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, 34 (6), 529-38

Healthcare Barriers of Refugees Post-Resettlement

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Healthcare Barriers of Refugees Post-Resettlement

Meghan D Morris et al. J Community Health.

Abstract

The majority of refugees spend the greater part of their lives in refugee camps before repatriation or resettlement to a host country. Limited resources and stress during residence in refugee camps can lead to a variety of acute and chronic diseases which often persist upon resettlement. However, for most resettled refugees little is known about their health needs beyond a health assessment completed upon entry. We conducted a qualitative pilot-study in San Diego County, the third largest area in California, USA for resettling refugees, to explore health care access issues of refugees after governmental assistance has ended. A total of 40 guided in-depth interviews were conducted with a targeted sample of informants (health care practitioners, employees of refugee serving organizations, and recent refugee arrivals) familiar with the health needs of refugees. Interviews revealed that the majority of refugees do not regularly access health services. Beyond individual issues, emerging themes indicated that language and communication affect all stages of health care access--from making an appointment to filling out a prescription. Acculturation presented increased stress, isolation, and new responsibilities. Additionally, cultural beliefs about health care directly affected refugees' expectation of care. These barriers contribute to delayed care and may directly influence refugee short- and long-term health. Our findings suggest the need for additional research into contextual factors surrounding health care access barriers, and the best avenues to reduce such barriers and facilitate access to existing services.

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References

    1. Division of Operational Services Field Information and Coordination Support Section UNHCofR. (2007). 2006 Global trends; refugees, asylum-seekers, returnees, internally displaced and stateless persons, Geneva.
    1. {'text': '', 'index': 1, 'ids': [{'type': 'PubMed', 'value': '12687898', 'is_inner': True, 'url': 'http://www.ncbi.nlm.nih.gov/pubmed/12687898/'}]}
    2. Stauffer, W. M., Kamat, D., & Walker, P. F. (2002). Screening of international immigrants, refugees, and adoptees. Primary Care,29(4), 879–905. - PubMed
    1. {'text': '', 'index': 1, 'ids': [{'type': 'PubMed', 'value': '9297659', 'is_inner': True, 'url': 'http://www.ncbi.nlm.nih.gov/pubmed/9297659/'}]}
    2. Ackerman, L. K. (1997). Health problems of refugees. Journal of the American Board of Family Practice,10(5), 337–348. - PubMed
    1. {'text': '', 'index': 1, 'ids': [{'type': 'PMC', 'value': 'PMC1497409', 'is_inner': False, 'url': 'http://www.ncbi.nlm.nih.gov/pmc/articles/pmc1497409/'}, {'type': 'PubMed', 'value': '12297684', 'is_inner': True, 'url': 'http://www.ncbi.nlm.nih.gov/pubmed/12297684/'}]}
    2. Lifson, A. R., Thai, D., O’Fallon, A., Mills, W. A., & Hang, K. (2002). Prevalence of tuberculosis, hepatitis B virus, and intestinal parasitic infections among refugees to Minnesota. Public Health Report,117(1), 69–77. - PMC - PubMed
    1. {'text': '', 'index': 1, 'ids': [{'type': 'PubMed', 'value': '10761735', 'is_inner': True, 'url': 'http://www.ncbi.nlm.nih.gov/pubmed/10761735/'}]}
    2. Miller, J. M., Boyd, H. A., Ostrowski, S. R., Cookson, S. T., Parise, M. E., Gonzaga, P. S., et al. (2000). Malaria, intestinal parasites, and schistosomiasis among Barawan Somali refugees resettling to the United States: A strategy to reduce morbidity and decrease the risk of imported infections. American Journal of Tropical Medicine and Hygiene,62(1), 115–121. - PubMed

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