PDF(Pubmed)
Abstract：
To examine health behaviours of refugees and asylum seekers, in relation to their knowledge of public benefits and legal rights.
Qualitative study, utilising an open-ended, semi-structured interview guide to ensure information-rich data collection. Thematic content was analysed using qualitative research software.
Participants were drawn from the Weill Cornell Center for Human Rights (WCCHR) in New York City, a single-center, human rights clinic with a globally representative patient population. All interviews were conducted at the Weill Cornell Medicine Clinical and Translational Science Center, a multidisciplinary space within an urban academic medical center.
Twenty-four refugees and asylum seekers currently living in the greater New York City area. Eligible participants were 18 years of age or older and had previously sought services from the WCCHR. The recruitment rate was 55%.
Themes and concepts in participants\' health, knowledge, perceptions of and experiences with accessing healthcare and public benefits programmes.
Twenty-four participants represented 18 countries of origin and 11 primary languages. Several impediments to accessing healthcare and public benefits were identified, including pragmatic barriers (such as prohibitive costs or lack of insurance), knowledge gaps and mistrust of healthcare systems.
There is low health engagement by refugees and asylum seekers, as a result of multiple, complex factors impeding the ability of refugee and asylum seekers to access healthcare and other public benefits for which they are eligible-with resultant detrimental health effects. However, there is an opportunity to utilise novel approaches, such as digital technologies, to communicate relevant information regarding legal rights and public benefits to advance the health of vulnerable individuals such as refugees and asylum seekers.
Qualitative study, utilising an open-ended, semi-structured interview guide to ensure information-rich data collection. Thematic content was analysed using qualitative research software.
Participants were drawn from the Weill Cornell Center for Human Rights (WCCHR) in New York City, a single-center, human rights clinic with a globally representative patient population. All interviews were conducted at the Weill Cornell Medicine Clinical and Translational Science Center, a multidisciplinary space within an urban academic medical center.
Twenty-four refugees and asylum seekers currently living in the greater New York City area. Eligible participants were 18 years of age or older and had previously sought services from the WCCHR. The recruitment rate was 55%.
Themes and concepts in participants\' health, knowledge, perceptions of and experiences with accessing healthcare and public benefits programmes.
Twenty-four participants represented 18 countries of origin and 11 primary languages. Several impediments to accessing healthcare and public benefits were identified, including pragmatic barriers (such as prohibitive costs or lack of insurance), knowledge gaps and mistrust of healthcare systems.
There is low health engagement by refugees and asylum seekers, as a result of multiple, complex factors impeding the ability of refugee and asylum seekers to access healthcare and other public benefits for which they are eligible-with resultant detrimental health effects. However, there is an opportunity to utilise novel approaches, such as digital technologies, to communicate relevant information regarding legal rights and public benefits to advance the health of vulnerable individuals such as refugees and asylum seekers.
摘要：
目的：检查难民和寻求庇护者的健康行为，关于他们对公共利益和合法权利的了解。
方法：定性研究，利用一个开放式的，半结构化面试指南，以确保信息丰富的数据收集。使用定性研究软件对主题内容进行了分析。
方法：参与者来自纽约市威尔·康奈尔人权中心（WCHR），一个单一的中心，人权诊所具有全球代表性的患者群体。所有访谈都在威尔康奈尔医学临床和转化科学中心进行，城市学术医疗中心内的多学科空间。
方法：目前居住在大纽约市地区的24名难民和寻求庇护者。符合条件的参与者年龄在18岁或以上，以前曾向WCCHR寻求服务。招聘率为55%。
方法：参与者健康的主题和概念，知识,对获得医疗保健和公共福利计划的看法和经验。
结果：24名参与者代表18个原籍国和11种主要语言。确定了获得医疗保健和公共福利的几个障碍，包括务实的障碍(如高昂的成本或缺乏保险)，知识差距和对医疗保健系统的不信任。
结论：难民和寻求庇护者的健康参与程度较低，由于多个，复杂的因素阻碍了难民和寻求庇护者获得他们有资格获得医疗保健和其他公共福利的能力，从而对健康产生有害影响。然而,有机会利用新的方法，比如数字技术，传达有关法律权利和公共利益的相关信息，以促进难民和寻求庇护者等弱势群体的健康。
方法：定性研究，利用一个开放式的，半结构化面试指南，以确保信息丰富的数据收集。使用定性研究软件对主题内容进行了分析。
方法：参与者来自纽约市威尔·康奈尔人权中心（WCHR），一个单一的中心，人权诊所具有全球代表性的患者群体。所有访谈都在威尔康奈尔医学临床和转化科学中心进行，城市学术医疗中心内的多学科空间。
方法：目前居住在大纽约市地区的24名难民和寻求庇护者。符合条件的参与者年龄在18岁或以上，以前曾向WCCHR寻求服务。招聘率为55%。
方法：参与者健康的主题和概念，知识,对获得医疗保健和公共福利计划的看法和经验。
结果：24名参与者代表18个原籍国和11种主要语言。确定了获得医疗保健和公共福利的几个障碍，包括务实的障碍(如高昂的成本或缺乏保险)，知识差距和对医疗保健系统的不信任。
结论：难民和寻求庇护者的健康参与程度较低，由于多个，复杂的因素阻碍了难民和寻求庇护者获得他们有资格获得医疗保健和其他公共福利的能力，从而对健康产生有害影响。然而,有机会利用新的方法，比如数字技术，传达有关法律权利和公共利益的相关信息，以促进难民和寻求庇护者等弱势群体的健康。
