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International Journal of Public Health

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01.10.2011 | Original Article

Health care utilization among first and second generation immigrants and native-born Germans: a population-based study in Germany

verfasst von: Heide Glaesmer, Ulla Wittig, Elmar Braehler, Alexandra Martin, Ricarda Mewes, Winfried Rief

Erschienen in: International Journal of Public Health | Ausgabe 5/2011

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Abstract

Objectives

There are contradictory findings on health care utilization (HCU) of immigrants compared to native-born populations. Our study focuses on this topic using a population-based approach and differentiates generational cohorts of immigrants.

Methods

In a representative population survey in Germany (N = 2,510), immigrant background/generational cohort and HCU in the preceding 12 months were screened by means of self-rating instruments.

Results

11.1% (7.0% first and 4.1% second generation) of the sample are immigrants. No differences have been detect with regard to subjective state of health, satisfaction with life and with health and functional disabilities. First generation immigrants contacted a medical specialist less likely, but they more frequently use general practitioners (GPs) than the native-born Germans and the second generation immigrants.

Conclusions

First generation immigrants show remarkable differences in HCU compared to the native-born Germans and the second generation immigrants. Their HCU seems to be focused on primary care, and access to secondary care might be complicated. It seems relevant to especially pay attention to HCU of first generation immigrants and to support equal access to care for this subgroup.

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Titel: Health care utilization among first and second generation immigrants and native-born Germans: a population-based study in Germany
verfasst von: Heide Glaesmer
Ulla Wittig
Elmar Braehler
Alexandra Martin
Ricarda Mewes
Winfried Rief
Publikationsdatum: 01.10.2011
Verlag: SP Birkhäuser Verlag Basel
Erschienen in: International Journal of Public Health / Ausgabe 5/2011
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-010-0205-9

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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