Advertisement

Acculturation and Unmet Health Needs Among Refugees in Omaha, Nebraska

  • Dejun Su
  • Hongmei Wang
  • Tzeyu Michaud
  • Drissa Toure
  • Kandy Do
  • Hyo Jung Tak
Original Paper
  • 140 Downloads

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.

Keywords

Refugee Acculturation Unmet health needs Health care access 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors have no conflict of interest to declare.

References

  1. 1.
    Su D, Wang D. Acculturation and cross-border utilization of health services. J Immigr Minor Health. 2012;14:563–9.CrossRefPubMedGoogle Scholar
  2. 2.
    Abraido-Lanza AF, Chao MT, Florez KR. Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Soc Sci Med. 2005;61(6):1243–55.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Antecol H, Bedard K. Unhealthy assimilation: why do immigrants converge to American health status levels? Demography 2006;43(2):337–60.CrossRefPubMedGoogle Scholar
  4. 4.
    Evenson KR, Sarmiento OL, Ayala GX. Acculturation and physical activity among North Carolina Latina immigrants. Soc Sci Med. 2004;59(12):2509–22.CrossRefPubMedGoogle Scholar
  5. 5.
    Laroche M. Health status and health services utilization of Canada’s immigrant and non-immigrant populations. Can Public Policy. 2000;26(2):51–75.CrossRefPubMedGoogle Scholar
  6. 6.
    Leclere FB, Jensen L, Biddlecom AE. Health care utilization, family context, and adaptation among immigrants to the United States. J Health Soc Behav. 1994;35(4):370–84.CrossRefPubMedGoogle Scholar
  7. 7.
    Shah M, Zhu K, Wu H, Potter J. Hispanic acculturation and utilization of cervical cancer screening in the US. Prev Med. 2006;42(2):146–9.CrossRefPubMedGoogle Scholar
  8. 8.
    Su D, Li L, Pagán JA. Acculturation and the use of complementary and alternative medicine. Soc Sci Med. 2008;66:439–53.CrossRefPubMedGoogle Scholar
  9. 9.
    Zambrana RE, Breen N, Fox SA, Gutierrez-Mohamed ML. Use of cancer screening practices by Hispanic women: analyses by subgroup. Prev Med. 1999;29(6 Pt 1):466–77.CrossRefPubMedGoogle Scholar
  10. 10.
    Office of Refugee Resettlement, U.S. Department of health and human services: health insurance. 2017; https://www.acf.hhs.gov/orr/health. Accessed 12 Dec 2017.
  11. 11.
    Pew Research Center. Just 10 states resettled more than half of recent refugees to U.S. 2017; http://www.pewresearch.org/fact-tank/2016/12/06/just-10-states-resettled-more-than-half-of-recent-refugees-to-u-s/. Accessed 22 May 2017.
  12. 12.
    Nebraska Department of Health and Human Services. Refugee health screening procedures. 2017; http://dhhs.ne.gov/children_family_services/Documents/Refugee%20Health%20Guidelines%2012%2014%2017.pdf. Accessed 4 Jan 2018.
  13. 13.
    Nebraska Department of Health and Human Services. Refugee resettlement program: population definitions. 2011; http://dhhs.ne.gov/children_family_services/Pages/refugees_definitions.aspx. Accessed 4 Jan 2018.
  14. 14.
    Akhtar S. The immigrant, the exile and the experience of nostalgia. J Appl Psychoanal Stud. 1999;2:123–30.CrossRefGoogle Scholar
  15. 15.
    Brouwer K, Rodwell T. Assessment of community member attitudes towards health needs of refugees in San Diego. 2007; http://gph.ucsd.edu/resources/Documents/refugee-health-final-rept.pdf. Accessed 15 July 2017.
  16. 16.
    Mirza M, Luna R, Mathews B, Hasnain R, Hebert E, Niebauer A. Barriers to healthcare access among refugees with disabilities and chronic health conditions resettled in the US Midwest. J Immigr Minor Health. 2014;16(4):733–42.CrossRefPubMedGoogle Scholar
  17. 17.
    Yun K, Fuentes-Afflick E, Desai MM. Prevalence of chronic disease and insurance coverage among refugees in the United States. J Immigr Minor Health. 2012; 14:933–40.CrossRefPubMedGoogle Scholar
  18. 18.
    Office of Refugee Resettlement, U.S. Department of health and human services: report to congress. 2015; https://www.acf.hhs.gov/sites/default/files/orr/arc_15_final_508.pdf. Accessed 15 Dec 2017.
  19. 19.
    U.S. Census Bureau. American FactFinder. 2017; https://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml. Accessed 15 July 2017.
  20. 20.
    Office of Refugee Resettlement, U.S. Department of health and human services: refugee arrival data. 2015; https://www.acf.hhs.gov/orr/resource/fy-2015-served-populations-by-state-and-country-of-origin-refugees-only. Accessed 15 July 2017.
  21. 21.
    Singh GK, Siahpush M. Ethnic-immigrant differentials in health behaviors, morbidity, and cause-specific mortality in the United States: an analysis of two national data bases. Hum Biol. 2002;74:83–109.CrossRefPubMedGoogle Scholar
  22. 22.
    Lebrun LA. Effects of length of stay and language proficiency on health care experiences among immigrants in Canada and the United States. Soc Sci Med. 2012;74(7):1062–72.CrossRefPubMedGoogle Scholar
  23. 23.
    Morris MD, Popper ST, Rodwell TC, Brodine SK, Brouwer KC. Healthcare barriers of refugees post-resttlement. J Commun Health. 2009;34(6):529.CrossRefGoogle Scholar
  24. 24.
    Yang PQ, Hwang SH. Explaining immigrant health service utilization: a theoretical framework. SAGE Open. 2016;6(2):2158244016648137.CrossRefGoogle Scholar
  25. 25.
    The Henry J. Kaiser family foundation. state health facts: health insurance coverage of adults, pp. 19–64. 2017; http://www.kff.org/state-category/health-coverage-uninsured/. Accessed 11 August 2017.
  26. 26.
    Yee BK. The social and cultural context of adaptive aging by Southeast Asian elders. In: Sokolovsky J, editor. The cultural context of aging: worldwide perspectives. Westport: Bergin and Garvey; 1994. pp. 293–303.Google Scholar

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

Personalised recommendations