Bruk av sykehus og spesialisthelsetjenester blant innbyggere med norsk og utenlandsk bakgrunn

Elstad, Jon Ivar; Finnvold, Jon Erik; Texmon, Inger

doi:10.7577/nova/rapporter/2015/10

Cited by 9 publications

(14 citation statements)

References 40 publications

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“…18 A recent assessment in hospitals and secondary healthcare in Norway shows relatively similar patterns with only minor differences in healthcare use among children. 19 It could be assumed that some few families migrate to seek improved medical care for severely sick children. However, in accordance to previous studies, our data indicate that if this is the case, it does not contribute to a large burden for the health system.…”

Section: Discussionmentioning

confidence: 99%

Primary healthcare usage and morbidity among immigrant children compared with non-immigrant children: a population-based study in Norway

Møen

Díaz

2016

BMJ Open

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ObjectivesHealth status, disease spectrum and use of healthcare have been reported to vary across groups of migrants and according to the different phases of migration. However, most studies are conducted among adults. This study assesses usage of primary healthcare (PHC) by children with immigrant background compared with non-immigrant children in Norway and describes their relative morbidity burden.DesignPopulation-based retrospective cohort study.SettingThis study used 3 linked population-based registers in Norway for children under 18 years of age in 2008.Main exposure and outcome measuresImmigrants were defined as children with both parents born abroad, and further classified into first and second generation, and according to the World Bank income categories of their parents' country of origin. Usage and morbidity were assessed with negative binomial regression and logistic regression analyses, respectively. Further, population-attributable fraction analyses on PHC visits were conducted to estimate the impact on the primary health system.Participants1 168 365 children including 119 251 with immigrant background.ResultsThe mean number of visits to PHC for non-immigrant children was 1.40 compared with 1.19 for immigrants from high-income countries (HIC) and 1.76 for immigrants from low-income countries (LIC). Compared with non-immigrants, first generation immigrants used PHC significantly less after adjusting for age and sex (incidence risk ratio (IRR) 0.70 (HIC) to 0.93 (LIC)) while second generation immigrant children generally used PHC more (IRR 1.03 (HIC) to 1.43 (LIC)); however, the median number of visits were similar between all groups. The morbidity spectrum also varied between the groups.ConclusionsCompared with non-immigrants, the excess number of consultations attributable to immigrant groups corresponds to around 1.3% of PHC visits among children.

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Section: Discussionmentioning

confidence: 99%

Primary healthcare usage and morbidity among immigrant children compared with non-immigrant children: a population-based study in Norway

Møen

Díaz

2016

BMJ Open

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“…Immigrants from Africa are often considered a single group because of their geographical location, similar lifestyles, and health problems. Furthermore, in Norway, immigrants from Africa are often grouped with Asian and Latin Americans into a single immigrant population [ 14 – 17 ]. However, the relationship between cultural/social norms and health care utilization patterns seem to differ between nations [ 18 – 20 ].…”

Section: Introductionmentioning

confidence: 99%

Differences in primary health care use among sub-Saharan African immigrants in Norway: a register-based study

Díaz

Mbanya

Gele

et al. 2017

BMC Health Serv Res

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BackgroundImmigrants’ utilization of primary health care (PHC) services differs from that of the host populations. However, immigrants are often classified in broad groups by continent of origin, and the heterogeneity within the same continent may hide variation in use among immigrant groups at a national level. Differences in utilization of PHC between sub-Saharan African immigrants have not received much attention.MethodsRegistry-based study using merged data from the National Population Register and the Norwegian Health Economics Administration. African immigrants and their descendants registered in Norway in 2008 (36,366 persons) where included in this study. Using χ2 test and logistic regression models, we assessed the differences in the use of PHC, including general practitioner (GP) and emergency room (ER) services, and the distribution of morbidity burden for immigrants from Somalia, Ethiopia, Eritrea, and Gambia. For the analyses, we used the number of visits and medical diagnoses from each consultation registered by the physician.ResultAmong the total studied population, 66.1% visited PHC within 1 year. The diagnoses registered were similar for all four immigrants groups, regardless of country of origin. Compared to immigrants from Somalia, the age and sex adjusted odds ratios (OR) for use of GP were significantly lower for Ethiopians (OR 0.91; 0.86–0.97), Eritreans (OR 0.85; 0.79–0.91), and Gambians (OR 0.88; 0.80–0.97). Similarly, we also observed lower use of ER among Ethiopians (OR 0.88; 0.81–0.95), Eritreans (OR 0.56; 0.51–0.62) and Gambians (OR 0.81; 0.71–0.92). However, immigrants from Somalia reduced their use of PHC with longer duration of stay in Norway. Differences between groups persisted after further adjustment for employment status.ConclusionDespite the similarities in diagnoses among the sub-Saharan African immigrant groups in Norway, their use of PHC services differs by country of origin and length of stay. It is important to assess the reasons for the differences in these groups to identify barriers and facilitators to access to healthcare for future interventions.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2404-z) contains supplementary material, which is available to authorized users.

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“…It is notable in this respect, as indicated in a study among elderly Somalis in Finland (Mölsä, Tiilikainen, and Punamäki 2017), that there is a preference for culturally appropriate services. Although the enactment of normative gender expectations partially explains why a mere 4.5 percent of Somali women, compared to 6.9 percent of Somali men, utilize specialist mental-health services in Norway (Elstad, Finnvold, and Texmon 2015), both outreach measures and culturally sensitive services appear contingent upon Somalis' general familiarization with the Norwegian healthcare culture. Familiarization with a new health-care culture among both men and women is particularly central to countering mistrust and negative presumptions, stigma, and associated gender disparities in barriers and opportunities for utilizing mental-health services.…”

Section: Resultsmentioning

confidence: 99%

“…Although comparable national statistics are scarce, the fact that Somali women utilize other specialist health services at a similar rate as native Norwegian women indicates that mental illness might be set apart from other health problems (Elstad, Finnvold, and Texmon 2015). In this regard, the disproportionate rates of mental-health utilization between Somali men and women raise critical questions about within-group mental-health disparities and potential gender differences in service access.…”

mentioning

confidence: 99%

Migration, Gender Roles, and Mental Illness: The Case of Somali Immigrants in Norway

Næss

2019

International Migration Review

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This article explores why Somali immigrant women in Norway have a lower utilization rate of mental-health services compared to Somali men. Based on qualitative research, it argues that the maintenance of traditional gender ideals shapes barriers and opportunities for mental-health utilization. Discussing health beliefs and responses in relation to gender roles and integration, the study identifies different illness implications for Somali men and women. Whereas Somali women’s symbolic association with family accentuates perceived stigma, contributing to collective and individual concealments, higher utilization of mental-health services among Somali men is associated with social exposure. The findings suggest that research and outreach measures related to mental health require attention to immigrant women.

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Bruk av sykehus og spesialisthelsetjenester blant innbyggere med norsk og utenlandsk bakgrunn

Cited by 9 publications

References 40 publications

Primary healthcare usage and morbidity among immigrant children compared with non-immigrant children: a population-based study in Norway

Primary healthcare usage and morbidity among immigrant children compared with non-immigrant children: a population-based study in Norway

Differences in primary health care use among sub-Saharan African immigrants in Norway: a register-based study

Migration, Gender Roles, and Mental Illness: The Case of Somali Immigrants in Norway

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