Self-identified barriers to health services among migrants 50 years of age or older: population-based survey study of Russian speakers in Finland

Nuriiar Safarov, Laura Kemppainen, Sirpa Wrede, Anne Kouvonen

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Abstract

The compounded effect of a migratory background and ageing increases the risk of unequal medical treatment opportunities. The aim of this article is to investigate the social determinants of barriers to health services. The study uses population-based survey data of Russian-speaking migrants (50 + years) residing in Finland (n = 1082, 57% of men, mean age 63 years). Multiple correspondence analysis was performed as a dimension reduction procedure on six barriers to health services. Multiple ordinary least-squares linear regression was used for the predicted score of the barriers as an outcome variable. Most of the sociodemographic characteristics were not associated with barriers to health services, except gender, as women tended to face more disadvantages. Migration-related factors, such as the need for interpreters for health services and experienced discrimination, were associated with an increased likelihood of reporting barriers to health services. Using the internet as a primary source of health information was associated with more access barriers to health services. Migrants 50 years of age or older face multiple barriers to health services. Given that the healthcare needs increase with age, addressing this issue becomes crucial, necessitating improved access to health services for older migrants.
Original languageEnglish
Article number252
Number of pages10
JournalBMC Health Services Research
Volume24
DOIs
Publication statusPublished - 27 Feb 2024

Keywords

  • Humans
  • Health Services Accessibility
  • Transients and Migrants
  • Male
  • Finland
  • Discrimination
  • Health services
  • Migrants
  • Older migrants
  • Delivery of Health Care
  • Female
  • Russia
  • Health Services
  • Survey study
  • Middle Aged
  • Language
  • Self-identified barriers

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