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Sociodemographic Characteristics and Inadequate Usual Sources of Healthcare in a National Sample of US Refugees
Introduction: Refugees resettled into the United States (US) face challenges in accessing adequate healthcare. Knowledge of demographic and social characteristics related to healthcare access among refugees is scarce. This study examines potential sociodemographic predictors of inadequate usual sour...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223584/ https://www.ncbi.nlm.nih.gov/pubmed/35742484 http://dx.doi.org/10.3390/ijerph19127234 |
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author | Baumann, Kyle J. Adera, Tilahun |
author_facet | Baumann, Kyle J. Adera, Tilahun |
author_sort | Baumann, Kyle J. |
collection | PubMed |
description | Introduction: Refugees resettled into the United States (US) face challenges in accessing adequate healthcare. Knowledge of demographic and social characteristics related to healthcare access among refugees is scarce. This study examines potential sociodemographic predictors of inadequate usual sources of care (USCs)—one key component of healthcare access—within the US refugee population. Methods: The 2016 Annual Survey of Refugees (ASR) involving 4037 refugees resettled into the US served as the data source for this study. Inadequate USC was defined as a USC that was neither a private healthcare provider nor a health clinic. We used multiple binary logistic regression methods to identify sociodemographic predictors of inadequate USCs. In addition, we used multinomial logistic regression to further assess predictors of inadequate USCs with a particular focus on severely deficit USCs (i.e., emergency department dependence and USC absence). Results: Refugees with interrupted healthcare coverage were more likely to have an inadequate USC. Refugees who were young (age 10–19), resettled into the western region of the US, and highly educated were less likely to have an inadequate USC. Refugees with an education level higher than secondary had a significantly lower likelihood of having a severely deficient USC, while refugees with interrupted healthcare were more than twice as likely to have a severely deficient USC. Conclusions: Considering these results alongside our previous healthcare coverage findings provides a more comprehensive understanding of sociodemographic predictors of poor healthcare access among refugees resettled into the US. This improved understanding has the potential to assist early refugee contacts toward more effective healthcare resource allocation and aid policymakers attempting to improve programs linked to refugee healthcare access. |
format | Online Article Text |
id | pubmed-9223584 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-92235842022-06-24 Sociodemographic Characteristics and Inadequate Usual Sources of Healthcare in a National Sample of US Refugees Baumann, Kyle J. Adera, Tilahun Int J Environ Res Public Health Article Introduction: Refugees resettled into the United States (US) face challenges in accessing adequate healthcare. Knowledge of demographic and social characteristics related to healthcare access among refugees is scarce. This study examines potential sociodemographic predictors of inadequate usual sources of care (USCs)—one key component of healthcare access—within the US refugee population. Methods: The 2016 Annual Survey of Refugees (ASR) involving 4037 refugees resettled into the US served as the data source for this study. Inadequate USC was defined as a USC that was neither a private healthcare provider nor a health clinic. We used multiple binary logistic regression methods to identify sociodemographic predictors of inadequate USCs. In addition, we used multinomial logistic regression to further assess predictors of inadequate USCs with a particular focus on severely deficit USCs (i.e., emergency department dependence and USC absence). Results: Refugees with interrupted healthcare coverage were more likely to have an inadequate USC. Refugees who were young (age 10–19), resettled into the western region of the US, and highly educated were less likely to have an inadequate USC. Refugees with an education level higher than secondary had a significantly lower likelihood of having a severely deficient USC, while refugees with interrupted healthcare were more than twice as likely to have a severely deficient USC. Conclusions: Considering these results alongside our previous healthcare coverage findings provides a more comprehensive understanding of sociodemographic predictors of poor healthcare access among refugees resettled into the US. This improved understanding has the potential to assist early refugee contacts toward more effective healthcare resource allocation and aid policymakers attempting to improve programs linked to refugee healthcare access. MDPI 2022-06-13 /pmc/articles/PMC9223584/ /pubmed/35742484 http://dx.doi.org/10.3390/ijerph19127234 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Baumann, Kyle J. Adera, Tilahun Sociodemographic Characteristics and Inadequate Usual Sources of Healthcare in a National Sample of US Refugees |
title | Sociodemographic Characteristics and Inadequate Usual Sources of Healthcare in a National Sample of US Refugees |
title_full | Sociodemographic Characteristics and Inadequate Usual Sources of Healthcare in a National Sample of US Refugees |
title_fullStr | Sociodemographic Characteristics and Inadequate Usual Sources of Healthcare in a National Sample of US Refugees |
title_full_unstemmed | Sociodemographic Characteristics and Inadequate Usual Sources of Healthcare in a National Sample of US Refugees |
title_short | Sociodemographic Characteristics and Inadequate Usual Sources of Healthcare in a National Sample of US Refugees |
title_sort | sociodemographic characteristics and inadequate usual sources of healthcare in a national sample of us refugees |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223584/ https://www.ncbi.nlm.nih.gov/pubmed/35742484 http://dx.doi.org/10.3390/ijerph19127234 |
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