Labor, discrimination, and obstacles and difficulties in everyday life, affect the health and health care utilization of migrants and refugees, according to research by NIVEL and AMC which Majda Lamkaddem PhD from the University of Amsterdam. 15% suffer from PTSD.
The ethnic diversity in the Western world is increasing. Migrants and refugees use the same health services as the native Dutch. What about their physical and mental health and how often they go to the doctor? Majda Lamkaddem looked at the use of health care and the physical and mental health of groups of migrants and refugees in the Netherlands. In particular: Moroccan, Turkish, Surinamese and Dutch Antillean and refugees from Iran, Somalia and Afghanistan.
Lamkaddem investigated the role of different social and environmental factors at different points in time. The employment status, discrimination, and obstacles and difficulties in the daily life appear to have a major impact on the health care and the use of these groups. "Especially the workplace appears to be very important. The health of ethnic minority groups is also the product of economic and cultural factors and factors from the physical and social environment. Discrimination appears to be a barrier to use care. Work appears to improve the mental and general health. "
Remarkably, the research shows the influence of a residence permit on health. As refugees receive a residence permit, they are healthier. The explanation is mainly practical Lim: "Health is also determined by the circumstances in which you live. People are not healthier for a residence permit, but because their living conditions will improve. They can get to work, rent a house, they can finally participate in society. And thus they feel healthier. "
About 15% of the refugees have symptoms of Post Traumatic Stress Disorder. More than twice the average in the Netherlands. This percentage will remain in a period of 7 years unchanged. This can be explained in several ways, says Majda Lamkaddem. "At the first measurement had only 21% of people with PTSD contact with mental health care.
These refugees with PTSD had significantly more likely to improve. Contact with mental health care in the Netherlands had a positive effect. However, the majority remained untreated and were in addition, at a portion of the refugees the symptoms of PTSD only after long periods of time visible. "