Denunciation: a new threat to access to health care for undocumented migrants

Vernon, Gervase

doi:10.3399/bjgp12x625265

Cited by 6 publications

(6 citation statements)

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“…In terms of potential self‐report bias, although some limitations have been recognized, self‐reported socioeconomic status remains an important measure widely used in health research (Galobardes, Lynch et al, ). Self‐reported migration status is a particularly sensitive measure and under and misrepresentation of immigrants through population‐based surveys is not new (Woodrow, ; Premji, Duguay et al, ; Grit, den Otter et al, ; Vernon, ). As mentioned in the methods section, an analysis of the proportion of people who preferred not to report their migration status has also been developed by the authors and will be published in the coming months.…”

Section: Discussionmentioning

confidence: 99%

Understanding the Socioeconomic Status of International Immigrants in Chile Through Hierarchical Cluster Analysis: a Population‐Based Study

Cabieses

Tunstall

Pickett

2013

International Migration

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Immigration to Chile is not large (just under 2% of the total population) but has increased in recent years. This study aimed to analyse the socioeconomic status (SES) of immigrants in Chile and compare it with the Chilean-born, by secondary data analysis of an anonymous nationally representative survey (CASEN, 2006). Immigrants are categorized into Low, Medium and High SES through hierarchical cluster analysis. Around 1 per cent of the total sample are international immigrants; an additional 0.7 per cent did not report their migration status. Self-reported immigrants show great variability in their SES. Immigrants in the Low SES cluster appeared to be significantly younger than those in Medium and High SES, also more likely to be children, women and belong to an ethnic minority. Immigrants in the Low SES cluster appeared similar to the unemployed, poorest Chilean-born but are more than eight years younger on average and more likely to be female. Immigrants to Chile are a unique group, with socio-demographic characteristics that differ significantly from the Chilean-born population, but there is great heterogeneity and complexity within this group. Cluster analysis provided a meaningful interpretation of the multidimensional concept of SES and allowed the identification of a vulnerable group of Low SES immigrants to Chile.

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Section: Discussionmentioning

confidence: 99%

Understanding the Socioeconomic Status of International Immigrants in Chile Through Hierarchical Cluster Analysis: a Population‐Based Study

Cabieses

Tunstall

Pickett

2013

International Migration

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“…Self-reported migration status is a particularly sensitive measure and misrepresentation of immigrants through population-based surveys is well established [65,66]. Efforts have been made to improve the representation of the international migrant population in research, but current research methodologies are being challenged by the complexity involved when studying hard to reach populations, such as migrants without legal status.…”

Section: Discussionmentioning

confidence: 99%

What are the living conditions and health status of those who don’t report their migration status? a population-based study in Chile

2012

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BackgroundUndocumented immigrants are likely to be missing from population databases, making it impossible to identify an accurate sampling frame in migration research. No population-based data has been collected in Chile regarding the living conditions and health status of undocumented immigrants. However, the CASEN survey (Caracterizacion Socio- Economica Nacional) asked about migration status in Chile for the first time in 2006 and provides an opportunity to set the base for future analysis of available migration data. We explored the living conditions and health of self-reported immigrants and respondents who preferred not to report their migration status in this survey.MethodsCross-sectional secondary analysis of CASEN survey in Chile in 2006. Outcomes: any disability, illness/accident, hospitalization/surgery, cancer/chronic condition (all binary variables); and the number of medical/emergency attentions received (count variables). Covariates: Demographics (age, sex, marital status, urban/rural, ethnicity), socioeconomic status (education level, employment status and household income), and material standard of living (overcrowding, sanitation, housing quality). Weighted regression models were estimated for each health outcome, crude and adjusted by sets of covariates, in STATA 10.0.ResultsAbout 1% of the total sample reported being immigrants and 0.7% preferred not to report their migration status (Migration Status - Missing Values; MS-MV). The MS-MV lived in more deprived conditions and reported a higher rate of health problems than immigrants. Some gender differences were observed by health status among immigrants and the MS-MV but they were not statistically significant. Regressions indicated that age, sex, SES and material factors consistently affected MS-MVs’ chance of presenting poor health and these patterns were different to those found among immigrants. Great heterogeneity in both the MS-MV and the immigrants, as indicated by wide confidence intervals, prevented the identification of other significantly associated covariates.ConclusionThis is the first study to look at the living conditions and health of those that preferred not to respond their migration status in Chile. Respondents that do not report their migration status are vulnerable to poor health and may represent undocumented immigrants. Surveys that fail to identify these people are likely to misrepresent the experiences of immigrants and further quantitative and qualitative research is urgently required.

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“…Działania takie budzą kontrowersje, jako podważające zaufanie do lekarzy i mogące doprowadzać do zagrożenia życia i zdrowia osób, które w obawie przed denuncjacją nie będą chciały korzystać z opieki medycznej (Vernon, 2012). Potwierdzają to badania prowadzone w różnych krajach Unii Europejskiej, które wskazują, że lęk przed zgłoszeniem na policję jest ważnym czynnikiem ograniczającym korzystanie z opieki medycznej przez nieudokumentowanych migrantów (Agencja Praw Podstawowych UE, 2011).…”

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Health Care for Immigrants in the United Kingdom: How Is the British System Prepared for Servicing Patients Who Are Foreigners?

2020

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The article presents solutions that enable access to British health care system by foreigners. The migration situation and health care system in the UK is presented. The actions that have been taken to ensure foreigners get access to medical care are described. According to the law, the Primary Care is free for all patients staying in the UK. Secondary Care is free for patients with ordinary residents status, people who have access to healthcare on the basis of international agreements or immigration health surcharge. In order to enable the use of medical care, for non-English speakers, telephone interpretation is commonly used. The Equality and Diversity Council is dealing with problems related to equal access to medical care. Actions taken in the UK can be a reference point in searching for solutions that can be introduced in Poland to ensure equal access to medical care for foreigners.

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Denunciation: a new threat to access to health care for undocumented migrants

Cited by 6 publications

References 1 publication

Understanding the Socioeconomic Status of International Immigrants in Chile Through Hierarchical Cluster Analysis: a Population‐Based Study

Understanding the Socioeconomic Status of International Immigrants in Chile Through Hierarchical Cluster Analysis: a Population‐Based Study

What are the living conditions and health status of those who don’t report their migration status? a population-based study in Chile

Health Care for Immigrants in the United Kingdom: How Is the British System Prepared for Servicing Patients Who Are Foreigners?

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