Health and Healthcare Utilization among Asylum-Seekers from Berlin’s LGBTIQ Shelter: Preliminary Results of a Survey

Autor: Conny Püschmann, Nora Gottlieb, Razan Al Munjid, Fabian Stenzinger, Martha Koppelow, Julia Koelber, Laurette Rasch
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Cross-sectional study
Health
Toxicology and Mutagenesis
lcsh:Medicine
Health Services Accessibility
Sexual and Gender Minorities
0302 clinical medicine
Germany
Surveys and Questionnaires
Health care
030212 general & internal medicine
Refugees
Communication
Mental Disorders
Health Services
3. Good health
LGBTIQ
Healthcare utilization
Female
0305 other medical science
Psychology
mental health
chronic illness
Adult
Refugee
cross-sectional survey
Unmet needs
03 medical and health sciences
Nursing
ddc:330
medicine
Humans
ddc:610
Intersectionality
030505 public health
business.industry
lcsh:R
Public Health
Environmental and Occupational Health
healthcare utilization
Health Status Disparities
Mental illness
medicine.disease
Mental health
Health Surveys
Socioeconomic Factors
Chronic Disease
Quality of Life
business
asylum-seekers
intersectionality
Zdroj: International Journal of Environmental Research and Public Health
International Journal of Environmental Research and Public Health, Vol 17, Iss 4514, p 4514 (2020)
ISSN: 1660-4601
1661-7827
Popis: Background: LGBTIQ asylum-seekers face multiple health risks. Yet, little is known about their healthcare needs. In 2016, Berlin opened the only major shelter for LGBTIQ asylum-seekers in Germany. This preliminary study describes health and healthcare utilization by asylum-seekers living in Berlin’s LGBTIQ shelter. To identify particular healthcare needs, we compared our results to asylum-seekers from other shelters. Methods: We surveyed residents of the LGBTIQ shelter and 21 randomly selected shelters in Berlin, using a validated questionnaire in nine languages (n = 309 respondents, including 32 respondents from the LGBTIQ shelter). Bivariate tests and generalized linear mixed models were applied to examine differences in health and healthcare utilization between the two groups. Results: Residents of the LGBTIQ shelter show high rates of chronic and mental illness. They use ambulatory and mental health services more frequently than asylum-seekers from other shelters, including a significantly higher chance of obtaining psychotherapy/psychiatric care in case of need. Emergency room utilization is also higher in the LGBTIQ group. Conclusions: Asylum-seekers from the LGBTIQ shelter face high chronic and mental health burdens. Tailored services in the LGBTIQ shelter help obtain adequate healthcare; they should be scaled up to maximize their potential. Yet, unmet needs remain and warrant further research.
Databáze: OpenAIRE
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