Do sexual risk behaviour, risk perception and testing behaviour differ across generations of migrants?

Kramer, M A; Veen, Maaike G. van; Coul, Eline Op de; Coutinho, Roel A.; Prins, Maria

doi:10.1093/eurpub/ckt059

Cited by 8 publications

(1 citation statement)

References 23 publications

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“…Moreover, time spent in the ‘host’ country is of influence on language barriers and health literacy. Therefore data on migrant generation would have been desirable [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Geographical, Ethnic and Socio-Economic Differences in Utilization of Obstetric Care in the Netherlands

et al. 2016

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BackgroundAll women in the Netherlands should have equal access to obstetric care. However, utilization of care is shaped by demand and supply factors. Demand is increased in high risk groups (non-Western women, low socio-economic status (SES)), and supply is influenced by availability of hospital facilities (hospital density). To explore the dynamics of obstetric care utilization we investigated the joint association of hospital density and individual characteristics with prototype obstetric interventions.MethodsA logistic multi-level model was fitted on retrospective data from the Netherlands Perinatal Registry (years 2000–2008, 1.532.441 singleton pregnancies). In this analysis, the first level comprised individual maternal characteristics, the second of neighbourhood SES and hospital density. The four outcome variables were: referral during pregnancy, elective caesarean section (term and post-term breech pregnancies), induction of labour (term and post-term pregnancies), and birth setting in assumed low-risk pregnancies.ResultsHigher hospital density is not associated with more obstetric interventions. Adjusted for maternal characteristics and hospital density, living in low SES neighbourhoods, and non-Western ethnicity were generally associated with a lower probability of interventions. For example, non-Western women had considerably lower odds for induction of labour in all geographical areas, with strongest effects in the more rural areas (non-Western women: OR 0.78, 95% CI 0.77–0.80, p<0.001).ConclusionOur results suggest inequalities in obstetric care utilization in the Netherlands, and more specifically a relative underservice to the deprived, independent of level of supply.

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“…Moreover, time spent in the ‘host’ country is of influence on language barriers and health literacy. Therefore data on migrant generation would have been desirable [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Geographical, Ethnic and Socio-Economic Differences in Utilization of Obstetric Care in the Netherlands

et al. 2016

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Male Sexual Health

Holman

Armstrong

2016

Men's Health in Primary Care

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Prevalence rates of six selected infectious diseases among African migrants and refugees: a systematic review and meta-analysis

Chernet

Utzinger

Sydow

et al. 2017

Eur J Clin Microbiol Infect Dis

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The objective of this paper was to systematically review the literature on the prevalence of selected infectious diseases among migrants/refugees of African origin and to provide policy makers and health care professionals with evidence-based information. We pursued a systematic review and meta-analysis to determine the prevalence of six selected infectious diseases (i.e., syphilis, helminthiasis, schistosomiasis, intestinal protozoa infections, hepatitis B, and hepatitis C) among migrants/refugees of African origin. Three electronic databases (i.e., PubMed, EMBASE, and ISI Web of Science) were searched without language restrictions. Relevant data were extracted and random-effects meta-analyses conducted. Only adjusted estimates were analyzed to help account for heterogeneity and potential confounding. We assessed the quality of evidence using the GRADE approach. The results were stratified by geographical region. Ninety-six studies were included. The evidence was of low quality due to the small numbers of countries, infectious diseases, and participants included. African migrants/refugees had median (with 95% confidence interval [95% CI]) prevalence for syphilis, helminthiasis, schistosomiasis, intestinal protozoa infection, hepatitis B, and hepatitis C of 6.0% [95% CI: 2.0-7.0%], 13.0% [95% CI: 9.5-14.5%], 14.0% [95% CI: 13.0-17.0%], 15.0% [95% CI: 10.5-21.0%], 10.0% [95% CI: 6.0-14.0%], and 3.0% [95% CI: 1.0-4.0%], respectively. We found high heterogeneity regardless of the disease (I ; minimum 97.5%, maximum 99.7%). The relatively high prevalence of some infectious diseases among African migrants/refugees warrants for systematic screening. The large heterogeneity of the available published data does not allow for stratifying such screening programs according to the geographical origin of African migrants/refugees.

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Do sexual risk behaviour, risk perception and testing behaviour differ across generations of migrants?

Cited by 8 publications

References 23 publications

Geographical, Ethnic and Socio-Economic Differences in Utilization of Obstetric Care in the Netherlands

Geographical, Ethnic and Socio-Economic Differences in Utilization of Obstetric Care in the Netherlands

Male Sexual Health

Prevalence rates of six selected infectious diseases among African migrants and refugees: a systematic review and meta-analysis

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