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. 2001 Jan;27(1):25-8.
doi: 10.1016/S0212-6567(01)78768-9.

[Motives for consultation and demographic characteristics of a community of "undocumented" immigrants in the district of Usera-Villaverde (Madrid)]

[Article in Spanish]
M M Esteban y Peña  1
Affiliations

[Motives for consultation and demographic characteristics of a community of "undocumented" immigrants in the district of Usera-Villaverde (Madrid)]

[Article in Spanish]
M M Esteban y Peña. Aten Primaria. 2001 Jan.

Abstract
in English, Spanish

Objective: The objectives of the present study are to describe to the social particularizations, reasons for consultation and diagnoses conducted in the adult immigrants without regularizing that they went to this doctor's office in the district of Villaverde-Usera (Madrid), excluding the data from obstetrics-gynecology and pediatric.

Design: One is a descriptive observational study, based on the registry of the daily activity of the consultation from 1996 to 1999.

Setting: Primary level of attention in the area of influence of the municipal districts of Villaverde-Usera.

Participants: 1496 consultations to immigrants without regularizing adults, taken care of in our consultation are described in the mentioned period.

Measurements and results: By means of the registry of daily activity social and demographic variables took shelter, of reason and type of consultation, as well as of the main diagnosis that brought to them to the consultation, en 1496 consultations of illegal immigrants (533 people). 31% of the consultations were new and a 14% of absences to the citation were registered. 67% of the consultations made women, the average age was of 34.9 years and in a 76% it referred like South America origin. The diseases that more consultations generated were acute respiratory infection 18%, depressives disorders 11% and the backache with also a 11%. The 48% the reasons for the consultation were acute and 60% took place to free demand.

Conclusions: The group of consultations taken care of responds to the profile of a young South American woman, that fundamentally consults by acute respiratory infections, and very in proximity by depressive-anxious upheavals and lumbar affections, problems very in relation to his situation of immigrant. The irregularity adds to a risk when making difficult the access, most of the consultations are precise, failing in elevated occasions to the programmed consultation.

Objetivo: Los objetivos del presente estudio son describir las particularidades sociales, motivos de consulta y diagnósticos efectuados en los inmigrantes adultos sin regularizar que acudieron a este consultorio en el distrito de Villaverde-Usera (Madrid), excluyéndose los datos de obstetriciaginecología y pediatría.

Diseño: Se trata de un estudio observacional descriptivo, basado en el registro de la actividad diaria de la consulta desde 1996 a 1999.

Emplazamiento: Nivel primario de atención en el área de influencia de los distritos municipales de Villaverde-Usera.

Pacientes u otros participantes: Se describen 1.496 consultas a inmigrantes sin regularizar, adultos, atendidos en nuestra consulta, en el citado período.

Medición y resultados: Mediante el registro de actividad diaria se recogieron variables sociodemográficas, de motivo y tipo de consulta, así como del principal diagnóstico que les trajo a la consulta, en 1.496 consultas de inmigrantes sin regularizar (533 personas). Un 31% de las consultas fueron nuevas y se registró un 14% de ausencias a la citación. El 67% de las consultas las realizaron mujeres, la edad media fue de 34,9 años y en un 76% refirió como procedencia Sudamérica. Las enfermedades que más consultas generaron fueron infección respiratoria aguda (18%), trastornos depresivos (11%) y dolor de espalda (11%). En un 48% los motivos de la consulta fueron agudos y el 60% se produjo a libre demanda.

Conclusiones: El grupo de consultas atendido responde al perfil de una mujer joven, sudamericana, que consulta fundamentalmente por infecciones respiratorias agudas y casi en el mismo grado a causa de trastornos depresivo-ansiosos y lumbalgias, problemas muy en relación con su situación de inmigrante. La irregularidad añade un riesgo al dificultar el acceso; la mayor parte de las consultas son puntuales, pero en muchas ocasiones no se presentan a la consulta programada.

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