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The European Journal of Public Health Advance Access originally published online on January 5, 2007
The European Journal of Public Health 2007 17(5):483-485; doi:10.1093/eurpub/ckl266
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© The Author 2007. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Health Inequalities

Health care provision for illegal migrants: may health policy make a difference?

A.M. Torres-Cantero1, A.G. Miguel2, C. Gallardo2 and S. Ippolito3

1 Department of Health and Social Sciences, Medical School, Murcia University, Murcia, Spain
2 Department of Health Sciences and Public Health, Rey Juan Carlos University, Alcorcón, Madrid, Spain
3 Project Coordinator, Institution Building for Asylum in North Africa, UNHCR Geneva

Correspondence: Dr Alberto M. Torres, Department of Health and Social Sciences, Medical School, 30100 Murcia, Spain, tel: +34 968 364657 fax: +34 968 363947, e-mail: amtorres{at}um.es

Received May 13, 2006 , accepted November 3, 2006

Illegal migrants in Europe are, generally, only entitled to emergency care and services for children and pregnant women. In 2002 legal changes in Spain made accessible medical cards and free medical care for illegal migrants in similar terms than the legal migrants or the Spanish population. We interviewed 380 migrants to assess whether there were differences on health services utilization by legal status. We did not find differences in the utilization of health services when ill between legal and illegal migrants. However, a significantly lower utilization of health services was associated with less education (RP = 0.4; 95% CI: 0.2–0.9).

Keywords: Access to health care, Equatorian migrants, health services utilization, illegal migrants, Spain


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