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Self-perceived need for interpreter among immigrants in Denmark.

Lars Harpelund1, Signe Smith Nielsen, Allan Krasnik

  • 1Danish Research Centre for Migration, Ethnicity and Health (MESU), Department of Public Health, University of Copenhagen, Copenhagen, Denmark. wkt530@alumni.ku.dk

Scandinavian Journal of Public Health
|July 25, 2012
PubMed
Summary

Danish immigrants needing interpreters in healthcare face user fees, primarily impacting those with low income, poor health, and unemployment. This policy risks creating health access inequalities for vulnerable groups.

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Area of Science:

  • Public Health
  • Health Services Research
  • Sociology of Health

Background:

  • Denmark introduced user fees for interpreter services for immigrants residing over 7 years.
  • The impact and characteristics of affected immigrant populations remain largely unknown.

Purpose of the Study:

  • Investigate the self-perceived need for interpreter services (SNI) among major non-Western immigrant groups in Denmark.
  • Examine the association between socioeconomic factors and SNI.
  • Identify characteristics of immigrants potentially affected by the new health act amendment.

Main Methods:

  • Survey data from 2866 immigrants (from former Yugoslavia, Iraq, Iran, Lebanon, Pakistan, Somalia, Turkey) linked to registry socioeconomic data.
  • Comparison of unadjusted proportions of SNI by country of birth.
  • Logistic regression analyses to determine SNI associations with socioeconomic factors.

Main Results:

  • 15% of immigrants residing over 7 years in Denmark reported SNI in GP consultations.
  • Among those with SNI, 72.3% were outside the labor force and 56% reported poor health.
  • Sex, age, length of stay, education, employment, and household income significantly influenced SNI.

Conclusions:

  • The Danish Health Act amendment disproportionately affects immigrants with low household income, poor health, and those not in the labor force.
  • This policy is likely to exacerbate ethnic and social inequalities in healthcare access.
  • Vulnerable immigrant populations may face significant barriers to essential health services.