Table 3

Relative use of GP's healthcare, ER healthcare and combined PHC including GP and ER reported as IRRs with 95% CIs assessed with negative binomial regression models unadjusted and also adjusting for age and sex

Use of GPUse of ERUse of PHC
IRR (CI)IRR (CI)IRR (CI)
Model 1: unadjusted results, first generation only
 Non-immigrants (reference)111
 HIC0.70 (0.68 to 0.72)0.60 (0.57 to 0.63)0.69 (0.67 to 0.70)
 MIC0.81 (0.79 to 0.82)0.75 (0.72 to 0.79)0.80 (0.78 to 0.82)
 LIC0.91 (0.89 to 0.94)0.65 (0.61 to 0.69)0.88 (0.86 to 0.90)
Model 2: unadjusted results, second generation only
 Non-immigrants (reference)111
 HIC1.13 (1.10 to 1.16)1.20 (1.13 to 1.27)1.14 (1.11 to 1.17)
 MIC1.29 (1.28 to 1.31)1.65 (1.61 to 1.69)1.34 (1.32 to 1.36)
 LIC1.59 (1.56 to 1.63)1.92 (1.83 to 2.01)1.63 (1.60 to 1.67)
Model 3: adjusted by age and sex, first generation only
 Non-immigrants (reference)111
 HIC0.71 (0.69 to 0.72)0.61 (0.58 to 0.64)0.70 (0.68 to 0.71)
 MIC0.87 (0.85 to 0.89)0.87 (0.83 to 0.91)0.87 (0.85 to 0.89)
 LIC0.96 (0.93 to 0.98)0.72 (0.67 to 0.77)0.93 (0.90 to 0.95)
Model 4: adjusted by age and sex, second generation only
 Non-immigrants (reference)111
 HIC1.03 (1.00 to 1.06)1.00 (0.94 to 1.06)1.03 (1.00 to 1.06)
 MIC1.23 (1.21 to 1.24)1.47 (1.44 to 1.51)1.26 (1.25 to 1.27)
 LIC1.41 (1.38 to 1.45)1.53 (1.46 to 1.60)1.43 (1.40 to 1.46)
  • Categories of immigration is grouped according to country of origin of children and parents in line with the World Bank income categories into LIC, MIC and HIC for first and second generations separately.

  • ER, emergency room; GP, general practitioner; HIC, high-income countries; IRR, incidence risk ratio; LIC, low-income countries; MIC, middle-income countries; PHC, primary healthcare.