El marco sanitario y el entorno psicosocial de la población inmigrante magrebí en Cataluña

Saura, Rosa María Mendoza; Suñol, Rosa; Vallejo, Paula; Ubach, Sònia Lahoz i; Atxotegui, Joseba; Manouari, Mohamed el

doi:10.1016/s0213-9111(08)75353-6

Cited by 8 publications

(3 citation statements)

References 21 publications

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“…These data corroborate the findings of previous studies (e.g. Saura et al, [5]), and have been attributed to the lack of information regarding the health system and of the possibilities of access for those who are not legally resident [3]. In our study, however, all the population included were legally entitled to health care, and had been registered with their health centre for at least one year; therefore, the obstacles would not be to do with the subjects' legal status but with other no less important causes such as linguistic difficulties, cultural differences in the perception of the need to seek medical advice, or the search for alternative solutions to health problems.…”

Section: Discussionsupporting

confidence: 93%

“…These include the understandable fear of detection felt by illegal immigrants, their lack of information regarding access to the health system, and their inability to communicate freely due to linguistic difficulties. To compound the problem, the registration systems in use are not designed for a situation of large-scale immigration; the health staff may know little of the immigrants' cultures, and the traditional psychometric scales used to diagnose psychiatric illness may have little transcultural validity [3-5]. Finally, the cultural background of each ethnic group is deeply involved in the mental health concept, identification and help seeking attitudes, resulting in a great variability of situations.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the consumption of antidepressants in the immigrant and native populations in a Spanish health region: an observational study

et al. 2010

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BackgroundHealth professionals and organizations in developed countries adapt slowly to the increase of ethnically diverse populations attending health care centres. Several studies report that attention to immigrant mental health comes up with barriers in access, diagnosis and therapeutics, threatening equity. This study analyzes differences in exposure to antidepressant drugs between the immigrant and the native population of a Spanish health region.MethodsCross-sectional study of the dispensation of antidepressant drugs to the population aged 15 years or older attending the public primary health centres of a health region, 232,717 autochthonous and 33,361 immigrants, during 2008. Data were obtained from computerized medical records and pharmaceutical records of medications dispensed in pharmacies. Age, sex, country of origin, visits, date of entry in the regional health system, generic drugs and active ingredients were considered. Statistical analysis expressed the percentage of persons exposed to antidepressants stratified by age, gender, and country of origin and prevalence ratios of antidepressant exposition were calculated.ResultsAntidepressants were dispensed to 11% of native population and 2.6% of immigrants. Depending on age, native women were prescribed antidepressants between 1.9 and 2.7 times more than immigrant women, and native men 2.5 and 3.1 times more than their immigrant counterparts. Among immigrant females, the highest rate was found in the Latin Americans (6.6%) and the lowest in the sub-Saharans (1.4%). Among males, the highest use was also found in the Latin Americans (1.6%) and the lowest in the sub-Saharans (0.7%). The percentage of immigrants prescribed antidepressants increased significantly in relation to the number of years registered with the local health system. Significant differences were found for the new antidepressants, prescribed 8% more in the native population than in immigrants, both in men and in women.ConclusionsAll the immigrants, regardless of the country of origin, had lower antidepressant consumption than the native population of the same age and sex. Latin American women presented the highest levels of consumption, and the sub-Saharan men the lowest. The prescription profiles also differed, since immigrants consumed more generics and fewer recently commercialized active ingredients.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Comparison of the consumption of antidepressants in the immigrant and native populations in a Spanish health region: an observational study

et al. 2010

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“…Finally, although all immigrants have the right to request a health card identifier regardless of their legal status and provided that they are registered in the local population census, it may occasionally occur that they do not seek such service for fear of deportation (i.e., irregular immigrants) or due to lack of information [39]. In such cases, it is possible that the same health card identifier might be used by various immigrants who attend PC health centres and use the card of a relative or a friend.…”

Section: Discussionmentioning

confidence: 99%

Primary care utilisation patterns among an urban immigrant population in the Spanish National Health System

et al. 2011

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BackgroundThere is evidence suggesting that the use of health services is lower among immigrants after adjusting for age and sex. This study takes a step forward to compare primary care (PC) utilisation patterns between immigrants and the native population with regard to their morbidity burden.MethodsThis retrospective, observational study looked at 69,067 individuals representing the entire population assigned to three urban PC centres in the city of Zaragoza (Aragon, Spain). Poisson models were applied to determine the number of annual PC consultations per individual based on immigration status. All models were first adjusted for age and sex and then for age, sex and case mix (ACG System®).ResultsThe age and sex adjusted mean number of total annual consultations was lower among the immigrant population (children: IRR = 0.79, p < 0.05; adults: IRR = 0.73, p < 0.05). After adjusting for morbidity burden, this difference decreased among children (IRR = 0.94, p < 0.05) and disappeared among adults (IRR = 1.00). Further analysis considering the PC health service and type of visit revealed higher usage of routine diagnostic tests among immigrant children (IRR = 1.77, p < 0.05) and a higher usage of emergency services among the immigrant adult population (IRR = 1.2, p < 0.05) after adjusting for age, sex and case mix.ConclusionsAlthough immigrants make lower use of PC services than the native population after adjusting the consultation rate for age and sex, these differences decrease significantly when considering their morbidity burden. These results reinforce the 'healthy migration effect' and discount the existence of differences in PC utilisation patterns between the immigrant and native populations in Spain.

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Undocumented Immigrant Women in Spain: A Scoping Review on Access to and Utilization of Health and Social Services

Gea-Sánchez

Alconada-Romero

Briones-Vozmediano

et al. 2016

J Immigrant Minority Health

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This scoping review summarizes and analyzes relevant studies related to the evidence published on undocumented immigrant women's access to and utilization of health and social services in Spain. Scientific literature was identified by entering search terms in seven electronic databases which combined retrieved health sciences peer-reviewed articles (Pubmed, Embase, CINAHL Plus and Scopus) and grey literature databases (Europa OpenGrey, DART-Europe and Google Scholar) published between 2004 and 2014 and written in Spanish or in English presenting data about Spain. Those that fulfill the inclusion criteria were selected after a blind peer reviewed process when pertinence and quality was debated. A total of 16 publications were included, the main topics being socio-cultural differences in the access and utilization of social and health services and barriers faced by immigrant women. None of the studies focused exclusively on undocumented women, hence further research is needed in this area.

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El marco sanitario y el entorno psicosocial de la población inmigrante magrebí en Cataluña

Cited by 8 publications

References 21 publications

Comparison of the consumption of antidepressants in the immigrant and native populations in a Spanish health region: an observational study

Comparison of the consumption of antidepressants in the immigrant and native populations in a Spanish health region: an observational study

Primary care utilisation patterns among an urban immigrant population in the Spanish National Health System

Undocumented Immigrant Women in Spain: A Scoping Review on Access to and Utilization of Health and Social Services

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