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Factors Associated with Healthcare Utilization Among Arab Immigrants and Iraqi Refugees
Univ Detroit Mercy, Dept Biomed Sci, Sch Dent, Detroit, MI 48208 USA.;Baker Coll, Dept Hlth Sci, Clinton, MI USA..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Wayne State Univ, Sch Med, Dept Family Med & Publ Hlth Sci, Detroit, MI USA.;Wayne State Univ, Inst Environm Hlth Sci, Detroit, MI USA.;Wayne State Univ, Inst Cardiovasc Res, Detroit, MI USA..ORCID iD: 0000-0001-7173-4333
Wayne State Univ, Sch Med, Dept Family Med & Publ Hlth Sci, Detroit, MI USA.;Wayne State Univ, Inst Environm Hlth Sci, Detroit, MI USA..
Wayne State Univ, Dept Psychol, Detroit, MI 48202 USA..
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2015 (English)In: Journal of Immigrant and Minority Health, ISSN 1557-1912, E-ISSN 1557-1920, Vol. 17, no 5, 1305-1312 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2015. Vol. 17, no 5, 1305-1312 p.
Keyword [en]
Immigrants, Refugees, Healthcare, Stress
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-264034DOI: 10.1007/s10903-014-0119-3ISI: 000360911300003PubMedID: 25331684OAI: oai:DiVA.org:uu-264034DiVA: diva2:859309
Available from: 2015-10-06 Created: 2015-10-05 Last updated: 2017-12-01Bibliographically approved

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Arnetz, BengtArnetz, Judy

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