Socioeconomic determinants affecting the access and utilization of depression care services in immigrants: A population-based study

Sohyun Jeong, Cinoo Kang, Hyemin Cho, Hee-Jin Kang and Sunmee Jang

PLOS ONE, 2019, vol. 14, issue 3, 1-14

Abstract: Background: It is imperative to address the health problems faced by immigrants in their destination countries in light of the current magnitude of migration processes worldwide. We aimed to evaluate the socioeconomic determinants of healthcare utilization in immigrants with depression. Method: A population-based cohort comprising all immigrants who were eligible for National Health Insurance coverage (permanent residents, marriage immigrants, and naturalized citizens) using the National Health Insurance Claims Database in 2011–2013 was established. Cases were defined as immigrants with new-onset depression. Controls were new-onset Korean patients with depression matched by age, sex, and Charlson comorbidity index in a 1:2 ratio. Appropriateness of care (AOC) was defined as visiting a clinic for depression management at least 3 times in the first 12 weeks and 4 times thereafter until 12 months post-cohort entry. Results: A total of 2,378 immigrants and 4,756 matched Korean patients were identified. Of the immigrants, 30.0% achieved AOC, in contrast to 38.7% of Koreans (p

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0213020

DOI: 10.1371/journal.pone.0213020

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