in the Spanish National Health Survey carried out in 2006 and 2007 (SNHS-06), from the Ministry of Health and Consumer Affairs. The format of the SNHS-06 has been adapted to the requirements of the European project for the carrying out of health surveys.
The economic immigrant population resident in Spain, present diseases that are similar to those of the indigenous population. The immigrant population shows significantly lower values in the consumption of alcohol, tobacco and physical activity (OR = 0.76; CI 95%: 0.65-0.89, they nonetheless perceive their health condition as worse than that reported by the autochthonous population (OR = 1.63, CI 95%: 1.34-1.97). The probability of the immigrant population using emergency services in the last 12 months was significantly greater than that of the autochthonous population (OR = 1.31, CI 95%: 1.12-1.54). This situation repeats itself when analyzing hospitalization data, with values of probability of being hospitalized greater among immigrants (OR = 1.39, CI 95%: 1.07-1.81).
The economic immigrants have better parameters in relation to lifestyles, but they have a poor perception of their health. Despite the fact that immigrant population shows higher percentages of emergency attendance and hospitalization than the indigenous population, with respect to the use of healthcare resources, their usage of healthcare resources such as drugs, influenza vaccinations or visits to the dentist is lower.
在过去十年中，西班牙的外国居民数量翻了一番，该国已成为欧盟中移民数量最多的国家之一。毫无疑问，从公共医疗保健的角度来看，移民人口的健康已成为一个重要课题。我们的研究旨在描述西班牙常住移民人口在医疗资源使用和生活方式方面可能存在的不平等现象。
这是一项横断面流行病学研究，数据来自西班牙卫生和消费者事务部2006年的西班牙国家健康调查（NHS）。我们使用的是个体化的二手数据，这些数据是在2006年和2007年进行的西班牙国家健康调查（SNHS - 06）中收集的，该调查由卫生和消费者事务部开展。SNHS - 06的格式已根据欧洲健康调查项目的要求进行了调整。
居住在西班牙的经济移民人口所患疾病与本土人口相似。移民人口在酒精、烟草消费和体育活动方面的数值明显较低（比值比 = 0.76；95%置信区间：0.65 - 0.89），然而他们认为自己的健康状况比本土人口报告的更差（比值比 = 1.63，95%置信区间：1.34 - 1.97）。在过去12个月中，移民人口使用急诊服务的概率明显高于本土人口（比值比 = 1.31，95%置信区间：1.12 - 1.54）。在分析住院数据时，这种情况再次出现，移民住院概率的值更高（比值比 = 1.39，95%置信区间：1.07 - 1.81）。
经济移民在生活方式方面有较好的指标，但他们对自己的健康状况认知较差。尽管移民人口的急诊就诊率和住院率高于本土人口，但在医疗资源使用方面，他们在药物、流感疫苗接种或看牙医等医疗资源的使用上较低。
