Characteristics and utilization of primary care services in a torture rehabilitation center.

Journal of Immigrant and Minority Health
Alejandro MorenoMichael A Grodin

Abstract

We conducted a retrospective chart review to look into the utilization of healthcare services of refugees. Between December 1998 and June 2001, 146 refugees received care at the Boston Center for Refugee Health and Human Rights. The mean age was 39+/- 1 years; 57% were males, and 84% were survivors of torture. A significant number of patients were diagnosed with major depression (70%), post-traumatic stress disorder (58%), past hepatitis A infection (77%), and tuberculosis classes 2 and 3 (42%). Patients had on average 2.3 +/- 0.1 initial health assessments visits and 3.6 +/- 0.3 primary care follow-up visits during a mean follow-up period of 12.8 +/- 0.8 months. Subjects with two or fewer initial health assessment visits were less likely to be undergoing psychological counseling (OR: 0.22; 95% CI:0.08-0.58), less likely to be seeking asylum (OR: 0.16; 95% CI: 0.06-0.43), and more likely to be self-referred (OR: 9.6; 95% CI:2.4-39.6). Four or fewer primary care follow-up visits were more likely in subjects who had no health insurance (OR: 7.2; 95% CI:2.0-25.5) and less likely in those referred for psychological counseling (OR: 0.017; 95% CI:0.05-0.54). Patients had a higher prevalence of mental health conditions than that repor...Continue Reading

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Citations

Dec 29, 2010·Journal of Immigrant and Minority Health·Jennifer M TamblynMaureen M O'Brien
Sep 27, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Braden HexomLars K Beattie
Jan 5, 2014·Nursing Forum·Amy Szajna, Julia Ward
Sep 1, 2007·Current Opinion in Psychiatry·Thomas Wenzel
Nov 7, 2007·The Journal of Nervous and Mental Disease·Linda Piwowarczyk
Jul 4, 2019·Journal of Community Psychology·Cassandra P WannaKaren Fondacaro
Oct 22, 2014·Journal of Complementary & Integrative Medicine·Ellen Silver HighfieldMichael A Grodin
Jan 11, 2021·Journal of Forensic and Legal Medicine·Alejandro MorenoVincent Iacopino

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