Factors Associated with Refugee Acute Healthcare Utilization in Southern Connecticut.

TitleFactors Associated with Refugee Acute Healthcare Utilization in Southern Connecticut.
Publication TypeJournal Article
Year of Publication2018
AuthorsSemere W, Agrawal P, Yun K, Di Bartolo I, Annamalai A, Ross JS
JournalJ Immigr Minor Health
Volume20
Issue2
Pagination327-333
Date Published2018 Apr
ISSN1557-1920
Abstract

Our objective was to examine refugees' acute care use early in resettlement. We conducted a retrospective cohort study of acute care use, emergency room and hospital visits, by adult refugees arriving in Southern Connecticut between 2/1/2013 and 2/1/2015. We examined associations between any acute care use and collected demographic as well as health characteristics. Of the 248 refugees in our sample, 57% had a medical evaluation within 30 days of arrival. 102 (41%) had at least one acute care visit within 8 months of arrival. Male sex (OR 1.90, 95% CI 1.09-3.30) and prior history of hypertension (OR 2.87, 95% CI 1.06-7.33) were associated with greater likelihood of an acute care visit within 8 months of arrival, while having a medical evaluation within 30 days of arrival was associated with lower likelihood (OR 0.56, 95% CI 0.32-0.98). Designing systems to ensure timely evaluations of newly arrived refugees may reduce frequent acute care utilization.

DOI10.1007/s10903-017-0574-8
Alternate JournalJ Immigr Minor Health
PubMed ID28382427
Grant List1K23HD082312 / / Eunice Kennedy Shriver National Institute of Child Health and Human Development /
Clinical Scholars Program / / Robert Wood Johnson Foundation /
Advanced Fellowship Program / / U.S. Department of Veterans Affairs /