dc.contributor.author
Schwachenwalde, Sabina
dc.contributor.author
Sauzet, Odile
dc.contributor.author
Razum, Oliver
dc.contributor.author
Sehouli, Jalid
dc.contributor.author
David, Matthias
dc.date.accessioned
2022-02-18T09:43:12Z
dc.date.available
2022-02-18T09:43:12Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/34055
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-33773
dc.description.abstract
Objective:
To examine whether acculturation of migrant patients is a predictor of non-urgent use of gynecologic emergency departments (GEDs).
Methods:
A cross-sectional study based on standardized questionnaire interviews among migrant (n=477) and non-migrant (n=246) women attending a GED in Berlin, Germany, between 2017 and 2018. Non-urgent GED use was defined by health system (e.g., no hospital admission) or patient (e.g., low subjective urgency) criteria. Acculturation was assessed by the Frankfurt Acculturation Scale. Logistic regressions were calculated with non-migrants as the reference.
Results:
Relative to migrants, low acculturation of migrants had no significant effect on overall non-urgent GED use. However, low acculturation was a significant predictor of non-urgent use if defined only by health system criteria (adjusted odds ratio [AOR], 1.58; 95% confidence interval [CI], 1.02–2.44; P=0.041). Inversely, low acculturation had a significant negative effect on non-urgent use if defined only by patient criteria (AOR, 0.58; 95% CI, 0.38–0.90; P=0.014).
Conclusion:
Low-acculturated migrants were more prone to non-urgent GED use as defined by health system criteria, and might have a distorted perception of urgency. According to their perception, however, low-acculturated patients showed appropriate GED use for urgent complaints, indicating that they are insufficiently cared for by the healthcare system.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Acculturation
en
dc.subject
Emergency Department
en
dc.subject
Health equity
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
The role of acculturation in migrants’ use of gynecologic emergency departments
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1002/ijgo.13099
dcterms.bibliographicCitation.journaltitle
International Journal of Gynecology & Obstetrics
dcterms.bibliographicCitation.number
1
dcterms.bibliographicCitation.originalpublishername
Wiley
dcterms.bibliographicCitation.pagestart
24
dcterms.bibliographicCitation.pageend
30
dcterms.bibliographicCitation.volume
149
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
DEAL Wiley
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
31953838
dcterms.isPartOf.issn
0020-7292
dcterms.isPartOf.eissn
1879-3479