Dataset Information

Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway.

ABSTRACT:

Objective

To compare consultations with pregnant undocumented migrants at emergency primary health care to consultations with pregnant residents of Norway.

Design

A cross-sectional study of consultations at several time points.

Setting

The study was conducted at the Oslo Accident and Emergency Outpatient Clinic (OAEOC), the main emergency primary care service in Oslo, Norway.

Subjects

Consultations with pregnant patients without a Norwegian identity number seeking care at the Department of Emergency General Practice at the OAEOC were identified through a manual search of registration lists from 2009 to 2019. The consultations were categorized by women's residency status as 'probably documented migrant', 'uncertain migrant status', or 'probably undocumented migrant'. We also extracted aggregated data for women with a Norwegian identity number (i.e. residents) presenting in consultations with pregnancy-related (ICPC-2 chapter W) conditions.

Main outcome measures

Manchester Triage System urgency level at presentation, and hospitalization.

Results

Among 829 consultations with female patients categorized as probably undocumented migrants, we found 27.1% (225/829) with pregnant women. About half of the pregnant women (54.6% (123/225)) presented with a pregnancy-related condition. Pregnant women that were probably undocumented migrants had an increased risk of being triaged with a high level of urgency at presentation (relative risk (RR) 1.86, 95% CI 1.14-3.04) and being hospitalized (RR 1.68, 95% CI 1.21-2.34), compared to pregnant residents.

Conclusion

Pregnant undocumented migrants were more severely sick when presenting to emergency primary care services than pregnant residents. Increased access to primary care and emergency primary care services for pregnant undocumented migrants is urgently needed.

SUBMITTER: Eick F

PROVIDER: S-EPMC10478594 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Publications

Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway.

Eick Frode F Vallersnes Odd Martin OM Fjeld Heidi E HE Sørbye Ingvil Krarup IK Ruud Sven Eirik SE Dahl Cecilie C

Scandinavian journal of primary health care 20230724 3

<h4>Objective</h4>To compare consultations with pregnant undocumented migrants at emergency primary health care to consultations with pregnant residents of Norway.<h4>Design</h4>A cross-sectional study of consultations at several time points.<h4>Setting</h4>The study was conducted at the Oslo Accident and Emergency Outpatient Clinic (OAEOC), the main emergency primary care service in Oslo, Norway.<h4>Subjects</h4>Consultations with pregnant patients without a Norwegian identity number seeking ca ...[more]

PMID: 37485974

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Project description:There is an increasing need to understand the structural drivers of immigrant health inequities, including xenophobic and racist policies at the state level in the United States. Databases aggregate state policies related to immigration and research using single year indices examines state policy and immigrant health. Yet none of these sources use a theoretically informed social determinants of immigrant health approach to consider state environments longitudinally, include both exclusionary and inclusionary policies, and are relevant to immigrants from any region of the world or ethnic group. Using an established social determinants of immigrant health framework, a measure of structural xenophobia was created using fourteen policies across five domains: access to public health benefits, higher education, labor and employment, driver's licenses and identification, and immigration enforcement over a ten-year period (2009-2019). To create the Immigration Policy Climate (IPC) index, we used data from state legislatures as well as policy databases from foundations, advocacy organizations, and scholarly articles. We identified and coded 714 US state policies across the 50 US States and the District of Columbia from 2009 to 2019. We calculated annual IPC index scores (range: 12 - 12) as a continuous measure (negative scores: exclusionary; positive scores: inclusionary). Results show that the US has an exclusionary immigration policy climate at the state-level (mean IPC score of -2.5). From 2009 to 2019, two-thirds of state-level immigration policies are exclusionary towards immigrants. About 75% of states experienced a 4-point change or less on the IPC index, and no state changed from largely exclusive to largely inclusive. By aggregating comprehensive, detailed data and a measure of state-level immigration policies over time, the IPC index provides population health researchers with rigorous evidence with which to assess structural xenophobia and an opportunity for longitudinal research on health inequities and immigrant health.

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Dataset Information

Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway.

Objective

Design

Setting

Subjects

Main outcome measures

Results

Conclusion

Publications

Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway.

Similar Datasets

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