Journal of Immigrant and Minority Health

, Volume 21, Issue 1, pp 73–79 | Cite as

Acculturation and Unmet Health Needs Among Refugees in Omaha, Nebraska

  • Dejun SuEmail author
  • Hongmei Wang
  • Tzeyu Michaud
  • Drissa Toure
  • Kandy Do
  • Hyo Jung Tak
Original Paper


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.


Refugee Acculturation Unmet health needs Health care access 


Compliance with Ethical Standards

Conflict of interest

The authors have no conflict of interest to declare.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Health Promotion, Social and Behavioral Health, College of Public HealthUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.Center for Reducing Health Disparities, College of Public HealthUniversity of Nebraska Medical CenterOmahaUSA
  3. 3.Department of Health Services Research and Administration, College of Public HealthUniversity of Nebraska Medical CenterOmahaUSA

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