A systematic review of the use of health services by immigrants and native populations

Sarría‐Santamera, Antonio; Hijas-Gómez, Ana Isabel; Carmona, Rocı́o; Gimeno-Feliú, Luís Andrés

doi:10.1186/s40985-016-0042-3

Cited by 113 publications

(107 citation statements)

References 48 publications

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“…In general refugees and other immigrants tend to use less health care services than natives. This is particularly evident in mental health care and among those who do not speak the local language [53]. We thus believe that this selection bias is relatively minor and that the results largely are representative of the clinical sample.…”

Section: Limitationsmentioning

confidence: 86%

Variations in psychiatric morbidity between traumatized Norwegian, refugees and other immigrant patients in Oslo

Søegaard

Kan

Koirala

et al. 2020

Nordic Journal of Psychiatry

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Background: There is a lack of clinical studies that focus on different psychiatric disorders after trauma and the relationship with migration status. Purpose: To examine differences in psychiatric morbidity in traumatized patients referred to psychiatric treatment in Southern Oslo. Materials and methods: Hundred and ten patients with trauma background attending an outpatient clinic in Southern Oslo were studied. Forty-four of the participants (40%) were ethnic Norwegians, 25 (22.7%) had refugee background and 41 (37.3%) were first-or second-generation immigrants without refugee background. Thorough diagnostic assessment was done by experienced psychiatrists through several structured clinical interviews and self-report questionnaires. Results: Ninety-eight patients (89%) were diagnosed with at least one Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision (DSM-IV-TR) disorder. There was a clear difference in the presentation of certain psychiatric disorders between the groups. Ethnic Norwegian patients were more likely to have anxiety disorders: agoraphobia, social phobia and panic disorder than non-refugee immigrant patients. They also had higher rates of alcohol abuse/dependence. Somatoform pain disorder was more common in both the refugee and other-immigrant groups than among the ethnic Norwegian patients. The refugee patients had significantly more major depressive disorder, post-traumatic stress disorder (PTSD) and both co-occurring. Conclusion: Trauma is frequently associated with depression, anxiety disorders, somatoform pain disorder and PTSD in a clinical population. The clinical presentation and comorbidity of these disorders seem to vary significantly between traumatized patients with Norwegian, refugee and non-refugee immigrant backgrounds. After a major trauma, refugees may be at greater risk for both PTSD and depression than other immigrants and the native population. ARTICLE HISTORY

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Section: Limitationsmentioning

confidence: 86%

Variations in psychiatric morbidity between traumatized Norwegian, refugees and other immigrant patients in Oslo

Søegaard

Kan

Koirala

et al. 2020

Nordic Journal of Psychiatry

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“…BBAT is not yet studied from a cultural perspective, but it is reasonable to believe that living in a collectivistic or individualistic culture influence both the body awareness and pain perception and interpretation [31]. Earlier research has also shown that women and immigrants are particularly vulnerable to pain [32]. To be aware of and move the body in a harmonious way is according to our informants natural in many African cultures.…”

Section: Discussionmentioning

confidence: 99%

Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy – a qualitative study?

Gard

Nyboe

Gyllensten

2019

European Journal of Physiotherapy

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Background: Clinical reasoning is the ability to integrate and apply different types of knowledge, weigh evidence critically and reflect upon the process to arrive at a diagnosis. Body awareness is an approach directed toward an awareness of how the body is used in terms of body function, behaviour, and interaction with self and others. Methods: In the present study, 36 physiotherapists (PTs) from 13 countries working with body awareness methods, mainly Basic Body Awareness Therapy (BBAT) in mental health were interviewed in six focus groups. Content analysis was used to analyse how the informants' reasoned around the concept of body awareness therapy, and how they use it in their clinical work with patients. Result: Body awareness was conceived as being in contact with sensations and emotions, to be able to control symptoms, such as pain, to find a balance and to develop one's identity by relating to oneself and others. BBAT was used as a whole body treatment, to promote balance and stability, to teach about body, movements, and coping strategies, to interact in a therapeutic approach and to be integrated with other methods and professionals. Conclusion: The present results can be used to improve the PTs clinical reasoning. ARTICLE HISTORY

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“…Our findings are consistent with previous studies reporting lower, or similar, health care utilization among migrants. 18 We build on this evidence, suggesting that lower utilization can often be explained by younger age and better health among migrant populations. Previous work from the UK echoes this observation, noting that adjustment for sociodemographic factors explains most differences among migrants to the UK.…”

Section: Findings In Contextmentioning

confidence: 96%

Healthcare utilization among migrants to the UK: cross-sectional analysis of two national surveys

Saunders

Steventon

Janta

et al. 2020

J Health Serv Res Policy

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Objective To contribute objective evidence on health care utilization among migrants to the UK to inform policy and service planning. Methods We analysed data from Understanding Society, a household survey with fieldwork from 2015 to 2017, and the European Health Interview Survey with data collected between 2013 and 2014. We explored health service utilization among migrants to the UK across primary care, inpatient admissions and maternity care, outpatient care, mental health, dental care and physiotherapy. We adjusted for age, sex, long-term health conditions and time since moving to the UK. Results Health care utilization among migrants to the UK was lower than utilization among the UK-born population for all health care dimensions except inpatient admissions for childbirth; odds ratio (95%CI) range 0.58 (0.50–0.68) for dental care to 0.88 (0.78–0.98) for primary care). After adjusting for differences in age and self-reported health, these differences were no longer observed, except for dental care (odds ratio 0.57, 95%CI 0.49–0.66, P < 0.001). Across primary care, outpatient and inpatient care, utilization was lower among those who had recently migrated, increasing to the levels of the nonmigrant population after 10 years or more since migrating to the UK. Conclusions This study finds that newly arrived migrants tend to utilize less health care than the UK population and that this pattern was at least partly explained by better health, and younger age. Our findings contribute nationally representative evidence to inform public debate and decision-making on migration and health.

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A systematic review of the use of health services by immigrants and native populations

Cited by 113 publications

References 48 publications

Variations in psychiatric morbidity between traumatized Norwegian, refugees and other immigrant patients in Oslo

Variations in psychiatric morbidity between traumatized Norwegian, refugees and other immigrant patients in Oslo

Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy – a qualitative study?

Healthcare utilization among migrants to the UK: cross-sectional analysis of two national surveys

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