Predictors of Asylum Seekers’ Health Care Utilization in the Early Phase of Resettlement
BackgroundAsylum seekers display high prevalence rates of posttraumatic stress disorder, depression, anxiety, and panic disorder due to pre-, peri-, and post-migration stressors. In contrast to the high mental health burden, health care utilization among asylum seekers in the early phase of resettle...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-05-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00475/full |
| _version_ | 1811324522586963968 |
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| author | David Kindermann Valentina Zeyher Ede Nagy Hans-Christoph Friederich Kayvan Bozorgmehr Kayvan Bozorgmehr Christoph Nikendei |
| author_facet | David Kindermann Valentina Zeyher Ede Nagy Hans-Christoph Friederich Kayvan Bozorgmehr Kayvan Bozorgmehr Christoph Nikendei |
| author_sort | David Kindermann |
| collection | DOAJ |
| description | BackgroundAsylum seekers display high prevalence rates of posttraumatic stress disorder, depression, anxiety, and panic disorder due to pre-, peri-, and post-migration stressors. In contrast to the high mental health burden, health care utilization among asylum seekers in the early phase of resettlement is low. However, the early stages after migration are a particularly vulnerable phase in which psychosocial support measures are needed to prevent mental disorders from becoming chronic.ObjectiveTo identify predictors of asylum seekers’ health care utilization in the early stages of resettlement.MethodsUsing hierarchical logistic regression analysis, the variance explanation of the (1) general utilization of health care services as well as the individual utilization of (2) outpatient psychiatrists, (3) counselling centers, and (4) general practitioners was analyzed in n = 65 asylum seekers. A structured interview on health care utilization took place between three to five months after assessment of possible predictors. We defined the following three groups of predictors a) the sociodemographic variables gender, age, number of children, religion, language proficiency, b) the psychological variables sense of coherence and emotion regulation as well as c) the asylum seekers’ psychiatric diagnoses.ResultsIndividual sociodemographic factors, such as gender, age, and number of children as well as the emotion regulation strategy of expressive suppression and sense of coherence were shown to be predictive for the utilization of health care services among asylum seekers.ConclusionsLow-threshold, culture-sensitive treatment offers for asylum seekers should be established in the early phase after migration. General practitioners should be a central hub for further referrals to disorder-specific treatments. |
| first_indexed | 2024-04-13T14:15:51Z |
| format | Article |
| id | doaj.art-d8b5242601a54812918a29d2b87e55b4 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T14:15:51Z |
| publishDate | 2020-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-d8b5242601a54812918a29d2b87e55b42022-12-22T02:43:40ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-05-011110.3389/fpsyt.2020.00475534699Predictors of Asylum Seekers’ Health Care Utilization in the Early Phase of ResettlementDavid Kindermann0Valentina Zeyher1Ede Nagy2Hans-Christoph Friederich3Kayvan Bozorgmehr4Kayvan Bozorgmehr5Christoph Nikendei6Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, GermanyDepartment of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, GermanyDepartment of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, GermanyDepartment of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, GermanyDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, GermanyDepartment of Population Medicine and Health Services Research, School of Public Health, Bielefeld University, Bielefeld, GermanyDepartment of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, GermanyBackgroundAsylum seekers display high prevalence rates of posttraumatic stress disorder, depression, anxiety, and panic disorder due to pre-, peri-, and post-migration stressors. In contrast to the high mental health burden, health care utilization among asylum seekers in the early phase of resettlement is low. However, the early stages after migration are a particularly vulnerable phase in which psychosocial support measures are needed to prevent mental disorders from becoming chronic.ObjectiveTo identify predictors of asylum seekers’ health care utilization in the early stages of resettlement.MethodsUsing hierarchical logistic regression analysis, the variance explanation of the (1) general utilization of health care services as well as the individual utilization of (2) outpatient psychiatrists, (3) counselling centers, and (4) general practitioners was analyzed in n = 65 asylum seekers. A structured interview on health care utilization took place between three to five months after assessment of possible predictors. We defined the following three groups of predictors a) the sociodemographic variables gender, age, number of children, religion, language proficiency, b) the psychological variables sense of coherence and emotion regulation as well as c) the asylum seekers’ psychiatric diagnoses.ResultsIndividual sociodemographic factors, such as gender, age, and number of children as well as the emotion regulation strategy of expressive suppression and sense of coherence were shown to be predictive for the utilization of health care services among asylum seekers.ConclusionsLow-threshold, culture-sensitive treatment offers for asylum seekers should be established in the early phase after migration. General practitioners should be a central hub for further referrals to disorder-specific treatments.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00475/fullasylum seekershealth care utilizationsense of coherencesuppressionreappraisal |
| spellingShingle | David Kindermann Valentina Zeyher Ede Nagy Hans-Christoph Friederich Kayvan Bozorgmehr Kayvan Bozorgmehr Christoph Nikendei Predictors of Asylum Seekers’ Health Care Utilization in the Early Phase of Resettlement Frontiers in Psychiatry asylum seekers health care utilization sense of coherence suppression reappraisal |
| title | Predictors of Asylum Seekers’ Health Care Utilization in the Early Phase of Resettlement |
| title_full | Predictors of Asylum Seekers’ Health Care Utilization in the Early Phase of Resettlement |
| title_fullStr | Predictors of Asylum Seekers’ Health Care Utilization in the Early Phase of Resettlement |
| title_full_unstemmed | Predictors of Asylum Seekers’ Health Care Utilization in the Early Phase of Resettlement |
| title_short | Predictors of Asylum Seekers’ Health Care Utilization in the Early Phase of Resettlement |
| title_sort | predictors of asylum seekers health care utilization in the early phase of resettlement |
| topic | asylum seekers health care utilization sense of coherence suppression reappraisal |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00475/full |
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