Immigrants’ utilization of specialist mental healthcare according to age, country of origin, and migration history: a nation-wide register study in Norway

Abebe, Dawit; Lien, Lars; Elstad, Jon Ivar

doi:10.1007/s00127-017-1381-1

Cited by 70 publications

(98 citation statements)

References 27 publications

(38 reference statements)

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“…The studies show that refugees get less benefit from mental health services than locals. 10,11 Language and cultural differences 12,13 are considered the most important personal characteristics that pose a barrier to access to health services. Hence, translators are used for communication, and family members do that when translators are not available.…”

Section: Theme 6: Discriminationmentioning

confidence: 99%

“…Refugees use mental health services less frequently than the host community although they suffer more from mental health problems . Cultural and linguistic differences are considered the most important factors that impede refugees’ access to health services .…”

Section: Introductionmentioning

confidence: 99%

“…However, this makes it difficult to protect patient privacy . Other barriers to health services include: being female, low socioeconomic status and financial difficulties, transportation problems, inadequacy of social aids, state of health, lack of information about health/disease, beliefs regarding health, lack of information about the health care system, the cause of migration, period of stay in the host country, being unregistered, being unemployed and the fear of deportation . The feel of insecurity about mental health care services and the fear of being stigmatized by others also hinder access to mental health services .…”

Section: Introductionmentioning

confidence: 99%

“…Refugees are unfamiliar with the host country's health care system because they come from other countries . Structural barriers include: the lack of physicians and health care staff who have the same culture and language, insufficient number of translators, long queues and waiting periods, paid health care services inability to afford transportation costs, and problems with their ID cards …”

Section: Introductionmentioning

confidence: 99%

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Syrian refugees’ experiences with mental health services in Turkey: “I felt lonely because I wasn’t able to speak to anyone”

Doğan

Dіkeç

Uygun

2019

Perspect Psychiatr Care

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Purpose This study examined Syrian refugee adults’ experiences with mental health services due to a mental complaint. Design and Methods This qualitative study used a phenomenological design. The data were collected in semi‐structured focus group interviews between June and August 2018. A total of 24 individuals participated in the study. The data were analyzed using Colaizzi's method of phenomenological interpretation. Findings Seven themes were identified by thematic analysis of the interviews: (a) difficulties making appointments, (b) difficulties obtaining medicine, (c) personal rights, (d) lack of information, (e) language barrier, (f) discrimination, and (g) confidence versus anxiety. Practice Implications Nurses should be aware of the barriers experienced by refugees that affect the quality and accessibility of psychiatric services.

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Section: Theme 6: Discriminationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Syrian refugees’ experiences with mental health services in Turkey: “I felt lonely because I wasn’t able to speak to anyone”

Doğan

Dіkeç

Uygun

2019

Perspect Psychiatr Care

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“…Bearing in mind that Spain has universal healthcare coverage, this perception must be based on difficulties in obtaining access to healthcare services or barriers to their use in the immigrant population studied. (Abebe, Lien, & Elstad, 2017;Fatahi & Krupic, 2016).…”

Section: Discussionmentioning

confidence: 99%

Health inequalities between male and female immigrants in Spain after the beginning of the economic crisis

Henares-Montiel

Ruíz-Pérez

Mendoza-Garcia

2018

Health Soc Care Community

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The aim of this study was to analyse health inequalities in the immigrant population in Spain in 2014, while differentiating between immigrant and native-born men and women. We have designed a cross-sectional study on the population aged over 15 years resident in Spain and the data were obtained from the 2014 European Health Survey in Spain (n = 22,842). Among immigrant men and women, we observed a lower risk of having a Chronic Physical Problem (CPP) or a Mental Health Problem (MHP) and a lower consumption of psychiatric drugs. We also observed a higher risk of lack of medical care in immigrant men compared to native-born. The country of origin was not significantly related to self-perception of health or use of Primary Care (PC) and Emergency Care services. In conclusion, we observed that now that the peak of the crisis has passed it seems that the "healthy immigrant" effect is being recovered, although the gender inequalities observed in the general population are transferred to the immigrant population. We need to approach the feminisation of migration from a new perspective and understand how inequalities affect immigrant women.

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Dispensing of psychotropic medication among 400,000 immigrants in The Netherlands

Termorshuizen

Selten

Heerdink

2017

Soc Psychiatry Psychiatr Epidemiol

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PurposePreviously, a high prevalence of certain psychiatric disorders was shown among non-Western immigrants. This study explores whether this results in more prescriptions for psychotropic medication.MethodsData on dispensing of medication among adults living in the four largest Dutch cities in 2013 were linked to demographic data from Statistics Netherlands. Incident (i.e., following no dispensing in 2010–2012) and prevalent dispensing among immigrants was compared to that among native Dutch (N = 1,043,732) and analyzed using multivariable Poisson and logistic regression.ResultsHigh adjusted Odds Ratios (ORadj) of prevalent and high Incidence Rate Ratios (IRRadj) of incident dispensing of antipsychotics were found among Moroccan (N = 115,455) and Turkish individuals (N = 105,460), especially among young Moroccan males (ORadj = 3.22 [2.99–3.47]). Among Surinamese (N = 147,123) and Antillean individuals (N = 41,430), slightly higher rates of dispensed antipsychotics were found and the estimates decreased after adjustment. The estimates for antipsychotic dispensing among the Moroccan and Turkish increased, following adjustment for household composition. Rates for antidepressant dispensing among Turkish and Moroccan subjects were high (Moroccans: ORadj = 1.74 [1.70–1.78]). Among Surinamese and Antillean subjects, the rates for antidepressant dispensing were low and the ORadj lagged behind the IRRadj (Surinamese: 0.69 [0.67–0.71] vs. 1.06 [1.00–1.13]). Similar results were found for anxiolytics. For ADHD medication, lower dispensing rates were found among all migrant groups.ConclusionsThe findings agree with earlier reports of more mental health problems among Moroccan and Turkish individuals. Surinamese/Antillean individuals did not use psychotropic drugs at excess and discontinued antidepressants and anxiolytics earlier. The data strongly suggest under-treatment for ADHD in all ethnic minority groups.

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Immigrants’ utilization of specialist mental healthcare according to age, country of origin, and migration history: a nation-wide register study in Norway

Cited by 70 publications

References 27 publications

Syrian refugees’ experiences with mental health services in Turkey: “I felt lonely because I wasn’t able to speak to anyone”

Syrian refugees’ experiences with mental health services in Turkey: “I felt lonely because I wasn’t able to speak to anyone”

Health inequalities between male and female immigrants in Spain after the beginning of the economic crisis

Dispensing of psychotropic medication among 400,000 immigrants in The Netherlands

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