Increased health care utilisation in international adoptees
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Increased health care utilisation in international adoptees. / Graff, Heidi Jeannet; Siersma, Volkert Dirk; Kragstrup, Jakob; Petersson, Birgit.
In: Danish Medical Journal, Vol. 62, No. 8, A5111, 08.2015, p. 1-6.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Increased health care utilisation in international adoptees
AU - Graff, Heidi Jeannet
AU - Siersma, Volkert Dirk
AU - Kragstrup, Jakob
AU - Petersson, Birgit
PY - 2015/8
Y1 - 2015/8
N2 - Introduction: Several studies have documented thatinternational adoptees have an increased occurrence ofhealth problems and contacts to the health-care systemafter arriving to their new country of residence. This maybe explained by pre-adoption adversities, especially for theperiod immediately after adoption. Our study aimed to theassess health-care utilisation of international adoptees inprimary and secondary care for somatic and psychiatricdiagnoses in a late post-adoption period. Is there an increaseduse of the health-care system in this period, evenwhen increased morbidity in the group of internationaladoptees is taken into consideration?Methods: This was a Danish register-based cohort studyexamining health-care utilisation in a multivariable two-partmodel. The prevalence of selected outcomes and the quantityof use were assessed in a late (year three, four and five)post-adoption period. The cohort comprised internationallyadopted children (n = 6,820), adopted between 1994 and2005, and all non-adopted children (n = 492,374) who couldbe matched with the adopted children on sex, age, municipalityand family constellation at the time of adoption.Results: International adoption increased the use of allservices in primary care, while in secondary care only fewareas showed an increased long-term morbidity.Conclusion: International adoptees use medical servicesin primary care at a higher rate than non-adoptees someyears after adoption. Excess use of services in secondarycare is also present, but only exists in selected areas.Funding: not relevant.Trial registration: not relevant.
AB - Introduction: Several studies have documented thatinternational adoptees have an increased occurrence ofhealth problems and contacts to the health-care systemafter arriving to their new country of residence. This maybe explained by pre-adoption adversities, especially for theperiod immediately after adoption. Our study aimed to theassess health-care utilisation of international adoptees inprimary and secondary care for somatic and psychiatricdiagnoses in a late post-adoption period. Is there an increaseduse of the health-care system in this period, evenwhen increased morbidity in the group of internationaladoptees is taken into consideration?Methods: This was a Danish register-based cohort studyexamining health-care utilisation in a multivariable two-partmodel. The prevalence of selected outcomes and the quantityof use were assessed in a late (year three, four and five)post-adoption period. The cohort comprised internationallyadopted children (n = 6,820), adopted between 1994 and2005, and all non-adopted children (n = 492,374) who couldbe matched with the adopted children on sex, age, municipalityand family constellation at the time of adoption.Results: International adoption increased the use of allservices in primary care, while in secondary care only fewareas showed an increased long-term morbidity.Conclusion: International adoptees use medical servicesin primary care at a higher rate than non-adoptees someyears after adoption. Excess use of services in secondarycare is also present, but only exists in selected areas.Funding: not relevant.Trial registration: not relevant.
M3 - Tidsskriftartikel
VL - 62
SP - 1
EP - 6
JO - Danish Medical Journal
JF - Danish Medical Journal
SN - 2245-1919
IS - 8
M1 - A5111
ER -
ID: 149037245