[Utilization of dermatology services among the immigrant population].
OBJECTIVE
To determine the utilization rate of a dermatology service among the immigrant population and compare this rate with that among the autochthonous population.


METHODS
Over a 1-year period, data on all patients attended in the Dermatology Service of Health Department 19 in the autonomous community of Valencia were prospectively collected.


RESULTS
Of 39,160 consultations, 1,625 were made by immigrants (4.1%). Attendance for dermatologic emergencies was greater in immigrants than in the autochthonous population (7.7% vs 3.0%; p<0.001), while surgical activity was lower in immigrants than in Spanish-born patients (2.6% vs 5%; p<0.001). Demand for consultation in the immigrant population was 5.7 visits per 100 immigrants, lower than that in the autochthonous population (16.2). The standardized rate ratio was 0.34. North Africans (5.6 per 100 immigrants), East Europeans (4.8), sub-Saharan Africans (5.3) and Asians (4.2) consulted less than Latin Americans (8.5; p<0.001).


CONCLUSIONS
Demand was lower in the immigrant than in the autochthonous population, and the utilization pattern differed according to country.
Albares Tendero
Ma Pilar
MP
Sección de Dermatología, Hospital General Universitario de Alicante, Alicante, Spain.
Ramos Rincón
José Manuel
JM
Belinchón Romero
Isabel
I
Betlloch Más
Isabel
I
Pastor Tomás
Natalia
N
Botella Antón
Rafael
R
D017677:Age Distribution; D003880:Dermatology / Q000706:statistics & numerical data*; D004630:Emergencies / Q000453:epidemiology; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D017678:Sex Distribution; D013030:Spain / Q000453:epidemiology