In previous longitudinal studies of mortality and morbidity among foreign-born and native-born Swedes, increased mortality and dissimilarities in mortality pattern were found. The aim of this study is to describe, compare, and analyse the utilization of in-hospital care among deceased foreign- and Swedish-born persons during the years 1987–1999 with focus on four diagnostic categories. The study population consisted of 361,974 foreign-born persons aged 16 years and upward who were registered as living in Sweden in 1970, together with 361,974 matched Swedish controls for each person. Data from Statistics Sweden (SCB) and the National Board of Health and Welfare Centre for Epidemiology, covering the period 1970–1999, was used. Persons were selected if they were admitted to hospital during 1987–1999 and the cause of death was in one of four ICD groups. The results indicate a tendency towards less health care utilization among migrants, especially men, as regards Symptoms, signs, and ill-defined conditions and Injury and poisoning. Further studies are needed to explore the possible explanations and the pattern of other diseases to see whether migrants, and especially migrant men, are a risk group with less utilization of health care. 1. Introduction In previous longitudinal studies of mortality and morbidity among 723,948 foreign-born and native-born Swedes during 1970–1999, increased mortality and dissimilarities in mortality pattern were found [1, 2]. The results showed increased mortality ( , 95% CI: 1.07–1.08) and a lower age at time of death for foreign-born persons compared with the Swedish controls. The highest risk odds were found for men born in Finland ( ), Denmark ( ), and Norway/Iceland ( ). The mortality pattern showed dissimilarities in causes of death, with a significant higher number of deaths from Neoplasm found in migrants from Denmark in, from diseases of the circulatory system in migrants from Finland and Poland and from symptoms, signs, and ill-defined conditions in migrants from former Yugoslavia. The differences in mortality and morbidity pattern could indicate differences in utilization of health care among foreign and native-born Swedes; this needs to be further studied. Earlier studies of utilization of health care among immigrants and the native population have had a predominantly cross-sectional design and have shown diverging results. Lower utilization has been explained as lack of economic resources such as access to health insurance, and the higher utilization could be a consequence of poorer health [3–10]. Results from The
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