Access to healthcare among Chinese immigrants living in Seville, Spain

Badanta, Bárbara; Lucchetti, Giancarlo; Barrientos‐Trigo, Sergio

doi:10.1016/j.gaceta.2019.09.008

Cited by 9 publications

(6 citation statements)

References 26 publications

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“…This result differs from studies carried out in other countries [30]. The results obtained seem to corroborate the existing scientific literature by confirming that language is a barrier to accessing the Portuguese SNS [5,9,24], although the vast majority of respondents answered that they speak Portuguese, which leads us to question whether the problem stems from the use of medical terminology by health professionals [31] or whether this group simply has a limited command of the Portuguese language [9]. It should be noted that language barriers are associated with inequities in access to healthcare and in the clinical results obtained.…”

Section: Discussioncontrasting

confidence: 63%

“…The under-representation of immigrants in healthrelated studies and the fact that surveys are not adapted to the context and language of immigrants may explain this observation. [5]. In the case of Chinese immigrants, beyond language barriers, they also often have long working hours and use Traditional Chinese Medicine (TCM) rather than Western healthcare [6].…”

Section: Introductionmentioning

confidence: 99%

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Equity in the Access of Chinese Immigrants to Healthcare Services in Portugal

Aparício

Duarte

Castro

et al. 2023

IJERPH

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International studies indicate that Chinese immigrants face barriers when trying to access healthcare in the host country. The aim of this study was to identify the barriers that Chinese immigrants face when accessing the Portuguese National Health Service. An observational, cross-sectional and quantitative study was carried out via a bilingual Portuguese/Mandarin self-completed paper questionnaire was applied. The study population consisted of individuals with Chinese nationality who were residing in mainland Portugal for at least one year and aged 18 years or over. A total of 304 individuals answered the questionnaire. The results show that 284 (93.4%) of the participants had already sought healthcare in Portugal. The participants identified language difficulties and health professionals’ lack of knowledge of Chinese cultural habits as the most significant barriers to accessing healthcare in Portugal. Of a total of 165 participants who sought healthcare in China, confidence in treatment outcomes and health professionals’ knowledge of Chinese cultural habits were the reasons given by 151 (91.5%) individuals. This study reveals the existence of linguistic and cultural barriers that can condition the access of the Chinese immigrant population to healthcare systems. Immigrants’ access to healthcare can be promoted via policies that contribute to proficiency in the Portuguese language and medical literacy among the Chinese immigrant population. It can also be promoted by raising the awareness of health professionals to Chinese cultural habits.

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Section: Discussioncontrasting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Equity in the Access of Chinese Immigrants to Healthcare Services in Portugal

Aparício

Duarte

Castro

et al. 2023

IJERPH

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“…Importantly, around one third live in the area of influence of our University Hospital. Access to Health-Care services is not optimal in this population; indeed it is quite frequent that the first contact of Chinese individuals with the Health System is during pregnancy (when HBsAg is screened) ( 14 ). Given the relevant language barriers and cultural differences, we hypothesized that Chinese HBV-infected patients and their relatives might be less aware on the mechanisms of HBV transmission and vaccine coverage.…”

Section: Introductionmentioning

confidence: 99%

Influence of language barrier and cultural background in hepatitis B disease knowledge in a Chinese community of Spain

Pocurull,

Collazos,

Miralpeix

et al. 2024

Front. Public Health

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IntroductionHepatitis B infection (HBV) is prevalent in China. Due to language barriers and cultural differences, it is not always straightforward to evaluate disease knowledge in liver clinics. We aimed to assess the awareness on HBV and its mechanisms of transmission in HBV-infected Chinese patients and their household contacts.MethodsHBV-infected Chinese patients and their contacts were interviewed by a native Chinese nurse regarding their knowledge on HBV transmission mechanisms, use of preventive measures and vaccination status. Non-Chinese HBV-infected patients and their household contacts served as a control group.ResultsIn total 182 patients and 398 contacts participated with 85 (47%) patients and 240 (60%) contacts being from China. Language barrier was reported in 80% of Chinese patients and 44% of their contacts. Knowledge on parenteral and sexual HBV transmission was high in all patients (~90%) but Chinese were more aware of vertical transmission than controls (94% vs. 68%; p < 0.01). Regarding the use of preventive measures, Chinese patients were more forewarned in their use to avoid parenteral transmission (93% vs. 74%, p < 0.01). When assessing household contacts, Chinese used preventive measures more frequently than controls for parenteral and sexual transmission (79% vs. 65 and 81% vs. 48%, p < 0.05). Vaccination coverage was slightly lower in Chinese contacts compared to controls (78% vs. 86%, p = 0.05).ConclusionDespite relevant language barriers, Chinese patients are well informed on the mechanisms of HBV transmission. Cultural differences may explain a higher use of preventive measures among the Chinese population. HBV vaccination of household contacts should be reinforced in both groups.

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“…Poor health outcomes such as prolonged hospital admissions, more acute health statuses, and increased mortality rates can result when preventative services found in primary healthcare are underutilized (Rousseau et al, 2013). Through identifying factors that influence ED use by immigrant and refugee children, possible population-based needs for health services can be recognized and used to inform inclusive policies in future healthcare systems, as well as care that is culturally competent and accessible to all (Alwan et al, 2020;Badanta-Romero et al, 2021;Guo et al, 2020;Mohan, 2021). This will allow for the health of immigrant and refugee children to be optimized and will allow for the establishment of more equitable access to care (Mohan, 2021;Ohle et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Factors affecting emergency department use among pediatric immigrants and refugees: A qualitative narrative review

Thandi,

Salami,

Ladha

2023

Int Health Trends & Persp

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Purpose: To identify factors affecting emergency department (ED) use by immigrant and refugee children under the age of 18 years in North America and Europe, where similar primary, secondary, and tertiary healthcare structures exist. Methods: A narrative review methodology was used to complete a search of three databases including CINAHL, MEDLINE, and SCOPUS. Inclusion criteria and exclusion criteria were applied following screening and full-text review, resulting in the 8 articles that were selected for this review. Results: Six central themes were identified for presentation to ED’s including: (1) financial accessibility; (2) health insurance; (3) presence of a primary care provider; (4) language barriers; (5) transportation; and (6) health literacy, with health literacy further being divided into a lack of knowledge and parental perception and understanding of illness. Implications and Conclusion: Factors that influence ED use by pediatric immigrant and refugee patients are multi-factorial and interconnected. Recommendations are made to encourage informed changes based on population healthcare needs, with the overall goal to reduce non-essential ED use and improve patient health outcomes. While this review identifies and evaluates the limited research available in this area, further studies need to be completed before generalizations can be made for all pediatric immigrant and refugee populations.

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Access to healthcare among Chinese immigrants living in Seville, Spain

Cited by 9 publications

References 26 publications

Equity in the Access of Chinese Immigrants to Healthcare Services in Portugal

Equity in the Access of Chinese Immigrants to Healthcare Services in Portugal

Influence of language barrier and cultural background in hepatitis B disease knowledge in a Chinese community of Spain

Factors affecting emergency department use among pediatric immigrants and refugees: A qualitative narrative review

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