Survey nonresponse among ethnic minorities in a national health survey – a mixed-method study of participation, barriers, and potentials

Ahlmark, Nanna; Algren, Maria Holst; Holmberg, Teresa; Nørredam, Marie; Nielsen, Sebastian R.; Blom, Astrid; Bo, Anne; Juel, Knud

doi:10.1080/13557858.2014.979768

Cited by 57 publications

(59 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is in line with our finding that those with regular visits to the dentist were more likely to attend the health check, indicating a higher degree of responsibility towards their own health. Our finding that a higher proportion of immigrants than ethnic Danes attended the study is in line with the finding from NHS (Artac et al, 2013) but different from another large Danish study (Ahlmark et al, 2014). However, the latter study examined non-western immigrants in comparison to ethnic Danes, whereas we examined immigrants as a total.…”

Section: Discussionsupporting

confidence: 69%

Patterns of attendance to health checks in a municipality setting: the Danish ‘Check Your Health Preventive Program’

Bjerregaard

Maindal

Bruun

et al. 2017

Preventive Medicine Reports

View full text Add to dashboard Cite

We aimed to investigate the determinants of attendance to a preventive health check program and to explore the homogeneity of the attenders.4853 eligible persons living in the municipality of Randers, Denmark, from 2012 to 2013, aged 30–49 years, received an invitation to attend the ‘Check Your Health Preventive Program’. Data was obtained from the Danish National Registers. Socio-demographic factors, use of preventive services, morbidity were examined as determinants of attendance by Poisson regression analyses. A chi-squared automatic interaction detection decision tree analysis was used to identify mutually exclusive groups.In total, 55% of the invited population attended (49% men). Attenders were more likely to be: of higher age; immigrants; cohabiting; have: higher socio-economic status; higher use of preventive services and lower morbidity. Decision tree analysis revealed six groups, with the most important variable being income: 1) low income, low education (A = attendance rate: 38%; P = population size: 11%); 2) low income, education higher than 10 years, living alone (A: 41%; P: 5%); 3) low income, education higher than 10 years, cohabiting (A: 56%; P: 16%); 4) middle income (A: 60%; P: 34%); 5) high income, living alone (A: 56%; P: 4%); 6) high income, cohabiting (A: 69%; P: 30%).More than half of a general population voluntarily attended a general health check, despite a resource intensive offer. People with low resources had lower attendance rates. This study adds a detailed description of mutually exclusive groups of attenders, for use in future planning and implementation of preventive actions.

show abstract

Section: Discussionsupporting

confidence: 69%

Patterns of attendance to health checks in a municipality setting: the Danish ‘Check Your Health Preventive Program’

Bjerregaard

Maindal

Bruun

et al. 2017

Preventive Medicine Reports

View full text Add to dashboard Cite

show abstract

“…A particularly notable finding is that if we consider the upper limits of these estimates, as many as one in three forced migrants may be using alcohol in harmful or hazardous ways, and, when measured among current drinkers only, this estimate may be as high as two in three. Importantly, these figures may actually underestimate the true prevalence of harmful drinking as stigma has been shown to influence non-response and underreporting of substance use among culturally diverse communities [ 130 – 133 ]. In particular, the prevalences of both hazardous/harmful and dependent drinking identified in our review generally tended to be higher among samples in camp settings compared with community settings, suggesting that camp settings may present a particularly vulnerable risk environment for substance use.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Substance Use among Forced Migrants: A Global Systematic Review

et al. 2016

View full text Add to dashboard Cite

IntroductionForced migration is occurring at unprecedented levels. Forced migrants may be at risk for substance use for reasons including coping with traumatic experiences, co-morbid mental health disorders, acculturation challenges and social and economic inequality. This paper aimed to systematically review the literature examining substance use among forced migrants, and identify priority areas for intervention and future research.MethodsSeven medical, allied health and social science databases were searched from inception to September 2015 in accordance with PRISMA guidelines to identify original peer-reviewed articles describing any findings relating to alcohol and/or illicit drug use among refugees, internally displaced people (IDPs), asylum seekers, people displaced by disasters and deportees. A descriptive synthesis of evidence from quantitative studies was conducted, focusing primarily on studies which used validated measures of substance use. Synthesis of evidence from qualitative studies focused on identifying prominent themes relating to the contexts and consequences of substance use. Critical Appraisal Skills Programme (CASP) checklists were used to assess methodological quality of included studies.ResultsForty-four quantitative (82% cross-sectional), 16 qualitative and three mixed-methods studies were included. Ten studies were rated as high methodological quality (16%), 39 as moderate quality (62%) and 14 as low quality (22%). The majority of research was conducted among refugees, IDPs and asylum seekers (n = 55, 87%), predominantly in high-income settings. The highest-quality prevalence estimates of hazardous/harmful alcohol use ranged from 17%-36% in camp settings and 4%-7% in community settings. Few studies collected validated measures of illicit drug use. Seven studies compared substance use among forced migrants to other migrant or native-born samples. Among eight studies which conducted multivariable analysis, male sex, trauma exposure and symptoms of mental illness were commonly identified correlates of substance use.ConclusionOur understanding of substance use among forced migrants remains limited, particularly regarding persons displaced due to disasters, development and deportation. Despite a growing body of work among refugee-background populations, few studies include refugees in low and middle-income countries, where over 80% of the global refugee population resides. Findings suggest a need to integrate substance use prevention and treatment into services offered to forced migrants, particularly in camp settings. Efforts to develop and evaluate interventions to reduce substance use and related harms are needed.

show abstract

“…In the ‘Your Life – Your Health’ program social welfare recipients and people with non-Danish origin represent more than half of the nested cohort. An evaluation of the Danish national health survey shows that the odds of responding to a health survey is three times higher for people with Danish origin compared to people with non-Danish origin (descendants and immigrants) [ 31 ]. Even though we see a significantly higher attendance rate among people of Danish origin, the CHAID analysis indicates that educational attainment and occupational status, rather than country of origin, are the strongest predictors of attendance.…”

Section: Discussionmentioning

confidence: 99%

Uptake of health checks by residents from the Danish social housing sector – a register-based cross-sectional study of patient characteristics in the ‘Your Life – Your Health’ program

et al. 2018

View full text Add to dashboard Cite

BackgroundPoor uptake among socio-economically disadvantaged and susceptible populations is a well-known challenge of general health check interventions, and is widely cited as one of the reasons for the lack of population level effects seen in many studies. We report on patient characteristics among attendees and non-attendees of health checks made available to residents in the social housing sector of the municipality of Aarhus. We focus on this general population, as well as a particular sub-group living in an exceptionally deprived social housing area, and discuss the properties of intervention uptake that we need to be aware of to qualify and compare the effects of general versus targeted health checks in socially deprived areas.MethodsCross-sectionally in a sample of 6650 residents of the Aarhus social housing sector who were invited for a health check in the first year of the ‘Your Life – Your Health’ program. The analyses consisted of 1) descriptive analysis of the characteristics of attenders/non-attenders, 2) unadjusted and adjusted Poisson regression to examine associations of patient characteristics and uptake of health checks, and 3) decision tree analyses (CHAID) to examine interaction and homogeneity in patient characteristics among attenders.ResultsOf the overall population 30% attended. In a nested cohort of people residing in a particularly deprived social housing settlement, 25% attended. Further, in the overall population, we found an association between the likelihood of taking up a health check and age, sex, country of origin, educational attainment, cohabitation, occupational status, and past medical treatment. In the nested cohort the association between uptake and medical treatment was non-significant, while the association between uptake and occupation was limited to people who were employed. These results resonate with past evidence on health check attendance.ConclusionsAttendance in the ‘Your Life – Your Health’ program is higher among people of a higher socio-economic status. This should be taken into consideration when analysing and interpreting the overall study effects. Moreover, the results suggest that a targeted approach in the social housing sector could be more effective than a mass screening approach. However, more information is required to make such assertion definitive.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5506-6) contains supplementary material, which is available to authorized users.

show abstract

Survey nonresponse among ethnic minorities in a national health survey – a mixed-method study of participation, barriers, and potentials

Cited by 57 publications

References 24 publications

Patterns of attendance to health checks in a municipality setting: the Danish ‘Check Your Health Preventive Program’

Patterns of attendance to health checks in a municipality setting: the Danish ‘Check Your Health Preventive Program’

Epidemiology of Substance Use among Forced Migrants: A Global Systematic Review

Uptake of health checks by residents from the Danish social housing sector – a register-based cross-sectional study of patient characteristics in the ‘Your Life – Your Health’ program

Contact Info

Product

Resources

About