Decreased health service use among migrants improves through an internal locus of control, especially in men.

IF 2.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Doreen Müller, Julie O'Sullivan, Paul Gellert, Michael Erhart
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引用次数: 0

Abstract

We explore the role of internal locus of control (LOC), migration status and gender, in healthcare utilization, using the Andersen Model. It addresses the knowledge gap in understanding how these factors influence healthcare access, especially in migrant populations. Utilization was assessed using the 2020 German Socioeconomic Panel with 26,028 adults (6,968 migrants). In this cross-sectional survey study, four outcomes were analyzed via regression models, including predisposing, enabling, and need factors. A migration background reduced the likelihood of doctor visits, while LOC increased it. Among migrants, LOC predicted even higher likelihood, especially in men, mitigating the negative impact of migration status. Migration background and LOC were not linked to hospital visits, and gender differences in doctor visits were found only in men. While individuals with a migration background had a lower chance of visiting doctors, internal control beliefs proved to be a significant resource for health behavior.

通过内部控制点,特别是男性,移民中减少的保健服务使用情况得到改善。
我们利用安德森模型探讨了内部控制点(LOC)、移民身份和性别在医疗保健利用中的作用。它解决了在理解这些因素如何影响医疗保健获取方面的知识差距,特别是在移民人口中。利用2020年德国社会经济小组对26,028名成年人(6,968名移民)的利用率进行了评估。在横断面调查研究中,通过回归模型分析了四种结果,包括易感因素、使能因素和需求因素。移民背景降低了看医生的可能性,而LOC增加了看医生的可能性。在移民中,LOC预测更有可能减轻移民身份的负面影响,特别是在男性中。移民背景和LOC与医院就诊无关,而且只有在男性中发现就诊的性别差异。虽然有移民背景的人看医生的机会较低,但内部控制信念被证明是健康行为的重要来源。
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来源期刊
Journal of Health Psychology
Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
3.10%
发文量
81
期刊介绍: ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.
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