Equity in access to health care among asylum seekers in Germany: Evidence from an exploratory population-based cross-sectional study

BMC Health Services Research

Volumn 15, Issue 1, 2015, Pages

  Bozorgmehr, Kayvan ^a   Schneider, Christine ^a,b   Joos, Stefanie ^b  

^a UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

^b UNIVERSITY OF TÜBINGEN   (Germany)

Author keywords

Access to health care; Asylum seekers; Education; Equity; Inequality; Migration; Refugees; Socioeconomic status; Subjective social status; Unmet need

Indexed keywords

ADULT; CROSS-SECTIONAL STUDY; FEMALE; GERMANY; HEALTH CARE DELIVERY; HEALTH SERVICE; HEALTH STATUS; HUMAN; MALE; MIDDLE AGED; ODDS RATIO; QUESTIONNAIRE; REFUGEE; SOCIAL CLASS; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; UTILIZATION; YOUNG ADULT;

ADULT; CROSS-SECTIONAL STUDIES; FEMALE; GERMANY; HEALTH SERVICES; HEALTH SERVICES ACCESSIBILITY; HEALTH STATUS; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; ODDS RATIO; REFUGEES; SOCIAL CLASS; SURVEYS AND QUESTIONNAIRES; YOUNG ADULT;

EID: 84946434002     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-015-1156-x     Document Type: Article

References (33)

1. United Nations High Commissioner for Refugees, UNHCR Mid-Year Trends 2014. Available on http://www.unhcr.org/statistics. Accessed: 6/11/2015.
2. Starfield B. Improving equity in health: a research agenda. Int J Health Serv. 2001;31(3):545-66.
3. United Nations High Commissioner for Refugees, UNHCR Global Trends Report 2013. Available on http://www.unhcr.org/statistics. Accessed: 6/11/2015.
4. Norredam M, Mygind A, Krasnik A. Access to health care for asylum seekers in the European Union - a comparative study of country policies. Eur J Public Health. 2006;16(3):286-90.
5. Bozorgmehr K, Razum O. Effect of restricting access to health care on health expenditures among asylum-seekers and refugees: a quasi-experimental study in Germany, 1994-2013. PLoS ONE. 2015;10(7), e0131483.
6. Pross C. Third class medicine: health care for refugees in Germany. Health Hum Rights. 1998;3(2):40-53.
7. Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet. 2005;365(9467):1309-14.
8. Lindert J, Ehrenstein OS, Priebe S, Mielck A, Brahler E. Depression and anxiety in labor migrants and refugees-a systematic review and meta-analysis. Soc Sci Med. 2009;69(2):246-57.
9. Goosen S. A safe and healthy future? Epidemiological studies on the health of asylum seekers and refugees in the Netherlands. Amsterdam: University Amsterdam; 2014.
10. van Oostrum IE, Goosen S, Uitenbroek DG, Koppenaal H, Stronks K. Mortality and causes of death among asylum seekers in the Netherlands, 2002-2005. J Epidemiol Community Health. 2011;65(4):376-83.
11. Yun K, Hebrank K, Graber LK, Sullivan MC, Chen I, Gupta J. High prevalence of chronic non-communicable conditions among adult refugees: implications for practice and policy. J Community Health. 2012;37(5):1110-8.
12. Haroon S. The Health Needs of Asylum Seekers. Faculty of Public Health UK. London: 2008. Available on http://www.fph.org.uk/uploads/bs-aslym-seeker-health.pdf. Accessed: 6/11/2015.
13. Hart JT. The inverse care law. Lancet. 1971;1(7696):405-12.
14. O'Donnell O, van Doorslaer E, Wagstaff A, Lindelow M. Measuring and explaining inequity in health service delivery. Analyzing health equity using household survey data: a guide to techniques and their implementation. Washington D.C.: World Bank; 2008. p. 177-85.
15. Starfield B. The hidden inequity in health care. Int J Equity Health. 2011;10:15.
16. Allin S, Masseria C, Sorenson C, Papanicolas I, Mossialos E. Measuring inequalities in access to health care. A review of the indices. 2007.
17. Ricketts TC, Goldsmith LJ. Access in health services research: the battle of the frameworks. Nurs Outlook. 2005;53(6):274-80.
18. Allin S, Grignon M, Le Grand J. Subjective unmet need and utilization of health care services in Canada: what are the equity implications? Soc Sci Med. 2010;70(3):465-72.
19. Bertelsmann-Stiftung. Die Arbeitsintegration von Flüchtlingen in Deutschland. Humanität, Effektivität, Selbstbestimmung. Gütersloh: Bertelsmann-Stiftung; 2015.
20. Hoebel J, Muters S, Kuntz B, Lange C, Lampert T. [Measuring subjective social status in health research with a German version of the MacArthur Scale]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2015.
21. Euteneuer F. Subjective social status and health. Curr Opin Psychiatry. 2014;27(5):337-43.
22. Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Aff (Millwood). 2002;21(2):60-76.
23. Hoebel J, Kuntz B, Muters S, Lampert T. Subjective social status and health-related quality of life among adults in Germany. Results from the German General Social Survey (ALLBUS 2010). Gesundheitswesen. 2013;75(10):643-51.
24. Nielsen SS, Krasnik A. Poorer self-perceived health among migrants and ethnic minorities versus the majority population in Europe: a systematic review. Int J Public Health. 2010;55(5):357-71.
25. Toar M, O'Brien KK, Fahey T. Comparison of self-reported health & healthcare utilisation between asylum seekers and refugees: an observational study. BMC Public Health. 2009;9:214.
26. Taloyan M, Johansson LM, Johansson SE, Sundquist J, Kocturk TO. Poor self-reported health and sleeping difficulties among Kurdish immigrant men in Sweden. Transcult Psychiatry. 2006;43(3):445-61.
27. Taloyan M, Johansson SE, Sundquist J, Kocturk TO, Johansson LM. Psychological distress among Kurdish immigrants in Sweden. Scand J Public Health. 2008;36(2):190-6.
28. Regidor E, Martinez D, Calle ME, Astasio P, Ortega P, Dominguez V. Socioeconomic patterns in the use of public and private health services and equity in health care. BMC Health Serv Res. 2008;8:183.
29. Vackova J, Veleminsky Sr M, Brabcova I, Zaleska V. Subjective social status in select Ukrainians, Vietnamese, and Mongolians living in the Czech Republic. Neuro Endocrinol Lett. 2014;35 Suppl 1:90-101.
30. Baron-Epel O, Kaplan G. Can subjective and objective socioeconomic status explain minority health disparities in Israel? Soc Sci Med. 2009;69(10):1460-7.
31. Wolff LS, Acevedo-Garcia D, Subramanian SV, Weber D, Kawachi I. Subjective social status, a new measure in health disparities research: do race/ethnicity and choice of referent group matter? J Health Psychol. 2010;15(4):560-74.
32. LT-Drs. 15/5867. Drucksache des Landtag von Baden-Württemberg 15/5867 vom 13.10.2014: Flüchtlingsaufnahme in Baden-Württemberg. 2014.
33. Correa-Velez I, Gifford SM. When the right to be counted doesn't count:the politics and challenges of researching the health of asylum seekers. Crit Public Health. 2007;17(3):259-67.