Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-26T18:12:59.488Z Has data issue: false hasContentIssue false

Health status and access to health care of British nationals living on the Costa Blanca, Spain

Published online by Cambridge University Press:  03 November 2008

DANIEL LA PARRA*
Affiliation:
Department of Sociology II, University of Alicante, Spain.
MIGUEL ANGEL MATEO
Affiliation:
Department of Sociology II, University of Alicante, Spain.
*
Address for correspondence: Daniel La Parra, Departemento Sociología II, Universidad de Alicante, ap.correos 99, 03080, Alicante, Spain. E-mail: [email protected]

Abstract

The aims of this paper are to review the health status of British nationals living on the Costa Blanca in the Province of Alicante, Spain, and to examine their access to health-care services. A sample of 155 of those that spent over three months a year in the area was interviewed. The results for those aged 45 or more years have been compared with those of the Health Survey for England 2003, the British Household Panel Survey 2004, the National Health Survey for Spain 2003, and the Spanish Household Panel Survey 2000. British nationals resident on the Costa Blanca appear to have a similar health profile to the Spanish and the British populations, and score higher than Spaniards and the British home population on some indicators: they have, for example, fewer mobility problems and a more positive perception of their state of health. These findings are consistent with the ‘healthy migrant hypothesis’. The Valencia Region Health Service provides health-care services to 62 per cent of this population. The total number of British residents' visits to a general practitioner is approximately the same as that of their Spanish neighbours. As for admissions to hospital, British residents on the Costa Blanca show trends similar to the population of the United Kingdom. The use of private health-care is relatively high, compared to the Spanish and the British populations.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ackers, L. and Dwyer, P. 2004. Fixed laws, fluid lives: the citizenship status of post-retirement migrants in the European Union. Ageing & Society, 24, 3, 451–75.CrossRefGoogle Scholar
Anderson, P. and Baumbert, B. 2006. Alcohol in Europe: A Public Health Perspective. Report for the European Commission, Institute of Alcohol Studies, London. Available online at http://ec.europa.eu/health-eu/news_alcoholineurope_en.htm [Accessed 15 September 2006].Google Scholar
Aranda, J. 2006. Acceso a la Propiedad de Vivienda de la Población Inmigrante [Access to Property by the Immigrant Population]. Ministerio de la Vivienda, Madrid. Available online at http://www.mviv.es/es/xls/estadisticas/ENCUESTAS/APV_PI.PDF [Accessed 22 September 2006].Google Scholar
Betty, C. and Cahill, M. 1998. Consideraciones sociales y sanitarias sobre los inmigrantes británicos mayores en España, en particular los de la Costa del Sol [The social and health characteristics of older British immigrants in Spain, particularly on the Costa del Sol]. Migraciones, 3, 83115.Google Scholar
Brooks, R., with the EuroQol Group 1996. EuroQol: the current state of play. Health Policy, 37, 1, 5372.CrossRefGoogle ScholarPubMed
Carballo, M., Divino, J. J. and Zeric, D. 1998. Migration and health in the European Union. Tropical Medicine and International Health, 3, 12, 936–44.CrossRefGoogle ScholarPubMed
Casado-Díaz, M. A., Kaiser, C. and Warnes, A. M. 2004. Northern European retired residents in nine southern European areas: characteristics, motivations and adjustment. Ageing & Society, 24, 3, 353–81.CrossRefGoogle Scholar
Centre for Future Studies 2004. The New Age of Retirement Migration: The Future of the British Retiree Abroad. Research Report, Alliance and Leicester International, Douglas, Isle of Man. Available online at http://www.alliance-leicester.co.im/assets/pdf/Research_Reports/NewAgeRetirementMigration.pdf [Accessed 3 August 2006].Google Scholar
Centro de Estudios para la Integración Social y Formación de los Inmigrantes (CEIM) 2005 a. Radiografía de las migraciones en la Comunidad Valenciana [Migration in the Valencia Autonomous Region]. CEIM and Instituto Valenciano de Investigaciones Económicas (IVIE), Bancaja, Valencia.Google Scholar
CEIM 2005 b. La asistencia sanitaria a la población extranjera: una necesidad y un derecho [Health Care for the Foreign Population: A Need and a Right]. Miradas sobre la inmigración [Profiles of Immigration] 9, CEIM and IVIE, Bancaja, Valencia.Google Scholar
CEIM 2006. Los Extranjeros y la Seguridad Social en la Comunidad Valenciana [Foreigners and Social Security in the Valencia Autonomous Region]. Miradas sobre la inmigración 10, CEIM and IVIE, Bancaja, Valencia.Google Scholar
Finch, B. K., Frank, R. and Vega, W. A. 2004. Acculturation and acculturation stress: a social-epidemiological approach to Mexican migrant farmworkers' health. International Migration Review, 38, 1, 236–62.CrossRefGoogle Scholar
Gustafson, P. 2001. Retirement migration and transnational lifestyles. Ageing & Society, 21, 4, 371–94.CrossRefGoogle Scholar
Hardill, I., Spradbery, J., Arnold-Boakes, J. and Marrugat, M. L. 2005. Severe health and social care issues among British migrants who retire to Spain. Ageing & Society, 25, 5, 769–83.CrossRefGoogle Scholar
Helset, A., Lauvli, M. and Sandlie, H. C. 2004. Jubilados noruegos en España: perspectivas de una cuarta edad para personas de la tercera edad [Norwegian retirees in Spain: reflections on the fourth age by those in the third age]. Short version of Helset, A., Lauvli, M. and Sandlie, H. C. 2004. Norske pensjonister og norske kommuner i Spania [Norwegian Pensioners and Communities in Spain]. Report 3/2004, NOVA, Oslo.CrossRefGoogle Scholar
Huber, A. and O'Reilly, K. 2004. The construction of Heimat under conditions of individualised modernity: Swiss and British elderly migrants in Spain. Ageing & Society, 24, 3, 327–51.CrossRefGoogle Scholar
Lurbe, K. 2006. La utilización de los servicios sanitarios en la vejez: un derecho a disposición desigual entre las personas jubiladas comunitarias y autóctonas [The utilisation of health-care services in old age: inequalities in access among retirees in the communities [provinces] and autonomous regions]. In Solé, C. (ed.) Inmigración comunitaria: ¿discriminación inversa? [European Union Citizen Immigrants: Inverse Discrimination?]. Anthropos, Barcelona, 4763.Google Scholar
McKay, L., Macyntire, S. and Ellaway, A. 2003. Migration and Health: A Review of the International Literature. Occasional Paper 12, Medical Research Council Social and Public Health Science Unit, University of Glasgow, Glasgow.Google Scholar
Nazroo, J. Y. 2003. The structuring of ethnic inequalities in health: economic position, racial discrimination, and racism. American Journal of Public Health, 93, 2, 277–84.CrossRefGoogle ScholarPubMed
Rabind, R. and Charro, F. de 2001. EQ-5D: a measure of health status from the EuroQol Group. Annals of Medicine, 33, 5, 337–43.CrossRefGoogle Scholar
Rodríguez, V., Fernández-Mayoralas, G. and Fermina, R. 1998. European retirees on the Costa del Sol: A cross-national comparison. International Journal of Population Geography, 4, 2, 183200.3.0.CO;2-8>CrossRefGoogle Scholar
Rubio, M. A. 2006. Flujos de inversión de no residentes en inmuebles residenciales. Flujos de inversión de residentes en inmuebles residenciales fuera de España [Housing Investment by Non-residents in Spain and by Spanish Residents Outside Spain]. Ministerio de la Vivienda, Madrid. Available online at http://www.mviv.es/es/xls/estadisticas/ENCUESTAS/OE2.PDF [Accessed 22 September 2006].Google Scholar
Spain, Instituto Nacional de Estadística (INE) 2005. Panel Europeo de Hogares. Muestra ampliada para España, año 2000 [European Household Panel: The Enlarged Spanish Sample in 2000]. INE, Madrid. (Microdata computer file).Google Scholar
Spain, Instituto Nacional de Estadística (INE) 2006. Padrón Municipal [The Municipal Population Register]. INE, Madrid. (Annual).Google Scholar
Spain, Ministerio del Interior 2006. Extranjeros con tarjeta o permiso de residencia, 31 Diciembre 2005 [Foreigners with Residence Cards and Permits, 31 December 2005]. Dirección General de la Policía, Ministerio del Interior, Madrid.Google Scholar
Spain, Ministerio de Sanidad y Consumo (MSC) 2005. Encuesta Nacional de Salud 2003 [National Health Study 2005]. MSC and INE, Madrid. (Microdata computer file.)Google Scholar
United Kingdom (UK), Data Archive 2005. Health Survey for England 2003. Data file SN: 5098 created by National Centre for Social Research and Department of Epidemiology and Public Health, University College London. UK Data Archive, Colchester, Essex.Google Scholar
UK, Department for Work and Pensions (DWP) 2005. State Pension Average Weekly Amount of Benefit: Age of Claimant by Gender of Claimant. Time Series NOV05, Work and Pensions Longitudinal Study, Information Directorate, DWP, London.Google Scholar
UK, Institute for Social and Economic Research 2006. British Household Panel Survey; Waves 1–14, 1991–2005. Dataset SN 5151. Second edition, UK Data Archive, University of Essex Colchester, Essex.Google Scholar
United Nations Population Fund 2006. State of the World Population 2006: A Passage to Hope. Women and International Migration. United Nations Population Fund, New York.Google Scholar
Unger, J. B., Gallaher, P., Shakib, S., Ritt-Olson, A., Palmer, P. H. and Johnson, C. A. 2002. The AHIMSA acculturation scale. a new measure of acculturation for adolescents in a multicultural society. Journal of Early Adolescence, 22, 3, 225–51.CrossRefGoogle Scholar
Warnes, A. M., King, R., Williams, A. M. and Patterson, G. 1999. The well-being of British expatriate retirees in southern Europe. Ageing & Society, 19, 6, 717–40.CrossRefGoogle Scholar
Warnes, A. M., Friedrich, K., Kellaher, L. and Torres, S. 2004. The diversity and welfare of older migrants in Europe. Ageing & Society, 24, 3, 307–26.CrossRefGoogle Scholar
Wingate, M. S. 2006. The healthy migrant theory: variations in pregnancy outcomes among US-born migrants. Social Science and Medicine, 62, 2, 491–8.CrossRefGoogle ScholarPubMed