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Erschienen in: Journal of Immigrant and Minority Health 5/2015

01.10.2015 | Original paper

Factors Associated with Healthcare Utilization Among Arab Immigrants and Iraqi Refugees

verfasst von: D. Elsouhag, B. Arnetz, H. Jamil, M. A. Lumley, C. L. Broadbridge, J. Arnetz

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 5/2015

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Abstract

Arab migrants—both immigrants and refugees—are exposed to pre- and post- migration stressors increasing their risk for health problems. Little is known, however, about rates of, or factors associated with, healthcare utilization among these two groups. A sample of 590 participants were interviewed approximately 1 year post-migration to the United States. Factors associated with healthcare utilization, including active and passive coping strategies, were examined using logistic regressions. Compared to national healthcare utilization data, immigrants had significantly lower, and refugees had significantly higher rates of healthcare utilization. Being a refugee, being married, and having health insurance were significantly associated with medical service utilization. Among refugees, less use of psychological services was associated with the use of medications and having problem-focused (active) strategies for dealing with stress. Healthcare utilization was significantly higher among refugees, who also reported a greater need for services than did immigrants.
Literatur
2.
Zurück zum Zitat Jamil H, Hakim-Larson J, Farrag M, Kafaji T, Duqum I, Jamil LH. A retrospective study of Arab American mental health clients: trauma and the Iraqi refugees. Am J Orthopsychiatr. 2002;72(3):355–61.CrossRef Jamil H, Hakim-Larson J, Farrag M, Kafaji T, Duqum I, Jamil LH. A retrospective study of Arab American mental health clients: trauma and the Iraqi refugees. Am J Orthopsychiatr. 2002;72(3):355–61.CrossRef
3.
Zurück zum Zitat Arnetz B, Ventimiglia M, Makki H, Mahmoud R, Jamil H. PW01-120-Mental health, treatment response and utilization among Iraqi refugees as compared to non-war exposed Arab immigrants. Eur Psychiatr. 2010;25:1536.CrossRef Arnetz B, Ventimiglia M, Makki H, Mahmoud R, Jamil H. PW01-120-Mental health, treatment response and utilization among Iraqi refugees as compared to non-war exposed Arab immigrants. Eur Psychiatr. 2010;25:1536.CrossRef
4.
Zurück zum Zitat Jamil H, Farrag M, Hakim-Larson J, Kafaji T, Abdulkhaleq H, Hammad A. Mental health symptoms in Iraqi refugees: posttraumatic stress disorder, anxiety, and depression. J Cult Divers. 2007;14(1):19–25.PubMed Jamil H, Farrag M, Hakim-Larson J, Kafaji T, Abdulkhaleq H, Hammad A. Mental health symptoms in Iraqi refugees: posttraumatic stress disorder, anxiety, and depression. J Cult Divers. 2007;14(1):19–25.PubMed
5.
Zurück zum Zitat Read JG, Amick B, Donato KM. Arab immigrants: a new case for ethnicity and health? Soc Sci Med. 2005;61(1):77–82.CrossRefPubMed Read JG, Amick B, Donato KM. Arab immigrants: a new case for ethnicity and health? Soc Sci Med. 2005;61(1):77–82.CrossRefPubMed
7.
Zurück zum Zitat Kiss V, Pim C, Hemmelgarn BR, Quan H. Building knowledge about health services utilization by refugees. J Immigr Minor Health. 2013;15(1):57–67.CrossRefPubMed Kiss V, Pim C, Hemmelgarn BR, Quan H. Building knowledge about health services utilization by refugees. J Immigr Minor Health. 2013;15(1):57–67.CrossRefPubMed
8.
Zurück zum Zitat Derose KP, Escarce JJ, Lurie N. Immigrants and health care: sources of vulnerability. Health Aff. 2007;26(5):1258–68.CrossRef Derose KP, Escarce JJ, Lurie N. Immigrants and health care: sources of vulnerability. Health Aff. 2007;26(5):1258–68.CrossRef
9.
Zurück zum Zitat Lawrence J, Kearns R. Exploring the ‘fit’ between people and providers: refugee health needs and health care services in Mt Roskill, Auckland, New Zealand. Health Soc Care Community. 2005;13(5):451–61.CrossRefPubMed Lawrence J, Kearns R. Exploring the ‘fit’ between people and providers: refugee health needs and health care services in Mt Roskill, Auckland, New Zealand. Health Soc Care Community. 2005;13(5):451–61.CrossRefPubMed
10.
Zurück zum Zitat Kliewer EV, Citizenship C, Canada I Assessment BCOoHT, Kazanjian A. The health status and medical services utilization of recent immigrants to Manitoba and British Columbia: a pilot study: BC Office of Health Technology Assessment; 2000. Kliewer EV, Citizenship C, Canada I Assessment BCOoHT, Kazanjian A. The health status and medical services utilization of recent immigrants to Manitoba and British Columbia: a pilot study: BC Office of Health Technology Assessment; 2000.
11.
Zurück zum Zitat Gidron Y, Duncan E, Lazar A, Biderman A, Tandeter H, Shvartzman P. Effects of guided written disclosure of stressful experiences on clinic visits and symptoms in frequent clinic attenders. Fam Pract. 2002;19(2):161–6.CrossRefPubMed Gidron Y, Duncan E, Lazar A, Biderman A, Tandeter H, Shvartzman P. Effects of guided written disclosure of stressful experiences on clinic visits and symptoms in frequent clinic attenders. Fam Pract. 2002;19(2):161–6.CrossRefPubMed
12.
Zurück zum Zitat Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984. XIII, 445. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984. XIII, 445.
13.
Zurück zum Zitat Folkman S, Lazarus RS, Dunkel-Schetter C, DeLongis A, Gruen RJ. Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. J Personal Soc Psychol. 1986;50(5):992.CrossRef Folkman S, Lazarus RS, Dunkel-Schetter C, DeLongis A, Gruen RJ. Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. J Personal Soc Psychol. 1986;50(5):992.CrossRef
14.
Zurück zum Zitat Kuo B. Coping, acculturation, and psychological adaptation among migrants: a theoretical and empirical review and synthesis of the literature. Health Psychol Behav Med. 2014;2(1):16–33.PubMedCentralCrossRefPubMed Kuo B. Coping, acculturation, and psychological adaptation among migrants: a theoretical and empirical review and synthesis of the literature. Health Psychol Behav Med. 2014;2(1):16–33.PubMedCentralCrossRefPubMed
15.
Zurück zum Zitat Peisker VC, Tilbury F. “Active” and “passive” resettlement: the influence of support services and refugees’ own resources on resettlement style. Int Migr. 2003;41(5):61–91.CrossRef Peisker VC, Tilbury F. “Active” and “passive” resettlement: the influence of support services and refugees’ own resources on resettlement style. Int Migr. 2003;41(5):61–91.CrossRef
18.
Zurück zum Zitat Blumberg SJ, Luke JV, Ganesh N, Davern ME, Boudreaux MH. Wireless substitution: state-level estimates from the National Health Interview Survey, 2010-2011. Natl Health Stat Rep. 2012;12(61):1–15. Blumberg SJ, Luke JV, Ganesh N, Davern ME, Boudreaux MH. Wireless substitution: state-level estimates from the National Health Interview Survey, 2010-2011. Natl Health Stat Rep. 2012;12(61):1–15.
19.
Zurück zum Zitat Kanner AD, Coyne JC, Schaefer C, Lazarus RS. Comparison of two modes of stress measurement: daily hassles and uplifts versus major life events. J Behav Med. 1981;4(1):1–39.CrossRefPubMed Kanner AD, Coyne JC, Schaefer C, Lazarus RS. Comparison of two modes of stress measurement: daily hassles and uplifts versus major life events. J Behav Med. 1981;4(1):1–39.CrossRefPubMed
20.
Zurück zum Zitat Jamil H, Ventimiglia M, Mahmoud R, Arnetz B. Somatic and psychiatric disorders and health care utilization among Iraqi refugees and Yemeni immigrants. New Iraq J Med. 2009;5:14–22. Jamil H, Ventimiglia M, Mahmoud R, Arnetz B. Somatic and psychiatric disorders and health care utilization among Iraqi refugees and Yemeni immigrants. New Iraq J Med. 2009;5:14–22.
21.
Zurück zum Zitat Fenta H, Hyman I, Noh S. Health service utilization by Ethiopian immigrants and refugees in Toronto. J Immigr Minor Health. 2007;9(4):349–57.CrossRefPubMed Fenta H, Hyman I, Noh S. Health service utilization by Ethiopian immigrants and refugees in Toronto. J Immigr Minor Health. 2007;9(4):349–57.CrossRefPubMed
22.
Zurück zum Zitat Thakuriah PV, Persky J, Soot S, Sriraj PS. Costs and benefits of employment transportation for low-wage workers: an assessment of job access public transportation services. Eval Program Plan. 2013;37:31–42.CrossRef Thakuriah PV, Persky J, Soot S, Sriraj PS. Costs and benefits of employment transportation for low-wage workers: an assessment of job access public transportation services. Eval Program Plan. 2013;37:31–42.CrossRef
23.
Zurück zum Zitat Arcury TA, Preisser JS, Gesler WM, Powers JM. Access to transportation and health care utilization in a rural region. J Rural Health. 2005;21(1):31–8.CrossRefPubMed Arcury TA, Preisser JS, Gesler WM, Powers JM. Access to transportation and health care utilization in a rural region. J Rural Health. 2005;21(1):31–8.CrossRefPubMed
24.
Zurück zum Zitat McMichael C, Manderson L. Somali women and well-being: social networks and social capital among immigrant women in Australia. Hum Organ. 2004;63(1):88–99.CrossRef McMichael C, Manderson L. Somali women and well-being: social networks and social capital among immigrant women in Australia. Hum Organ. 2004;63(1):88–99.CrossRef
25.
Zurück zum Zitat Simon G. Psychiatric disorder and functional somatic symptoms as predictors of health care use. Psychiatr Med. 1992;10(3):49.PubMed Simon G. Psychiatric disorder and functional somatic symptoms as predictors of health care use. Psychiatr Med. 1992;10(3):49.PubMed
26.
Zurück zum Zitat Barsky AJ, Orav EJ, Bates DW. Distinctive patterns of medical care utilization in patients who somatize. Med Care. 2006;44(9):803–11.CrossRefPubMed Barsky AJ, Orav EJ, Bates DW. Distinctive patterns of medical care utilization in patients who somatize. Med Care. 2006;44(9):803–11.CrossRefPubMed
27.
Zurück zum Zitat Erickson CD, Al-Timimi NR. Providing mental health services to Arab Americans: recommendations and considerations. Cult Divers Ethn Minor Psychol. 2001;7(4):308–27.CrossRef Erickson CD, Al-Timimi NR. Providing mental health services to Arab Americans: recommendations and considerations. Cult Divers Ethn Minor Psychol. 2001;7(4):308–27.CrossRef
28.
Zurück zum Zitat Khawaja NG, White KM, Schweitzer R, Greenslade J. Difficulties and coping strategies of Sudanese refugees: a qualitative approach. Transcult Psychiatr. 2008;45(3):489–512.CrossRef Khawaja NG, White KM, Schweitzer R, Greenslade J. Difficulties and coping strategies of Sudanese refugees: a qualitative approach. Transcult Psychiatr. 2008;45(3):489–512.CrossRef
29.
Zurück zum Zitat Farley T, Galves A, Dickinson LM, Perez MdJD. Stress, coping, and health: a comparison of Mexican immigrants, Mexican-Americans, and non-Hispanic whites. J Immigr Health. 2005;7(3):213–20.CrossRefPubMed Farley T, Galves A, Dickinson LM, Perez MdJD. Stress, coping, and health: a comparison of Mexican immigrants, Mexican-Americans, and non-Hispanic whites. J Immigr Health. 2005;7(3):213–20.CrossRefPubMed
Metadaten
Titel
Factors Associated with Healthcare Utilization Among Arab Immigrants and Iraqi Refugees
verfasst von
D. Elsouhag
B. Arnetz
H. Jamil
M. A. Lumley
C. L. Broadbridge
J. Arnetz
Publikationsdatum
01.10.2015
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 5/2015
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-014-0119-3

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