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Association between divorce and access to healthcare services among married immigrants: propensity score approaches

BACKGROUND: While divorce is a social determinant of health among married immigrants in Korea, its association with access to healthcare services is unclear. Given the rapid increase in the number of married immigrants in Korea, research is needed to improve minority groups’ access to healthcare ser...

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Autores principales: Bae, Suyeong, Graham, James E., Nam, Sanghun, Hong, Ickpyo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919589/
https://www.ncbi.nlm.nih.gov/pubmed/35287736
http://dx.doi.org/10.1186/s13690-022-00840-3
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author Bae, Suyeong
Graham, James E.
Nam, Sanghun
Hong, Ickpyo
author_facet Bae, Suyeong
Graham, James E.
Nam, Sanghun
Hong, Ickpyo
author_sort Bae, Suyeong
collection PubMed
description BACKGROUND: While divorce is a social determinant of health among married immigrants in Korea, its association with access to healthcare services is unclear. Given the rapid increase in the number of married immigrants in Korea, research is needed to improve minority groups’ access to healthcare services. Here, we examined healthcare service utilization among married immigrants. METHODS: We retrieved 11,778 adults from the 2018 Korea National Multicultural Family Survey. We analyzed whether the sex of divorced immigrants is associated with healthcare access using multivariable logistic regression analysis. Further, we analyzed the association between divorce and access to healthcare services among married immigrants using propensity score matching methods. RESULTS: There were 691 (5.8%) divorced immigrants in the data set. The married male immigrants had no association between divorce status and healthcare access (adjusted odds ratio [OR] = 1.05, 95% confidence interval [CI] = 0.55–2.03, p = 0.8620). Divorced immigrants were less likely to receive healthcare services than married immigrants (adjusted OR = 1.42, 95% CI = 1.07–1.88). CONCLUSION: Our findings revealed that divorce increases the risk of limited access to healthcare services among married immigrants. Policymakers and healthcare providers should be aware of these potential disparities in this vulnerable minority population.
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spelling pubmed-89195892022-03-16 Association between divorce and access to healthcare services among married immigrants: propensity score approaches Bae, Suyeong Graham, James E. Nam, Sanghun Hong, Ickpyo Arch Public Health Research BACKGROUND: While divorce is a social determinant of health among married immigrants in Korea, its association with access to healthcare services is unclear. Given the rapid increase in the number of married immigrants in Korea, research is needed to improve minority groups’ access to healthcare services. Here, we examined healthcare service utilization among married immigrants. METHODS: We retrieved 11,778 adults from the 2018 Korea National Multicultural Family Survey. We analyzed whether the sex of divorced immigrants is associated with healthcare access using multivariable logistic regression analysis. Further, we analyzed the association between divorce and access to healthcare services among married immigrants using propensity score matching methods. RESULTS: There were 691 (5.8%) divorced immigrants in the data set. The married male immigrants had no association between divorce status and healthcare access (adjusted odds ratio [OR] = 1.05, 95% confidence interval [CI] = 0.55–2.03, p = 0.8620). Divorced immigrants were less likely to receive healthcare services than married immigrants (adjusted OR = 1.42, 95% CI = 1.07–1.88). CONCLUSION: Our findings revealed that divorce increases the risk of limited access to healthcare services among married immigrants. Policymakers and healthcare providers should be aware of these potential disparities in this vulnerable minority population. BioMed Central 2022-03-14 /pmc/articles/PMC8919589/ /pubmed/35287736 http://dx.doi.org/10.1186/s13690-022-00840-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Bae, Suyeong
Graham, James E.
Nam, Sanghun
Hong, Ickpyo
Association between divorce and access to healthcare services among married immigrants: propensity score approaches
title Association between divorce and access to healthcare services among married immigrants: propensity score approaches
title_full Association between divorce and access to healthcare services among married immigrants: propensity score approaches
title_fullStr Association between divorce and access to healthcare services among married immigrants: propensity score approaches
title_full_unstemmed Association between divorce and access to healthcare services among married immigrants: propensity score approaches
title_short Association between divorce and access to healthcare services among married immigrants: propensity score approaches
title_sort association between divorce and access to healthcare services among married immigrants: propensity score approaches
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919589/
https://www.ncbi.nlm.nih.gov/pubmed/35287736
http://dx.doi.org/10.1186/s13690-022-00840-3
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