Su Dejun, Wang Hongmei, Michaud Tzeyu, Toure Drissa, Do Kandy, Tak Hyo Jung
Department of Health Promotion, Social and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
J Immigr Minor Health. 2019 Feb;21(1):73-79. doi: 10.1007/s10903-018-0723-8.
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.
本研究评估了难民的文化适应与未满足的健康需求之间的关联。基于最近在 Nebraska 州 Omaha 市进行的难民健康需求评估调查（n = 291）的数据，进行了卡方检验和多变量逻辑回归分析，以研究难民的文化适应如何与其未满足的健康需求相关。与在美国居住不到 3 年的难民相比，在美国居住 3 - 5 年的难民更有可能报告缺乏医疗保险覆盖（调整后比值比 2.87，95%置信区间 1.19，6.92），以及在调查前 12 个月内由于费用问题而推迟就医（调整后比值比 4.01，95%置信区间 1.18，13.67）。难民的文化适应不一定能缓解他们未满足的健康需求。满足这些需求需要为难民提供可持续的医疗援助，这远远超出目前为新抵达难民提供的 8 个月医疗保险覆盖范围。
