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Self-rated health and health problems of undocumented immigrant women in the Netherlands: A descriptive study

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Abstract

In this descriptive study, 100 female undocumented immigrants aged ⩾18 years were interviewed about their health condition. The objective was to gain insight into the health situation and specific health problems of undocumented women. Sixty-five per cent of these undocumented women rated their health as ‘poor’ (moderate or bad) and 91 per cent spontaneously mentioned having current health problems. When provided with a list of 26 common health problems, subjects reported on average 11.1 complaints. Gynaecological and psychological complaints were very prevalent, but seldom mentioned spontaneously. Also obstetric problems were numerous. Undocumented women may not present important symptoms to physicians when they encounter them. We conclude that physicians should actively ask about psychological and gynaecological problems in this patient group. Special training on the health problems of undocumented female immigrants for health providers is recommended.

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References

  • van der Heijden, P.G.M., van Gils, G., Cruijff, M. and Hessen, D. (2005) Een schatting van het aantal in Nederland verblijvende illegale vreemdelingen in 2005, Utrecht: Onderzoekscentrum IOPS. Universiteit Utrecht.

  • Carballo, M., Divino, J.J. and Zeric, D. (1998) Migration and health in the European union. Tropical Medicine & International Health 3 (12): 936–944.

    Article  Google Scholar 

  • Carballo, M. and Nerukar, A. (2001) Migration, refugees, and health risks. Emerging Infectious Diseases 7 (3): 556–560.

    Article  Google Scholar 

  • Grove, N.J. and Zwi, A.B. (2006) Our health and theirs: Forced migration, othering, and public health. Social Science & Medicine 62 (8): 1931–1942.

    Article  Google Scholar 

  • Carballo, M., Grocutt, M. and Hadzihasanovic, A. (1996) Women and migration: A public health issue. World Health Statistics Quarterly 49 (2): 158–164.

    Google Scholar 

  • Bischoff, A., Schneider, M., Denhaerynck, K. and Battegay, E. (2009) Health and ill health of asylum seekers in Switzerland: An epidemiological study. European Journal of Public Health 19 (1): 59–64.

    Article  Google Scholar 

  • Tiong, A.C. et al (2006) Health issues in newly arrived African refugees attending general practice clinics in Melbourne. Medical Journal of Australia 185 (11–12): 602–606.

    Google Scholar 

  • Correa-Velez, I., Johnston, V., Kirk, J. and Ferdinand, A. (2008) Community-based asylum seekers’ use of primary health care services in Melbourne. Medical Journal of Australia 188 (6): 344–348.

    Google Scholar 

  • McMahon, J.D., Macfarlane, A., Avalos, G.E., Cantillon, P. and Murphy, A.W. (2007) A survey of asylum seekers’ general practice service utilisation and morbidity patterns. Irish Medical Journal 100 (5): 461–464.

    Google Scholar 

  • Gerritsen, A.A., Bramsen, I., Deville, W., van Willigen, L.H., Hovens, J.E. and van der Ploeg, H.M. (2006) Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands. Social Psychiatry and Psychiatric Epidemiology 41 (1): 18–26.

    Article  Google Scholar 

  • Burnett, A. and Peel, M. (2001) Health needs of asylum seekers and refugees. British Medical Journal 322 (7285): 544–547.

    Article  Google Scholar 

  • Sorgdrager, W. (1998) Wijzigingswet vreemdelingenwet en enige andere wetten (koppeling aanspraak van vreemdelingen jegens bestuursorganen op verstrekkingen, uitkeringen, wetten, ontheffingen en vergunningen aan het rechtmatig verblijf van vreemdelingen in Nederland). Bill/Resolution.

  • Arts en vreemdeling. (2007) Rapport van de commissie Medische zorg voor (dreigend) uitgeprocedeerde asielzoekers en illegale vreemdelingen. (Doctor and foreigner. Report from the Committee Medical Care for Failed Asylum Seekers Threatened with Expulsion and Illegal Immigrants), Utrecht, Pharos.

  • Access to Health Care for Undocumented Migrants in Europe. (2007) Brussels, PICUM: Platform for International Cooperation on Undocumented Migrants. Report ISBN nr. 9789080781399, http://www.picum.org.

  • Hall, P.L. (2007) Health care for refused asylum seekers in the UK. Lancet 370 (9586): 466–467.

    Article  Google Scholar 

  • Kullgren, J.T. (2003) Restrictions on undocumented immigrants’ access to health services: The public health implications of welfare reform. American Journal of Public Health 93 (10): 1630–1633.

    Article  Google Scholar 

  • Okie, S. (2007) Immigrants and health care – at the intersection of two broken systems. The New England Journal of Medicine 357 (6): 525–529.

    Article  Google Scholar 

  • Torres, A.M. and Sanz, B. (2000) Health care provision for illegal immigrants: Should public health be concerned? Journal of Epidemiology and Community Health 54 (6): 478–479.

    Article  Google Scholar 

  • Reijneveld, S., Verheij, R. and van HL de, B.D. (2001) Contacts of general practitioners with illegal immigrants. Scandinavian Journal of Public Health 29 (4): 308–313.

    Article  Google Scholar 

  • Burgers, J. and Engbersen, G. (1999) De ongekende stad 1; illegale vreemdelingen in Rotterdam. Amsterdam: Boon, pp. 330–331.

    Google Scholar 

  • Erkens, C.G.M., Sminia, A. and Pot, E. (2001) Onverzekerden in Amsterdam VII. Verslag van het monitoringproject onverzekerden 2000. Amsterdam, GGD Amsterdam. Report.

  • van Oort, M., Kulu-Glasgow, I. and de Bakker, D. (2001) Gezondheidsklachten van illegalen: Een landelijk onderzoek onder huisartsen en spoedeisende hulp afdelingen (health complaints of illegal immigrants: A national study). Utrecht, Nivel. Report.

  • Gerritsen, A.A. and Deville, W.L. (2009) Gender differences in health and health care utilisation in various ethnic groups in the Netherlands: A cross-sectional study. BMC Public Health 9: 109.

    Article  Google Scholar 

  • Linden, M.W., Westert, G.P., Bakker, D.d. and Schellevis, F. (2004) Tweede Nationale Studie naar ziekten en verrichtingen in de huisartspraktijk: klachten en aandoeningen in de bevolking en in de huisartspraktijk. Utrecht Nivel, Bilthoven Rivm. The Second Dutch National Survey on General Practice part 1: Complaints and diseases in the population and in general practice.

  • Mark, H., Bitzker, K., Klapp, B.F. and Rauchfuss, M. (2008) Gynaecological symptoms associated with physical and sexual violence. Journal of Psychosomatic Obstetrics and Gynaecology 29 (3): 164–172.

    Article  Google Scholar 

  • Pikarinen, U., Saisto, T., Schei, B., Swahnberg, K. and Halmesmaki, E. (2007) Experiences of physical and sexual abuse and their implications for current health. Obstetrics and Gynecology 109 (5): 1116–1122.

    Article  Google Scholar 

  • DeSalvo, K.B., Fan, V.S., McDonell, M.B. and Fihn, S.D. (2005) Predicting mortality and healthcare utilization with a single question. Health Services Research 40 (4): 1234–1246.

    Article  Google Scholar 

  • Finch, B.K., Hummer, R.A., Reindl, M. and Vega, W.A. (2002) Validity of self-rated health among Latino(a)s. American Journal of Epidemiology 155 (8): 755–759.

    Article  Google Scholar 

  • Heistaro, S., Jousilahti, P., Lahelma, E., Vartiainen, E. and Puska, P. (2001) Self rated health and mortality: A long-term prospective study in eastern Finland. Journal of Epidemiology and Community Health 55 (4): 227–232.

    Article  Google Scholar 

  • Kaplan, M.S., Berthelot, J.M., Feeny, D., McFarland, B.H., Khan, S. and Orpana, H. (2007) The predictive validity of health-related quality of life measures: Mortality in a longitudinal population-based study. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation 16 (9): 1539–1546.

    Article  Google Scholar 

  • Agyemang, C., Denktas, S., Bruijnzeels, M. and Foets, M. (2006) Validity of the single-item question on self-rated health status in first generation Turkish and Moroccans versus native Dutch in the Netherlands. Public Health 120 (6): 543–550.

    Article  Google Scholar 

  • Chandola, T. and Jenkinson, C. (2000) Validating self-rated health in different ethnic groups. Ethnicity & Health 5 (2): 151–159.

    Article  Google Scholar 

  • Gilmore, A.B., McKee, M. and Rose, R. (2002) Determinants of and inequalities in self-perceived health in Ukraine. Social Science & Medicine 55 (12): 2177–2188.

    Article  Google Scholar 

  • Leinsalu, M. (2002) Social variation in self-rated health in Estonia: A cross-sectional study. Social Science & Medicine 55 (5): 847–861.

    Article  Google Scholar 

  • Lim, W.Y., Ma, S., Heng, D., Bhalla, V. and Chew, S.K. (2007) Gender, ethnicity, health behaviour and self-rated health in Singapore. BMC Public Health 7 (147): 184.

    Article  Google Scholar 

  • Newbold, K.B. and Danforth, J. (2003) Health status and Canada's immigrant population. Social Science & Medicine 57 (10): 1981–1995.

    Article  Google Scholar 

  • Devillé, W., Uiters, E., Westert, G. and Groenewegen, P. (2006) Perceived health and consultation of GPs among ethnic minorities compared to the general population in the Netherlands. In: G.P., Westert, L., Jabaaij, F.G. Schellevis, (eds.) Morbidity, Performance and Quality of Primary Care. Dutch General Practice on Stage. Abingdon Radcliffe, pp. 85–96.

    Google Scholar 

  • Newbold, B. (2005) Health status and health care of immigrants in Canada: A longitudinal analysis. Journal of Health Services Research & Policy 10 (2): 77–83.

    Article  Google Scholar 

  • Reed, M.M., Westfall, J.M., Bublitz, C., Battaglia, C. and Fickenscher, A. (2005) Birth outcomes in Colorado's undocumented immigrant population. BMC Public Health 5: 100.

    Article  Google Scholar 

  • Haelterman, E., Qvist, R., Barlow, P. and Alexander, S. (2003) Social deprivation and poor access to care as risk factors for severe pre-eclampsia. European Journal of Obstetrics, Gynecology, and Reproductive Biology 111 (1): 25–32.

    Article  Google Scholar 

  • Barlow, P., Haumont, D. and Degueldre, M. (1994) [Obstetrical and perinatal outcome of patients not covered by medical insurance]. Revue Médicale de Bruxelles 15 (6): 366–370.

    Google Scholar 

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Acknowledgements

We like to thank Mr H. Bor, of the Department of Primary Care of Radboud University Nijmegen Medical Centre, for his help with the statistical analysis.

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Correspondence to M A Schoevers.

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Because so little is known about the health of female undocumented immigrants who reside in the developed world, a Dutch physician and her colleagues studied how female undocumented immigrant women in the Netherlands perceive their own health and health problems.

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Schoevers, M., van den Muijsenbergh, M. & Lagro-Janssen, A. Self-rated health and health problems of undocumented immigrant women in the Netherlands: A descriptive study. J Public Health Pol 30, 409–422 (2009). https://doi.org/10.1057/jphp.2009.32

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