Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020

Detalhes bibliográficos
Autor(a) principal: Muggli, Zélia
Data de Publicação: 2023
Outros Autores: Mertens, Thierry E., Amado, Regina, Vaz, Dora, Loureiro, Helena, Martins, Maria Rosário O.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/163241
Resumo: Funding Information: This research was supported by the EU Asylum, Integration and Migration Fund under the Multianual Framework 2014/2020 (PT/2018/FAMI/350). We would also like to acknowledge the Fundação para a Ciência e a Tecnologia for funds to GHTM ?UID/04413/2020. Funding sources had no involvement in the design and conduct of the study, in the writing of the manuscript or in the decision to publish the results. Publisher Copyright: © 2023, The Author(s).
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spelling Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020evidence from the CRIAS cohort study in the metropolitan area of Lisbon, PortugalHealthcare use inequalitiesImmigrant childrenStrengthening primary healthcarePublic Health, Environmental and Occupational HealthPediatrics, Perinatology, and Child HealthSDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesFunding Information: This research was supported by the EU Asylum, Integration and Migration Fund under the Multianual Framework 2014/2020 (PT/2018/FAMI/350). We would also like to acknowledge the Fundação para a Ciência e a Tecnologia for funds to GHTM ?UID/04413/2020. Funding sources had no involvement in the design and conduct of the study, in the writing of the manuscript or in the decision to publish the results. Publisher Copyright: © 2023, The Author(s).Background: International migrant families may face various barriers in the access and use of health services. Evidence on immigrant children’s health care or prevention facilities’ utilisation patterns is scarce in Portugal. Therefore, the objectives of this study were to compare health services use between immigrant and non-immigrant children in the Metropolitan Area of Lisbon in 2019–2020 with the aim of informing public policies towards equitable access to, and use of health services. Methods: The CRIAS (Health Trajectories of Immigrant Children) prospective cohort study enrolled 420 children (51.6% immigrant) born in 2015 and attending primary health care (PHC) services in 2019. We compared primary health care facilities and hospital paediatric emergency department (ED) utilisation patterns in the public National Health Service, together with reported private practitioners use, between immigrant and non-immigrant children in 2019 and 2020. The Pearson chi-squared test, Fisher-Freeman-Halton Exact test, two-proportion z-test and Mann‒Whitney U test were used to examine the differences between the two groups. Results: In 2019, no significant differences in PHC consultations attendance between the two groups were observed. However, first-generation immigrant children (children residing in Portugal born in a non-European Union country) accessed fewer routine health assessments compared to non-immigrant children (63.4% vs. 79.2%). When children were acutely ill, 136 parents, of whom 55.9% were parents of non-immigrant children, reported not attending PHC as the first point of contact. Among those, nearly four times more non-immigrant children sought healthcare in the private sector than immigrant children (p < 0.001). Throughout 2019, immigrant children used ED more often than non-immigrant children (53.5% vs. 40.4%, p = 0.010), as their parents reported difficulties in accessing PHC. In 2020, during the COVID-19 pandemic, fewer immigrant children accessed PHC compared to non-immigrant children (70% vs. 80%, p = 0.018). Both non-immigrant and immigrant children reduced ED use by 2.5 times, with a higher decrease among immigrant children (46% vs. 34%). In both 2019 and 2020, over 80% of immigrant and non-immigrant children used ED for conditions classified as having low clinical priority. Conclusion: Beyond identifying health care use inequalities between immigrant and non-immigrant children, the study points to urgent needs for public policy and economic investments to strengthen PHC for all children rather than for some.Population health, policies and services (PPS)Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)RUNMuggli, ZéliaMertens, Thierry E.Amado, ReginaVaz, DoraLoureiro, HelenaMartins, Maria Rosário O.2024-02-08T00:17:21Z2023-122023-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10application/pdfhttp://hdl.handle.net/10362/163241eng1471-2458PURE: 82853931https://doi.org/10.1186/s12889-023-17402-zinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:46:21Zoai:run.unl.pt:10362/163241Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:59:19.406712Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020
evidence from the CRIAS cohort study in the metropolitan area of Lisbon, Portugal
title Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020
spellingShingle Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020
Muggli, Zélia
Healthcare use inequalities
Immigrant children
Strengthening primary healthcare
Public Health, Environmental and Occupational Health
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
title_short Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020
title_full Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020
title_fullStr Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020
title_full_unstemmed Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020
title_sort Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020
author Muggli, Zélia
author_facet Muggli, Zélia
Mertens, Thierry E.
Amado, Regina
Vaz, Dora
Loureiro, Helena
Martins, Maria Rosário O.
author_role author
author2 Mertens, Thierry E.
Amado, Regina
Vaz, Dora
Loureiro, Helena
Martins, Maria Rosário O.
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Population health, policies and services (PPS)
Global Health and Tropical Medicine (GHTM)
Instituto de Higiene e Medicina Tropical (IHMT)
RUN
dc.contributor.author.fl_str_mv Muggli, Zélia
Mertens, Thierry E.
Amado, Regina
Vaz, Dora
Loureiro, Helena
Martins, Maria Rosário O.
dc.subject.por.fl_str_mv Healthcare use inequalities
Immigrant children
Strengthening primary healthcare
Public Health, Environmental and Occupational Health
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
topic Healthcare use inequalities
Immigrant children
Strengthening primary healthcare
Public Health, Environmental and Occupational Health
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
description Funding Information: This research was supported by the EU Asylum, Integration and Migration Fund under the Multianual Framework 2014/2020 (PT/2018/FAMI/350). We would also like to acknowledge the Fundação para a Ciência e a Tecnologia for funds to GHTM ?UID/04413/2020. Funding sources had no involvement in the design and conduct of the study, in the writing of the manuscript or in the decision to publish the results. Publisher Copyright: © 2023, The Author(s).
publishDate 2023
dc.date.none.fl_str_mv 2023-12
2023-12-01T00:00:00Z
2024-02-08T00:17:21Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/163241
url http://hdl.handle.net/10362/163241
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1471-2458
PURE: 82853931
https://doi.org/10.1186/s12889-023-17402-z
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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