Challenges in access to health services and its impact on quality of life: a randomised population-based survey within Turkish speaking immigrants in London

Topal, Kenan; Eser, Erhan; Sanberk, Ismail; Bayliss, Elizabeth A.; Saatçı, Esra

doi:10.1186/1477-7525-10-11

Cited by 20 publications

(12 citation statements)

References 21 publications

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“…Our findings for the levels of quality of life were lower than the levels found among Iranian refugees resettled in Sweden [66], among Turkish immigrants in Sweden [136], Haitian immigrants in USA [137], traumatized refugees resettled in the Netherlands [138,139],and Turkish immigrants in London [140], but lower than in tortured refugees resettled in Denmark [64,65,141]. Following the first hypothesis, we found moderate-to-large, positive and significant correlations between PTG and all of the domains of quality of life, including the two general items of “Overall quality of life” and “Overall health”.…”

Section: Discussioncontrasting

confidence: 81%

Posttraumatic growth, depressive symptoms, posttraumatic stress symptoms, post-migration stressors and quality of life in multi-traumatized psychiatric outpatients with a refugee background in Norway

Teodorescu

Siqveland

Heir

et al. 2012

Health Qual Life Outcomes

121

148

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BackgroundPsychiatric outpatients with a refugee background have often been exposed to a variety of potentially traumatizing events, with numerous negative consequences for their mental health and quality of life. However, some patients also report positive personal changes, posttraumatic growth, related to these potentially traumatic events. This study describes posttraumatic growth, posttraumatic stress symptoms, depressive symptoms, post-migration stressors, and their association with quality of life in an outpatient psychiatric population with a refugee background in Norway.MethodsFifty five psychiatric outpatients with a refugee background participated in a cross-sectional study using clinical interviews to measure psychopathology (SCID-PTSD, MINI), and four self-report instruments measuring posttraumatic growth, posttraumatic stress symptoms, depressive symptoms, and quality of life (PTGI-SF, IES-R, HSCL-25-depression scale, and WHOQOL-Bref) as well as measures of social integration, social network and employment status.ResultsAll patients reported some degree of posttraumatic growth, while only 31% reported greater amounts of growth. Eighty percent of the patients had posttraumatic stress symptoms above the cut-off point, and 93% reported clinical levels of depressive symptoms. Quality of life in the four domains of the WHOQOL-Bref levels were low, well below the threshold for the’life satisfaction’ standard proposed by Cummins.A hierarchic regression model including depressive symptoms, posttraumatic stress symptoms, posttraumatic growth, and unemployment explained 56% of the total variance found in the psychological health domain of the WHOQOL-Bref scale. Posttraumatic growth made the strongest contribution to the model, greater than posttraumatic stress symptoms or depressive symptoms. Post-migration stressors like unemployment, weak social network and poor social integration were moderately negatively correlated with posttraumatic growth and quality of life, and positively correlated with psychopathological symptoms. Sixty percent of the outpatients were unemployed.ConclusionsMulti-traumatized refugees in outpatient clinics reported both symptoms of psychopathology and posttraumatic growth after exposure to multiple traumatic events. Symptoms of psychopathology were negatively related to the quality of life, and positively related to post-migration stressors such as unemployment, weak social network and poor social integration. Posttraumatic growth was positively associated with quality of life, and negatively associated with post-migration stressors. Hierarchical regression modeling showed that posttraumatic growth explained more of the variance in quality of life than did posttraumatic stress symptoms, depressive symptoms or unemployment. It may therefore be necessary to address both positive changes and psychopathological symptoms when assessing and treating multi-traumatized outpatients with a refugee background.

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Section: Discussioncontrasting

confidence: 81%

Posttraumatic growth, depressive symptoms, posttraumatic stress symptoms, post-migration stressors and quality of life in multi-traumatized psychiatric outpatients with a refugee background in Norway

Teodorescu

Siqveland

Heir

et al. 2012

Health Qual Life Outcomes

121

148

View full text Add to dashboard Cite

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“…Another point is the association found between older age and lower QoL scores in the physical domain, which is probably attributable to the onset of chronic diseases in this age group 29 . Moreover, the aging process itself generates physical impairment and dissatisfaction with one's health, leading to worse QoL assessment.…”

Section: Results In the Context Of The Wider Literaturementioning

confidence: 95%

Psychiatric morbidity and quality of life of primary care attenders in two cities in Brazil

Portugal

Gonçalves

Mari

et al. 2014

J. bras. psiquiatr.

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Objective: To identify the associations among quality of life (QoL), social determinants and psychological distress in primary care in two cities in Brazil. Methods: A cross-sectional study with 1,466 patients from 2009 to 2010. The statistical analysis used the t-test to compare the variables of interest to the study. Results: The prevalence of Common Mental Disorders (CMD3), severe forms of Common Mental Disorders (CMD5), anxiety and depression were 20.5%, 32%, 37% and 25.1% respectively. Thes presence of psychological distress is associated with worse QoL among the patients studied, especially those older than 40 years of age. In cases of CMD3, those with higher income and educational levels presented higher QoL in the psychical and psychological domains. For the cases of probable anxiety, those with higher educational levels presented lower scores on the physical and social relationship scores. Conclusion: Psychological distress can be associated with a worse QoL among those studied and can be influenced by socioeconomic conditions. Therefore, it is important to structure patient-centered help, which should also include patients’ social contexts.

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“…Al respecto aquí se reporta el efecto negativo de la ausencia de servicios de salud sobre la calidad de vida, pues en estos servicios se encuentran incluidos todos los niveles de atención en salud, que requieren los sujetos tanto para enfermedades generales como las enfermedades orales y desde las acciones preventivas hasta las terapéuticas, con las que se puede favorecer al bienestar integral de los mismos, coincidiendo con lo reportado por Topal et al (2012) tras considerar los desafíos en el acceso a los servicios de salud y su efecto en la calidad de vida de una población de inmigrantes, lo 19 teeth (p=0.000; OR=3.6; IC 95%= 2.3-5.8), root fragments (p=0.000; OR=6.5; IC 95 %= 4.1-10), dental calculus (p=0.000; OR=5.3; IC 95 %= 3.3-8.4) with the negative impact of the CVRSB. In the multivariate model variables that best explain the negative impact of CVSB they were: lack of social security, have fewer than 19 teeth, presence of root fragments and stones (p <0.05).…”

Section: Discussionunclassified

Impacto de Salud Oral sobre Calidad de Vida en Adultos Jóvenes de Clínicas Odontológicas Universitarias

Díaz-Cárdenas

Meisser-Vidal

Amador

et al. 2017

Int. J. Odontostomat.

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DÍAZ-CÁRDENAS, S.; MEISSER-VIDAL, M. A.; TIRADO-AMADOR, L. R.; FORTICH-MESA N.; TAPIAS-TORRADO, L. & GONZÁLEZ-MARTÍNEZ, F. D.Impacto de salud oral sobre calidad de vida en adultos jóvenes de clínicas odontológicas universitarias. Int. J. Odontostomat., 11(1):5-11, 2017. RESUMEN:El objetivo de este estudio es asociar estado de salud oral y calidad de vida en adultos de clínicas odontológicas universitarias de Cartagena, Colombia. Material y Métodos: Estudio analítico, en 400 adultos jóvenes y maduros (20 a 59 años), que asistieron a las clínicas odontológicas de la Universidad de Cartagena y Corporación Universitaria Rafael Núñez, distribuidos equitativamente; se aplicó un instrumento validado para indagar variables sociodemográficas, el General Oral Health Assesment Index (GOHAI) para evaluar impacto calidad de vida relacionada con la salud oral (CVRSB) y examen oral para evaluar número de dientes, presencia de caries dental, placa bacteriana, restos radiculares, cálculo dental y obturaciones. Se analizaron datos a través de frecuencia y proporciones, significancia de relaciones entre variables (χ 2 ), estimación del riesgo (OR) y modelo de regresión logística con un intervalo de confianza 95 %. Resultados. 66,7 % de los participantes eran mujeres y se hallaban en adultez madura (54,7 %) edad promedio 44,6 años (DE=13,7). El 33,2 % presentó un impacto negativo de CVRSB (IC 95 %). Se hallaron asociaciones entre bajo nivel de escolaridad (OR=2,4; IC 95 %= 1,6-3,8; p=0,000), ausencia de servicios de salud (OR=1,9; IC 95 %= 1,2-2,8; p=0,002), presencia de menos de 19 dientes (OR=3,6; IC 95 %= 2,3-5,8; p=0,000), restos radiculares (OR=6,5; IC 95 %= 4,1-10; p=0,000) y cálculos (OR=5,3; IC 95 %= 3,3-8,4; p=0,000;) con el impacto negativo de CVRSB. En el modelo multivariado las variables que mejor explican el impacto negativo fueron: ausencia de servicios de salud, contar con menos de 19 dientes, presencia de restos radiculares y cálculos (p<0,05). Conclusión. Adultos jóvenes y maduros presentan un impacto negativo de CVRSB al contar con menos de 19 dientes, presencia de restos radiculares y cálculos dentales y ausencia de servicios de salud.PALABRAS CLAVE: salud oral, calidad de vida, auto percepción. INTRODUCCIÓNLa calidad de vida ha sido definida por la Organización mundial de la salud (OMS) como: "Percepción que un individuo tiene de su lugar en la existencia, en el contexto de la cultura y de valores en los que vive y en relación con sus objetivos, expectativas, normas, inquietudes, los cuales están relacionados con la salud física, el estado psicológico, el grado de independencia, las relaciones sociales y las creencias religiosas" (WHOQOL Group, 1993; Hernandez et al., 2006). Misrachi (2005), la define como: "Combinación de condiciones de vida y satisfacción personal ponderadas por escala de valores, aspiraciones y expectativas personales; además de considerar algunos aspectos de la vida de las personas, como el lugar donde viven, el modo de comportarse, su entorno en general, relaciones familiares y apoyos soc...

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Challenges in access to health services and its impact on quality of life: a randomised population-based survey within Turkish speaking immigrants in London

Cited by 20 publications

References 21 publications

Posttraumatic growth, depressive symptoms, posttraumatic stress symptoms, post-migration stressors and quality of life in multi-traumatized psychiatric outpatients with a refugee background in Norway

Posttraumatic growth, depressive symptoms, posttraumatic stress symptoms, post-migration stressors and quality of life in multi-traumatized psychiatric outpatients with a refugee background in Norway

Psychiatric morbidity and quality of life of primary care attenders in two cities in Brazil

Impacto de Salud Oral sobre Calidad de Vida en Adultos Jóvenes de Clínicas Odontológicas Universitarias

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