Evidence map›Paper›PMID 28218688›Full record

ArticleInternational journal of environmental research and public health2017

Determinants of Health Care Services Utilization among First Generation Afghan Migrants in Istanbul.

Qais Alemi, Carl Stempel, Patrick Marius Koga, Valerie Smith, Didem Danis, Kelly Baek, Susanne Montgomery

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  11. Refugee Health: An Ongoing Commitment and Challenge.International journal of environmental research and public health · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Qais AlemiDepartment of Social Work & Social Ecology, School of Behavioral Health, Loma Linda University, 1898 Business Center Drive, San Bernardino, CA 92408, USA. qalemi@llu.edu.
Carl StempelDepartment of Sociology and Social Services, California State University, East Bay, 25800 Carlos Bee Blvd., Hayward, CA 94542, USA. carl.stempel@csueastbay.edu.
Patrick Marius KogaDepartment of Public Health Sciences, UCD School of Medicine, University of California, One Shields Avenue, Med Sci 1-C, Davis, CA 95616, USA. pmkoga@ucdavis.edu.
Valerie SmithDepartment of Health Sciences, California State University, East Bay, 25800 Carlos Bee Blvd., Hayward, CA 94542, USA. valeriejs2@gmail.com.
Didem DanisDepartment of Sociology, Galatasaray University, Istanbul 34349, Turkey. didemdanis@yahoo.com.
Kelly BaekDepartment of Social Work & Social Ecology, School of Behavioral Health, Loma Linda University, 1898 Business Center Drive, San Bernardino, CA 92408, USA. kbaek@llu.edu.
Susanne MontgomeryDepartment of Social Work & Social Ecology, School of Behavioral Health, Loma Linda University, 1898 Business Center Drive, San Bernardino, CA 92408, USA. smontgomery@llu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is insufficient empirical evidence on the correlates of health care utilization of irregular migrants currently living in Turkey. The aim of this study was to identify individual level determinants associated with health service and medication use. One hundred and fifty-five Afghans completed surveys assessing service utilization including encounters with primary care physicians and outpatient specialists in addition to the use of prescription and nonprescription medicines. Multivariate logistic regression analyses were employed to examine associations between service use and a range of predisposing, enabling, and perceived need factors. Health services utilization was lowest for outpatient specialists (20%) and highest for nonprescription medications (37%). Female gender and higher income predicted encounters with primary care physicians. Income, and other enabling factors such as family presence in Turkey predicted encounters with outpatient specialists. Perceived illness-related need factors had little to no influence on use of services; however, asylum difficulties increased the likelihood for encounters with primary care physicians, outpatient services, and the use of prescription medications. This study suggests that health services use among Afghan migrants in Turkey is low considering the extent of their perceived illness-related needs, which may be further exacerbated by the precarious conditions in which they live.

Indexed as

Drug MonitoringAdultAfghanistanAgedAged, 80 and overAmbulatory CareCross-Sectional StudiesFemaleHealth Services Needs and DemandHumansMaleMedication AdherenceMiddle AgedPatient Acceptance of Health CareSurveys and QuestionnairesTransients and MigrantsAfghanAndersen Modelhealth servicesmedicationsmigrantTurkeyutilization

Identifiers

PMID28218688
PMCPMC5334755

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.