Journal of Immigrant and Minority Health
Volume 21, Issue 1, 2019, Pages 73-79

Acculturation and Unmet Health Needs Among Refugees in Omaha, Nebraska (Article)

Su D.* , Wang H. , Michaud T. , Toure D. , Do K. , Tak H.J.
  • a Department of Health Promotion, Social and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States, Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States
  • b Department of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States
  • c Department of Health Promotion, Social and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States, Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States
  • d Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States
  • e Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States
  • f Department of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States

Abstract

This study assessed the association between acculturation and unmet health needs among refugees. Based on data from the Refugee Health Needs Assessment Survey (n = 291) recently conducted in Omaha, Nebraska, Chi square tests and multivariate logistic regressions were estimated to examine how acculturation among refugees was related to their unmet health needs. Relative to refugees who had been in the U.S. for less than 3 years, refugees who had been in the U.S. for 3–5 years were more likely to report lack of health insurance coverage (AOR 2.87, 95% CI 1.19, 6.92) and delaying to see a health care provider due to cost during the 12 months prior to the survey (AOR 4.01, 95% CI 1.18, 13.67). Acculturation among refugees did not necessarily alleviate their unmet health needs. Addressing these needs calls for sustainable medical assistance to refugees that well go beyond the 8-month health insurance coverage currently provided to newly arrived refugees. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Health care access Unmet health needs Refugee Acculturation

Index Keywords

refugee economics insurance health insurance Nebraska human Insurance Coverage Refugees middle aged statistics and numerical data health service time factor health status Time Factors Logistic Models Insurance, Health qualitative research Health Services Needs and Demand Young Adult Humans male Time-to-Treatment Acculturation female Socioeconomic Factors socioeconomics cultural factor adult age sex factor Sex Factors Age Factors statistical model Healthcare Disparities health care disparity Health Services Accessibility time to treatment health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044285293&doi=10.1007%2fs10903-018-0723-8&partnerID=40&md5=5ea9e50bbe10632152e89ea099dce6b0
DOI: 10.1007/s10903-018-0723-8
ISSN: 15571912
Cited by: 1
Original Language: English