265: Why do African immigrants come to our health centres?

A Perez1, MJ Agüeros1, M Gago1, B Bermejo1, JR Lopez 1, VJ Ovejero 2, A Avellaneda3, M Izquierdo3, AI Cano1, M Gomez1
1 Primary Health, Servicio Cantabro Salud, Santander, Spain; 2 Hospital Sierrallana, Servicio Cantabro Salud, Torrelavega, Spain; 3 Primary Health, Servicio Madrileño Salud, Madrid, Spain
Objective: To study the causes and needs which arise from attending African immigrants in an urban primary care health centre.
Methods: A descriptive transversal study of African immigrants receiving medical attention for whatever reason over six months (January–June) 2012.
Results: There were 48 medical assistances, which is 5.41% of the total of immigrants attended to. The average age was 31.3 years (DE7.6) and they were mainly women (79.2%). The assistances occurred predominantly on Tuesday (33.3%); none were home visits, the average number of reasons for assistance was 1.33; on 29.9% further tests or courses of action, mainly sick leave (42.9%), clinical analysis (28.6%) or referral to another specialist (28.6%), mainly pneumology (40%) and gynaecology (32%). Classifying the causes by CIPSAP-2, we obtained “X genitourinary illnesses” (33.3%), “I infectious and parasitic illnesses” (20.8%), and “VI illnesses of the nervous system and sensory organs” (16.7%), and by specialities: pneumology (25%), gynaecology/obstetrics (25%) and traumatology (16.7%). 58.3% were given prescriptions for acute disorders (anti-inflammatory drug (54.2%), antibiotics (25%)), and 12.5% for chronic disorders (pregnancy supplements (33.3%), contraceptives (25.2%)).
Conclusions: Attending the African immigrant population represents a small percentage of the total. The profile of the typical patient is a young woman, who mainly receives medical attention for pneumological or gynaecological reasons. There are no home medical visits. Less than one third require further medical tests or courses of action, the main one being sick leave. They are usually acute causes, requiring little chronic medication or follow-up medical checks

Disclosure: No conflict of interest declared