Bulletin de la Societe de Pathologie Exotique
Volume 105, Issue 2, 2012, Pages 86-94

Health of immigrant population of consultants at the Baudelaire outpatient clinic in Saint-Antoine hospital in Paris, France [La santé des migrants consultant la policlinique Baudelaire de l'hôpital Saint-Antoine à Paris, France] (Article)

Kaoutar B.* , Mathieu-Zahzam L. , Lebas J. , Chauvin P.
  • a APHP, Hôpital Saint-Antoine, Polyclinique, Paris, France, Université Pierre et Marie, UMR S 707, Curie-Paris, 6, Paris, France
  • b APHP, Hôpital Saint-Antoine, Polyclinique, Paris, France, Université Pierre et Marie, UMR S 707, Curie-Paris, 6, Paris, France
  • c APHP, Hôpital Saint-Antoine, Polyclinique, Paris, France, INSERM, UMR S 707, Equipe de Recherche sur les Déterminants Sociaux, de la santé et du recours aux soins, Paris, France, Université Pierre et Marie, UMR S 707, Curie-Paris, 6, Paris, France
  • d INSERM, UMR S 707, Equipe de Recherche sur les Déterminants Sociaux, de la santé et du recours aux soins, Paris, France, Université Pierre et Marie, UMR S 707, Curie-Paris, 6, Paris, France

Abstract

Social and health data on the immigrant population remain scarce in France, especially concerning those in irregular situation. The Baudelaire outpatient clinic in Saint-Antoine hospital in Paris (PASS, i.e. specific free medico-social care for the poor, the uninsured or the undocumented patients) treats a majority of immigrants, a lot of them being in an irregular residence status. The objectives of this study were to describe the social and health status of the immigrant consultants, to compare regular and undocumented migrants and to describe their main reasons for migration. A cross-sectional, descriptive, survey among the immigrant consultants has been performed among this outpatient clinic in April and May 2009. In total, 536 patients were included. Their age mean was 45 years, 62% are male, 49% are in an irregular situation and they have been in France for 12 years in average (19 years for the regular immigrants and 5 years for the undocumented). More than 20% had no health insurance. A majority (55%) of patients were suffering from a chronic disease. The more frequent ones were hypertension (20%), type 2 diabetes (11.6%), chronic infectious diseases - HIV, HBV, HCV - (7%). Reasons for immigration were mostly economical (39%), family (19%) and political (17%). Health reasons were at the 4th rank and concerned 9% of the patients. The main chronic diseases observed among this population are similar to those of the general population of consultants in primary health care, except for the chronic infectious diseases, which are more frequent. Immigration for health reasons represents only a small proportion of all immigration reasons. For this population, free clinics like the one investigated here constitute unique, irreplaceable, access points in the French healthcare system. © 2012 Société de pathologie exotique et Springer-Verlag France.

Author Keywords

Migrants Hospital reasons for migration Health Undocumented migrants Paris France Access to care Chronic diseases

Index Keywords

educational status economics population France human ethics middle aged statistics Aged chronic disease health Young Adult Humans male Emigrants and Immigrants female patient referral Socioeconomic Factors Referral and Consultation socioeconomics Outpatient Clinics, Hospital outpatient department Article adult migration Paris Transients and Migrants Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863569845&doi=10.1007%2fs13149-012-0227-z&partnerID=40&md5=69ae55efdedf9fdb81b6ad01ecaf924a
DOI: 10.1007/s13149-012-0227-z
ISSN: 00379085
Cited by: 3
Original Language: French