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The role of acculturation in migrants’ use of gynecologic emergency departments
Author(s) -
Schwachenwalde Sabina,
Sauzet Odile,
Razum Oliver,
Sehouli Jalid,
David Matthias
Publication year - 2020
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.13099
Subject(s) - acculturation , medicine , confidence interval , odds ratio , logistic regression , immigration , demography , emergency department , perception , gerontology , nursing , psychology , archaeology , neuroscience , sociology , history
Objective To examine whether acculturation of migrant patients is a predictor of non‐urgent use of gynecologic emergency departments ( GED s). 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.