Frounfelker Rochelle L, Rahman Samiha, Cleveland Janet, Rousseau Cecile
Department of Psychiatry, McGill University, 1033 Pine Avenue West, Montreal, QC, H3A 1A1, Canada.
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada.
J Immigr Minor Health. 2022 Apr;24(2):412-419. doi: 10.1007/s10903-021-01204-9. Epub 2021 Apr 24.
In the past decade there has been an increase in focus on the concept of deservingness and how it plays out in debates around health care for migrant populations with precarious legal status. This study uses latent class analysis to identify subtypes of attitudes regarding asylum seeker access to health care and endorsement of support for asylum seeker access to care among 4066 employees of health care institutions in Montreal and Toronto, Canada. Authors identified four classes of attitudes towards asylum seeker access to care named 'Favorable,' 'Opposed,' 'Ambivalent/Reactive,' and 'Unconcerned/Status quo'. The odds of endorsing access to health care depended on the individual's class membership of asylum seeker attitude. Although there are segments of the population that overwhelmingly endorse, or reject, asylum seeker access to care, there are important variants in opinions and beliefs. Interventions are needed to engage professionals more ambivalent or opposed to asylum seeker access to care.
在过去十年中，人们越来越关注应得性的概念，以及它在围绕法律地位不稳定的移民群体医疗保健的辩论中是如何体现的。本研究采用潜在类别分析，在加拿大蒙特利尔和多伦多的4066名医疗机构员工中，确定关于寻求庇护者获得医疗保健的态度亚型以及对支持寻求庇护者获得医疗保健的认可情况。作者确定了四类关于寻求庇护者获得医疗保健的态度，分别为“支持的”、“反对的”、“矛盾/反应性的”和“不关心/维持现状的”。支持获得医疗保健的几率取决于个人对寻求庇护者态度的类别归属。尽管有部分人群压倒性地支持或拒绝寻求庇护者获得医疗保健，但在观点和信念方面仍存在重要差异。需要采取干预措施，让那些对寻求庇护者获得医疗保健持更矛盾或反对态度的专业人员参与进来。
