The role of acculturation in migrants' use of gynecologic emergency departments.

Schwachenwalde S, Sauzet O, Razum O, Sehouli J, David M (2020)
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 149(1): 24-30.

Zeitschriftenaufsatz | E-Veröff. vor dem Druck | Englisch
 
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Autor*in
Schwachenwalde, Sabina; Sauzet, OdileUniBi; Razum, OliverUniBi; Sehouli, Jalid; David, Matthias
Abstract / Bemerkung
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. © 2020 International Federation of Gynecology and Obstetrics.
Erscheinungsjahr
2020
Zeitschriftentitel
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Band
149
Ausgabe
1
Seite(n)
24-30
ISSN
1879-3479
Page URI
https://pub.uni-bielefeld.de/record/2940378

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Schwachenwalde S, Sauzet O, Razum O, Sehouli J, David M. The role of acculturation in migrants' use of gynecologic emergency departments. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 2020;149(1):24-30.
Schwachenwalde, S., Sauzet, O., Razum, O., Sehouli, J., & David, M. (2020). The role of acculturation in migrants' use of gynecologic emergency departments. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 149(1), 24-30. doi:10.1002/ijgo.13099
Schwachenwalde, S., Sauzet, O., Razum, O., Sehouli, J., and David, M. (2020). The role of acculturation in migrants' use of gynecologic emergency departments. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 149, 24-30.
Schwachenwalde, S., et al., 2020. The role of acculturation in migrants' use of gynecologic emergency departments. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 149(1), p 24-30.
S. Schwachenwalde, et al., “The role of acculturation in migrants' use of gynecologic emergency departments.”, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, vol. 149, 2020, pp. 24-30.
Schwachenwalde, S., Sauzet, O., Razum, O., Sehouli, J., David, M.: The role of acculturation in migrants' use of gynecologic emergency departments. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 149, 24-30 (2020).
Schwachenwalde, Sabina, Sauzet, Odile, Razum, Oliver, Sehouli, Jalid, and David, Matthias. “The role of acculturation in migrants' use of gynecologic emergency departments.”. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 149.1 (2020): 24-30.

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