Healthcare Utilisation of Moluccans in the Netherlands: Equal Care for Equal Need after 60 Years of Residence in the Host Country?
Abstract
1. Introduction
2. Materials and Methods
2.1. The Survey
2.2. Healthcare Utilisation
2.3. Covariates
2.4. Statistical Analysis
2.5. Ethics approval and informed consent:
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Demographic Characteristics | Moluccan N = 715 | Dutch N = 3417 | Difference (p-Value) |
---|---|---|---|
Gender | 0.743 | ||
men | 48.1 (344) | 47.4 (1621) | |
women | 51.9 (371) | 52.6 (1796) | |
Age group (in years) | <0.000 | ||
30–39 | 7.6 (54) | 19.5 (668) | |
40–49 | 15.4 (110) | 27.6 (944) | |
50–59 | 49.7 (355) | 32.2 (1099) | |
60–65 | 27.4 (196) | 20.7 (706) | |
Level of education | <0.000 | ||
Primary education | 3.4 (24) | 9.0 (307) | |
Secondary education | 44.1 (315) | 23.9 (815) | |
Secondary vocational education | 32.9 (235) | 30.1 (1027) | |
Higher education | 16.6 (119) | 33.6 (1149) | |
Missing cases (N) | 22 | 119 | |
Religious affiliation | <0.000 | ||
Christian | 91.6 (655) | 46.2 (1579) | |
Islamic | 3.9 (28) | 0.0 (1) | |
Other | 0.4 (3) | 3.6 (122) | |
No religious affiliation | 3.8 (27) | 46.2 (1579) | |
Missing cases (N) | 2 | 136 |
Health Indicators | Total | ||
---|---|---|---|
Moluccan N = 715 | Dutch N = 3417 | Difference (p-Value) | |
Chronic disease | 0.000 | ||
None | 26.3 (188) | 41.5 (1538) | |
1 | 28.7 (205) | 28.5 (978) | |
2 | 17.2 (123) | 14.9 (461) | |
≥3 | 22.7 (199) | 14.8 (440) | |
Missing cases (N) | 0 | 0 | |
Mental health | 0.000 | ||
Good (score > 80) | 49.1 (340) | 60.3 (2002) | |
Moderate (score 60–80) | 39.6 (273) | 28.4 (972) | |
Poor (score < 60) | 11.3 (78) | 11.3 (364) | |
Missing cases (N) | 24 | 79 | |
Self-reported health | 0.000 | ||
Excellent-very good | 22.3 (158) | 44.6 (1612) | |
Good | 58.8 (416) | 43.9 (1445) | |
Moderate-bad | 18.9 (134) | 11.5 (343) | |
Missing cases (N) | 7 | 17 | |
Disability | 0.000 | ||
1 or more disabilities | 20.9 (171) | 13.9 (479) | |
Missing cases (N) | 4 | 2606 | |
Hearing | 3.0 (15) | 2.7 (81) | 0.680 |
Missing cases (N) | 10 | 22 | |
Eyesight | 13.3 (94) | 7.3 (221) | 0.000 |
Missing cases (N) | 6 | 18 | |
Mobility | 10.0 (71) | 6.0 (175) | 0.000 |
Missing cases (N) | 5 | 18 | |
Communication | 0.1 (1) | 0.3 (8) | 0.624 |
Missing cases (N) | 5 | 18 |
Healthcare Service | Total | Model 1 | Model 2 | Model 3 | |||||
---|---|---|---|---|---|---|---|---|---|
Moluccan N = 715 (%) | Dutch N = 3417 (%) | Difference (p-Value) | OR | 95% CI | OR | 95% CI | OR | 95% CI | |
GP * | 72.6 | 75.5 | 0.477 | 0.90 | 0.74–1.09 | 0.73 | 0.59–0.90 | 0.67 | 0.53–0.84 |
Outpatient medical specialist * | 35.6 | 45.3 | 0.000 | 0.68 | 0.57–0.82 | 0.52 | 0.42–0.63 | 0.50 | 0.41–0.62 |
Dentist * | 75.2 | 81.9 | 0.000 | 0.66 | 0.54–0.82 | 0.72 | 0.58–0.90 | 0.65 | 0.51–0.83 |
Physiotherapy * | 22.5 | 30.0 | 0.000 | 0.72 | 0.59–0.89 | 0.62 | 0.50–0.77 | 0.56 | 0.44–0.71 |
Alternative medicine practitioner * | 5.2 | 7.9 | 0.003 | 0.66 | 0.45–0.97 | 0.61 | 0.41–0.90 | 0.57 | 0.38–0.87 |
Hospitalisation * | 7.1 | 6.8 | 0.205 | 1.08 | 0.77–1.52 | 1.05 | 0.74–1.50 | 0.94 | 0.64–1.38 |
Paid home care services * | |||||||||
housekeeping | 1.5 | 2.3 | 0.209 | 0.53 | 0.24–1.18 | 0.34 | 0.15–0.77 | 0.37 | 0.15–0.87 |
personal care | 0.3 | 0.7 | 0.314 | 0.57 | 0.13–2.51 | 0.38 | 0.08–1.70 | 0.48 | 0.09–2.43 |
Medication utilisation # | |||||||||
prescribed | 44.8 | 50.0 | 0.776 | 0.81 | 0.68–0.97 | 0.60 | 0.49–0.73 | 0.63 | 0.51–0.79 |
nonprescribed | 27.5 | 38.0 | 0.000 | 0.60 | 0.49–0.73 | 0.56 | 0.46–0.69 | 0.61 | 0.49–0.75 |
Healthcare Service | Study Populations | Model 1 | Model 2 | Model 3 | ||
---|---|---|---|---|---|---|
Moluccan (N) | Dutch (N) | Difference (p-Value) | RR 95% CI | RR 95% CI | RR 95% CI | |
General practitioner | ||||||
N of cases (at least 1 visit) | 261 | 756 | ||||
Visits past 4 weeks # | 1.56 (sd. 1.03) | 1.42 (sd. 1.04) | 0.000 | 1.09 (0.97–1.23) | 1.04 (0.92–1.18) | 1.04 (0.90–1.21) |
Outpatient medical specialist | ||||||
N of cases (at least 1 visit) | 116 | 439 | ||||
Visits past 4 weeks # | 1.78 (sd. 1.34) | 1.55 (sd. 1.28) | 0.009 | 1.16 (0.98–1.37) | 1.14 (0.96–1.36) | 1.19 (0.99–1.44) |
Dentist | ||||||
N of cases (at least 1 visit) | 167 | 581 | ||||
Visits past 4 weeks # | 1.38 (sd. 1.68) | 1.20 (sd. 0.57) | 0.000 | 1.13 (0.96–1.32) | 1.15 (0.97–1.36) | 1.13 (0.94–1.36) |
Physiotherapist | ||||||
N of cases (at least 1 visit) | 153 | 71 | ||||
Visits past 12 months # | 12.67 (sd. 13.20) | 26.06 (sd. 15.62) | 0.000 | 0.50 (0.47–0.54) | 0.54 (0.50–0.58) | 0.51 (0.46–0.55) |
Hospitalisation | ||||||
N of cases (at least 1 visit) | 43 | 199 | ||||
Admissions past 12 months # | 1.56 (sd. 1.03) | 2.01 (sd. 5.25) | 0.425 | 0.80 (0.61–1.04) | 0.82 (0.61–1.09) | 0.74 (0.55–1.00) |
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Bodewes, A.; Agyemang, C.; Stronks, K.; Kunst, A.E. Healthcare Utilisation of Moluccans in the Netherlands: Equal Care for Equal Need after 60 Years of Residence in the Host Country? Int. J. Environ. Res. Public Health 2020, 17, 8710. https://doi.org/10.3390/ijerph17238710
Bodewes A, Agyemang C, Stronks K, Kunst AE. Healthcare Utilisation of Moluccans in the Netherlands: Equal Care for Equal Need after 60 Years of Residence in the Host Country? International Journal of Environmental Research and Public Health. 2020; 17(23):8710. https://doi.org/10.3390/ijerph17238710
Chicago/Turabian StyleBodewes, Adee, Charles Agyemang, Karien Stronks, and Anton E. Kunst. 2020. "Healthcare Utilisation of Moluccans in the Netherlands: Equal Care for Equal Need after 60 Years of Residence in the Host Country?" International Journal of Environmental Research and Public Health 17, no. 23: 8710. https://doi.org/10.3390/ijerph17238710
APA StyleBodewes, A., Agyemang, C., Stronks, K., & Kunst, A. E. (2020). Healthcare Utilisation of Moluccans in the Netherlands: Equal Care for Equal Need after 60 Years of Residence in the Host Country? International Journal of Environmental Research and Public Health, 17(23), 8710. https://doi.org/10.3390/ijerph17238710