title: Different Patterns in Health Care Use Among Immigrants in Spain.
abstract: This study aims to analyze the differences in the use of primary care (PC), hospital, and emergency services between people born in Spain and immigrants. Data were obtained from the 2006 Spanish National Health Survey. The sample was composed of individuals aged 16-64 years from Spain and the seven countries with most immigrants in Spain (n = 22,224). Hierarchical multiple logistic regression models were fitted. Romanian men were less likely to use health care at all levels compared to men from other countries. Women from Argentina, Bolivia and Ecuador reported a lower use of PC. Among women, there were no differences in emergency visits or hospitalizations between countries. Bolivian men reported more hospitalizations than Spanish men, whereas Argentinean men reported more emergency visits than their Spanish counterparts. In Spain, most immigrants made less than, or about the same use of health care services as the native Spanish population.
authors: Agència de Salut Pública de Barcelona, Pl. Lesseps 1, 08023, Barcelona, Spain.
authors: Nazmy
authors: N
authors: Villarroel
authors: Agència de Salut Pública de Barcelona, Pl. Lesseps 1, 08023, Barcelona, Spain. lartazco@aspb.cat.|CIBER en Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. lartazco@aspb.cat.|Universitat Pompeu Fabra, Barcelona, Spain. lartazco@aspb.cat.|Institute of Biomedical Research (IIB-SantPau), Barcelona, Spain. lartazco@aspb.cat.
authors: Lucía
authors: L
authors: Artazcoz
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005006:Ethnicity; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006304:Health Status; D006306:Health Surveys; D054625:Healthcare Disparities; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012737:Sex Factors; D012959:Socioeconomic Factors; D013030:Spain; D055815:Young Adult
keywords: Gender; Health care disparities; Immigrants; Socio-economic factors; Spain