Unmet healthcare needs among migrants without medical insurance in Montreal, Canada

Ridde, Valéry; Aho, Joséphine; Ndao, Elhadji Malick; Benoit, M; Hanley, Jill; Lagrange, Solène; Fillol, Amandine; Raynault, Marie-France; Cloos, Patrick

doi:10.1080/17441692.2020.1771396

Cited by 30 publications

(51 citation statements)

References 45 publications

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“…Insurance status has been an important factor associated with unmet healthcare needs in our study. However, having insurance seemed to be associated with unmet healthcare needs, which is contrary to other studies [ 27 , 28 , 29 ]. The coverage of health insurance increased to cover nearly 82% in 2015 in Vietnam, but financial contributions from the health insurance scheme have been accounted for in only 18% of the total health spending [ 1 ].…”

Section: Discussioncontrasting

confidence: 99%

Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

Kim

Park

et al. 2020

IJERPH

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The purpose of this study was to examine the current utilization of healthcare services, exploring unmet healthcare needs and the associated factors among people living in rural Vietnam. This cross-sectional study was conducted with 233 participants in a rural area. The methods included face-to-face interviews using a structured questionnaire, and anthropometric and blood pressure measurements. We considered participants to have unmet health needs if they had any kind of health problem during the past 12 months for which they were unable to see a healthcare provider. Multivariate logistic regression analysis was performed to determine the factors associated with unmet healthcare needs. Of the participants, 18% (n = 43) had unmet healthcare needs, for reasons like transportation (30%), a lack of available doctors or medicine (47%), and communication issues with healthcare providers (16%). The multivariate logistic regression showed that living in a rural area, having stage 2 hypertension, and having insurance were associated with unmet healthcare needs. To better meet the healthcare needs in rural or suburban areas of Vietnam, allocation of adequate healthcare resources should be distributed in rural areas and insurance coverage for personalized healthcare needs might be required. Efforts should focus on availability of medicine, improvement of transportation systems, and communication skills of healthcare providers to improve access to healthcare services.

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Section: Discussioncontrasting

confidence: 99%

Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

Kim

Park

et al. 2020

IJERPH

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“…Quebec recently declared that COVID-19-related diagnostic and healthcare will be covered for all residents regardless of migration status. We hope that this promise, the enforcement of which is not yet obvious, can be fulfilled including after the pandemic and not just for COVID-19 ( Ridde et al., 2020 ). Precarious status can obviously worsen in such context, whether because of loss of work and income, little protection against the virus, isolation or insufficient access to information.…”

Section: Discussionmentioning

confidence: 99%

“…Our study highlighted that schools and community-based organisations can give immigrants a sense of belonging and participation in order to feel valued and not excluded. Migrants, especially those without legal status, are likely to express fear to access healthcare or public services, which are sources of chronic stress with potential adverse health outcomes ( Ridde et al., 2020 ). There is growing evidence that community-based organisations in particular can help link these services to those in need.…”

Section: Discussionmentioning

confidence: 99%

What links can be made from narratives of migration and self-perceived health? A qualitative study with Haitian migrants settling in Quebec after the 2010 Haiti earthquake

Gautier

Casseùs

Blanc

et al. 2020

Journal of Migration and Health

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Highlights Few studies examine the intersection between migration status with other social determinants of migrant health Qualitative studies are relevant to give a voice to migrants to better understand relationships between levels of social determinants in health Our study offers a framework that incorporates the dynamic and multilevel aspects of migrant health More longitudinal studies are needed to investigate the health impacts of multiple stressors on Haitian migrants

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“…The median time it takes migrants in France to obtain a first residence permit of at least one year has estimated to be 4 years for men and 3 years for women among a random sample of persons from sub-Saharan Africa (4). During the period of absence of a resident permit, it is difficult for individuals to establish stable and health-promoting living conditions, obtain stable work, and access healthcare services (5)(6)(7)(8), despite undocumented migrants' entitlement to access free healthcare.…”

Section: Introductionmentioning

confidence: 99%

Social and mental health risks faced by undocumented migrants during the COVID-19 pandemic: Evidence from three surveys in France

Gosselin

Longchamps

Oulahal³

et al. 2021

Preprint

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Background The often-precarious life circumstances of undocumented migrants are likely to heighten the detrimental impact of the COVID-19 pandemic on their lives. Given the paucity of research exploring how undocumented migrants are affected by the COVID-19 pandemic, we set out to explore the association between being an undocumented migrant and a range of social and mental health measures. Methods Our study draws on three complementary surveys conducted among migrants in France between April 1st and June 7th 2020 (APART TOGETHER, MAKASI, ECHO; n = 716). We tested associations between eight outcome measures, covering health literacy, prevention behaviours, perceptions of government responses, livelihoods and mental health (PHQ-9 score), and the participants' legal status as either undocumented or documented. We modelled the probability of food insecurity increase, job loss, depression, and responses to SARS-COV-2 symptoms with logistic regression models, adjusted for age, gender and legal status. Results Undocumented migrants had a higher probability of experiencing food insecurity increase (aORs=10.40 [3.59, 30.16], and 2.19 [1.39, 3.50] in APART TOGETHER and ECHO), a higher probability of depression (aOR=2.65 [1.01, 6.97] in MAKASI). In all three surveys, undocumented migrants were more likely to lose their job (aORs=6.51 [1.18, 36.00], 8.36 [1.08, 64.70] and 3.96 [1.79, 9.16] in APART TOGETHER, MAKASI and ECHO respectively). Conclusion Our results suggest that the lives of undocumented migrants have been dramatically worsened by the COVID-19 pandemic, exposing and amplifying the inequalities facing this group. There is an urgent need for action to address these inequalities.

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Unmet healthcare needs among migrants without medical insurance in Montreal, Canada

Cited by 30 publications

References 45 publications

Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

What links can be made from narratives of migration and self-perceived health? A qualitative study with Haitian migrants settling in Quebec after the 2010 Haiti earthquake

Social and mental health risks faced by undocumented migrants during the COVID-19 pandemic: Evidence from three surveys in France

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