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Health Service Utilization by Ethiopian Immigrants and Refugees in Toronto

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Abstract

The purpose of this study was to examine the health service utilization patterns of Ethiopian immigrants and refugees in a random sample of 342 adults residing in Toronto. The results suggested that 85% of the study participants used one or more type of health services, most often from a family physician. However, only 12.5% of them with a mental disorder received services from formal healthcare providers, mainly family physicians. While the presence of somatic symptoms was significantly associated with increased use of healthcare (p < 0.05), having a mental disorder was associated with lower rate of health service use (p < 0.05). These findings suggest that family physicians could play important role in identifying and treating Ethiopian clients who present with somatic symptoms, as these symptoms may reflect mental health problems. Further research is necessary to determine the reasons for the low rates of mental health services use in this population.

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Acknowledgment

This research project was supported by research grant from Heritage Canada to Dr. Ilene Hyman (1998) and from the Centre of Excellence for Research in Immigration and Settlement to Dr. Samuel Noh and Dr. Ilene Hyman. We also acknowledge Li Clark whose editorial work has improved significantly the quality of this manuscript. We want to thank all the participants of the study and the Ethiopian Community leaders without whose honest contributions to the present study would have not been possible.

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Authors and Affiliations

  1. Social Equity and Health Research, Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, Canada, M5T1R8

    Haile Fenta & Samuel Noh

  2. Department of Psychiatry, University of Toronto, Toronto, ON, Canada

    Haile Fenta & Samuel Noh

  3. Joint Centre of Excellence for Research on Immigration and Settlement, Toronto, ON, Canada

    Ilene Hyman

  4. Department of Public Health Sciences, University of Toronto, Toronto, ON, Canada

    Ilene Hyman

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  1. Haile Fenta
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  3. Samuel Noh
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Correspondence to Haile Fenta.

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Fenta, H., Hyman, I. & Noh, S. Health Service Utilization by Ethiopian Immigrants and Refugees in Toronto. J Immigrant Minority Health 9, 349–357 (2007). https://doi.org/10.1007/s10903-007-9043-0

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