Language ability and virtual mental healthcare utilisation among immigrant and refugee youth: a population-based cohort study Article Swipe
Hodan Mohamud
,
Alène Toulany
,
Sonia M. Grandi
,
Azmina Altaf
,
Longdi Fu
,
Rachel Strauss
,
Natasha Saunders
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/archdischild-2023-326507
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/archdischild-2023-326507
Background and objectives The widespread adoption of virtual care during the pandemic may not have been uniform across populations, including among paediatric immigrants and refugees. We sought to examine the association between virtual mental healthcare utilisation and immigration factors. Methods This population-based cohort study of immigrants and refugees (3–17 years) used linked health administrative databases in Ontario, Canada (March 2020 to December 2021). Exposures included self-reported Canadian language ability (CLA) at arrival and immigration category (economic class, family class and refugee). The primary outcome was the visit modality (inperson/virtual) measured as a rate of physician-based mental healthcare visits. Modified Poisson regression model estimated adjusted rate ratios (aRRs) with 95% CIs. Results Among 22 420 immigrants, 12 135 (54%) did not have CLA (economic class: 6310, family class: 2207, refugees: 3618) and 10 285 did (economic class; 6293, family class: 1469, refugees: 2529). The cohort’s mean age (SD) was 12.0 (4.0) years and half (50.3%) were female. Of 71 375 mental health visits, 47 989 (67.2%) were delivered virtually. Compared with economic class immigrants with CLA (referent), refugees with and without CLA had a lower risk of virtual care utilisation (CLA: aRR 0.89, 95% CI 0.86 to 0.93; non-CLA: aRR 0.80, 95% CI 0.77 to 0.83), as did family class immigrants with CLA (aRR 0.96, 95% CI 0.92 to 0.99). No differences in virtual care utilisation were observed among economic class immigrants with CLA and other immigrant groups. Conclusions Language ability at arrival and immigration category are associated with virtual mental healthcare utilisation. Whether findings reflect user preference or inequities in accessibility, particularly for refugees and those without CLA at arrival, warrants further study.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/archdischild-2023-326507
- OA Status
- green
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402666136
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4402666136Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/archdischild-2023-326507Digital Object Identifier
- Title
-
Language ability and virtual mental healthcare utilisation among immigrant and refugee youth: a population-based cohort studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-09-19Full publication date if available
- Authors
-
Hodan Mohamud, Alène Toulany, Sonia M. Grandi, Azmina Altaf, Longdi Fu, Rachel Strauss, Natasha SaundersList of authors in order
- Landing page
-
https://doi.org/10.1136/archdischild-2023-326507Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/11672042Direct OA link when available
- Concepts
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Medicine, Refugee, Immigration, Poisson regression, Cohort, Population, Social class, Demography, Mental health, Relative risk, Cohort study, Health care, Environmental health, Psychiatry, Confidence interval, Geography, Internal medicine, Economic growth, Sociology, Law, Archaeology, Political science, EconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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36Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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