Enhancing Survey Participation among Foreign-Born Populations

The main goal in developing services is to guarantee equal access to healthcare services that are suited to the patients’ needs. Previous studies have shown that the Roma are more likely to experience unjust treatment in health services than the general population. This study examines the association between perceived unjust treatment in healthcare and self-assessed unmet need for primary care provided by general practitioners (GPs) and nurses among the Finnish Roma. The data from the Finnish Roma Wellbeing Study (Roosa), conducted in 2017–2018, were used. Snowball sampling was used in recruiting study participants (n = 365, 61% women). Logistic regression was used to test the association between perceived unjust treatment and unmet need for primary care. Confounders used were gender, age, marital status, education, employment, and self-rated health. Those who had experienced unjust treatment in healthcare were more likely to report unmet need for care provided by GPs (odds ratios (OR) = 6.44; p < 0.001) and nurses (OR = 11.18; p < 0.001) than those who felt that they had been treated justly. This association remained after adjustments for the confounders. Bidirectional guidance between the Roma and service providers should be improved and the Roma communities involved in service development using participatory methods.

Section: Methodsmentioning

confidence: 99%

The Role of Perceived Unjust Treatment in Unmet Needs for Primary Care Among Finnish Roma Adults

Lämsä

Castaneda

Weiste

et al. 2020

“…The differences in healthcare systems, social structures, and cultures in the migrants' new environment compared to their previous societies may impact their utilization of healthcare services such as screening [66,67]. In our study, the migrants' countries of origin and the purpose of their migration to Finland also differ in several ways [49]. A more extended stay in the immigrants' host country might enable them to get acquainted with the healthcare system.…”

Section: Discussionmentioning

confidence: 78%

“…This study population includes women from the samples of the Migrant Health and Well-being Study 2010-2012 (Maamu) [49] and the Health 2011 Survey [50], both of which were carried out by the Finnish Institute for Health and Welfare (THL). The sample from the Maamu study comprises migrant-origin populations of 1998 Russians (1230 women), 1963 Somalis (1020 women), and 1948 Kurdish-origin (819 women) (briefly, hereafter referred to as Kurds).…”

Section: Study Populationmentioning

confidence: 99%

“…Furthermore, population-based random survey samples were used to identify women in the three groups, which are among the largest migrant-origin populations in Finland, and the cities selected covered a significant share of these populations. The size of the city-specific sub-samples was determined according to the size of the foreign-born population living in a particular city [49].…”

Section: Limitations and Strengthsmentioning

confidence: 99%

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Cervical Cancer Screening Participation among Women of Russian, Somali, and Kurdish Origin Compared with the General Finnish Population: A Register-Based Study

Idehen

Virtanen

Lilja

et al. 2020

Migrant-origin women are less prone to cervical screening uptake compared with host populations. This study examined cervical cancer screening participation and factors associated with it in the Finnish mass screening program during 2008–2012 in women of Russian, Somali and Kurdish origin compared with the general Finnish population (Finns) in Finland. The study population consists of samples from the Finnish Migrant Health and Well-being Study 2010–2012 and Health 2011 Survey; aged 30–64 (n = 2579). Data from the Finnish screening register linked with other population-based registry data were utilized. For statistical analysis we employed logistic regression. Age-adjusted screening participation rates were Russians 63% (95% CI: 59.9–66.6), Somalis 19% (16.4–21.6), Kurds 69% (66.6–71.1), and Finns 67% (63.3–69.8). In the multiple-adjusted model with Finns as the reference; odds ratios for screening were among Russians 0.92 (0.74–1.16), Somalis 0.16 (0.11–0.22), and Kurds 1.37 (1.02–1.83). Among all women, the substantial factor for increased screening likelihood was hospital care related to pregnancy/birth 1.73 (1.27–2.35), gynecological 2.47 (1.65–3.68), or other reasons 1.53 (1.12–2.08). Screening participation was lower among students and retirees. In conclusion, screening among the migrant-origin women varies, being significantly lowest among Somalis compared with Finns. Efforts using culturally tailored/population-specific approaches may be beneficial in increasing screening participation among women of migrant-origin.

“…In Finland, people of migrant origin trust the public health services more than the general population [ 73 ]. Nonetheless, the satisfaction of participants of migrant origin with the health services received was in our study at a lower level compared to the general population in all the migrant origin groups except men of Somali origin.…”

Section: Discussionmentioning

confidence: 99%

Use of Health Services and Unmet Need among Adults of Russian, Somali, and Kurdish Origin in Finland

Çilenti

Rask

Elovainio

et al. 2021

Self Cite

Equal access to health care is one of the key policy priorities in many European societies. Previous findings suggest that there may be wide differences in the use of health services between people of migrant origin and the general population. We analyzed cross-sectional data from a random sample of persons of Russian (n = 692), Somali (n = 489), and Kurdish (n = 614) origin and the Health 2011 survey data (n = 1406) representing the general population in Finland. Having at least one outpatient visit to any medical doctor during the previous 12 months was at the same level for groups of Russian and Kurdish origin, but lower for people of Somali origin, compared with the general population. Clear differences were found when examining where health care services were sought: people of migrant origin predominantly visited a doctor at municipal health centers whereas the general population also used private and occupational health care. Self-reported need for doctor’s treatment was especially high among Russian women and Kurdish men and women. Compared to the general population, all migrant origin groups reported much higher levels of unmet medical need and were less satisfied with the treatment they had received. Improving basic-level health services would serve besides the population at large, the wellbeing of the population of migrant origin.