resuMen Palabras clave. Inmigrantes. Morbilidad. Centros de salud. Atención primaria de salud. aBstract Background. To describe utilisation of health care services and motives for consultation in Primary Care in the native and the immigrant population, and compare this with the perception of primary care professionals.Methods. Data was collected on health care activity during the year 2006 for all people registered (N=86,966) in the 6 basic health care zones with the highest proportion of immigrants (14.4%) and on the following variables: country of origin, age, sex, year of inscription in the public health service. The health card and OMI-AP programme databases were used. A qualitative methodology of focus groups and in-depth interviews was employed.results. Seventy-two point four percent of immigrants requested care from the primary care professionals in 2006, of whom 50% proceeded from Ecuador and 70% were between 25 and 44 years old. Eighty-two percent of the natives made consultations and required more referrals to specialised care than the immigrants of the same age group. The most frequent consultation with natives and with immigrants was «acute respiratory infections» (7 to 23% according to age group). The second most frequent with immigrants was «administrative problems». The consultations with immigrants were not related to preventive aspects such as smoking and there were more consultations (p>0.001) for gynaeco-obstetric episodes (10.7%) and those related to work (19%) or psychosomatic problems (8.5%). The perception of the primary care professionals was that the immigrants carry out more consultations than the natives and generate a certain «disorder» in the clinic. conclusion. Immigrants use healthcare services less than the native population. Nonetheless, this fact is not perceived in this way by the primary care professionals. Fewer preventive activities are carried out with immigrants, who suffer from more labour and psychosomatic problems.

The epidemiological situation of HIV infection and AIDS in Navarre in 2003 is reviewed. Up until December 2003, 1,610 HIV infections had been diagnosed in residents of Navarre, of whom 41% had died. The new diagnoses of HIV fell by some 81% between 1993 and 2003, a year in which 28 cases were diagnosed (4.8 per 100,000 inhabitants). The fall basically occurred in infections in injection drug users, since the cases due to sexual transmission had remained stable. Over half of the infections diagnosed in the period 2000-2003 (58%) were attributable to heterosexual transmission, 18% occurred in parenteral drug users and 12% in homosexual men. Thirty-three percent were persons originally from other countries. The incidence of AIDS fell from 75 cases in 1996 to 20 in 2003, and mortality from 65 to 8 cases, respectively. In the 2000-2003 period, the average annual incidence of AIDS was 4.2 per 100,000 inhabitants and the average annual rate of mortality was 1.6 per 100,000 inhabitants. At the end of 2003, there were 902 living persons with a diagnosis of HIV monitored by the health system (1.6 known infections per 1,000 inhabitants). In 2003, 65% of the youths aged between 15 and 29 referred to coital sexual relations, a higher percentage than in previous years, but their level of information on the prevention of AIDS was acceptable. It is necessary to insist on prevention and to adapt this to the new situation.

88.2% as did those with CD4 T-cell counts ≥350 (from 48.2% to 66.9%) and viral copies <200 (from 47.0% to 85.2%). HIV-infected people with hepatitis C virus RNA decreased from 36.0% in 2004 to 29.9% in 2011, while those with HBsAg remained stable at around 4.4%. Implementation of a low-cost, sustainable system for second-generation surveillance in people living with HIV is feasible. In Spain, the information obtained has helped to define and refine public health policy and document treatment effectiveness.

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artículos originales0 atención al paciente inmigrante: realidad y percepción de los profesionales de 6 zonas de atención Primaria de navarra Care for immigrant patients: facts and professionals' perception in 6 primary health care zones in Navarre M.c. Fuertes 1 , l. elizalde 2 , M.r. de andrés 3 , P. garcía castellano 4 , s. urmeneta 5 , J.M. uribe 6 , P. Bustince 7 resuMen Fundamento. Describir la utilización de servicios y motivos de consulta en Atención Primaria entre población autóctona e inmigrante y contrastarla con la percepción que tienen los profesionales de atención primaria. Material y métodos. Se recogieron datos de actividad asistencial durante el año 2006 de la totalidad de personas adscritas (N=86.966) a las 6 zonas básicas con mayor proporción de población inmigrante (14,4 %) y las variables: país de origen, edad, sexo, año de alta en el sistema sanitario. Se utilizaron bases datos de tarjeta sanitaria y de programa OMI-AP. Se utilizó metodología cualitativa de grupos de discusión y entrevistas en profundidad. resultados. El 72,4% de inmigrantes solicitaron atención de profesionales de atención primaria en 2006, de los cuales un 50% procedía de Ecuador y un 70% tenía entre 25 y 44 años. Los autóctonos consultantes fueron el 82% y requirieron más derivaciones a atención especializada que los inmigrantes del mismo grupo de edad. La consulta más frecuente en autóctonos e inmigrantes fue «infecciones respiratorias agudas» (7 al 23%, según grupos de edad). La segunda en inmigrantes fue «problemas administrativos». Las consultas de inmigrantes no se relacionan con aspectos preventivos como tabaquismo y sí tuvieron más consultas (p>0,001) de episodios gineco-obstétricos (10,7%) y de los relacionados con problemas laborales (19%) o psicosomáticos (8,5%). La percepción de los profesionales de atención primaria era que la población inmigrante consulta más que la autóctona y genera cierto «desorden» en la consulta. conclusión. Los inmigrantes son menos utilizadores de servicios sanitarios y frecuentadores que los autóctonos. Sin embargo, este hecho no es percibido así por los profesionales de atención primaria. Con inmigrantes se realizan menos actividades preventivas y padecen más problemas laborales y psicosomáticos. Palabras clave. Inmigrantes. Morbilidad. Centros de salud. Atención primaria de salud.