Is healthcare consumption in the country of origin among Moroccan and Turkish migrants of older age (55+) associated with less use of care in the Netherlands?

Şekercan, Aydın; Snijder, Marieke B.; Peters, Ron J.G.; Stronks, Karien

doi:10.1007/s12439-018-0272-6

Cited by 1 publication

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“…Second, we did not take into account the use of antibiotics purchased over the counter in the home country of participants [6, 16–18], and we might therefore have underestimated antibiotic use in non-Dutch ethnic groups. As a recent HELIUS study found that Dutch people of Turkish or Moroccan origin were more likely to use healthcare in the Netherlands as well as their country of origin [19], underestimation of antibiotic use in non-Dutch ethnic groups seems unlikely. Third, since several characteristics, such as education level and medical conditions, of HELIUS participants insured at Achmea differed from those insured elsewhere, selection bias could have been introduced in analysis on antibiotic use.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and use of antibiotics in six ethnic groups: the HELIUS study

Schuts¹,

Dulm²,

Boyd³

et al. 2019

Antimicrob Resist Infect Control

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BackgroundThe increase of antimicrobial resistance, mainly due to increased antibiotic use, is worrying. Preliminary evidence suggests that antibiotic use differs across ethnic groups in the Netherlands, with higher use in people of non-Dutch origin. We aimed to determine whether appropriate knowledge and use of antibiotics differ by ethnicity and whether knowledge on antibiotics is associated with antibiotic use.MethodsWe performed a cross-sectional study analyzing baseline data (2011–2015) from a population-based cohort (HELIUS study), which were linked to data from a health insurance register. We included 21,617 HELIUS participants of South-Asian Surinamese, African-Surinamese, Turkish, Moroccan, Ghanaian, and Dutch origin. Fifteen thousand seven participants had available prescription data from the Achmea Health Data-base (AHD) in the year prior to their HELIUS study visit. Participants were asked five questions on antibiotic treatment during influenza-like illness, pneumonia, fever, sore throat and bronchitis, from which higher versus lower antibiotic knowledge level was determined. Number of antibiotic prescriptions in the year prior to the HELIUS study visit was used to determine antibiotic use.ResultsThe percentage of individuals with a higher level of antibiotic knowledge was lower among all ethnic minority groups (range 57 to 70%) compared to Dutch (80%). After correcting for baseline characteristics, including medical conditions, first-generation African Surinamese and Turkish migrants received a significantly lower number of antibiotic prescriptions compared to individuals of Dutch origin. Only second-generation Ghanaian participants received more prescriptions compared to Dutch participants (aIRR 2.09, 95%CI 1.06 to 4.12). Higher level of antibiotic knowledge was not significantly associated with the number of prescriptions (IRR 0.92, 95%CI 0.85 to 1.00).ConclusionsLevels of antibiotic knowledge varied between ethnic groups, but a lower level of antibiotic knowledge did not correspond with a higher number of antibiotic prescriptions.

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