Comparing healthcare needs by language: interpreted Arabic and Somali telehealth calls in two regions of Sweden, 2014-18.

Publisher: Oxford University Press Country of Publication: England NLM ID: 9204966 Publication Model: Print Cited Medium: Internet ISSN: 1464-360X (Electronic) Linking ISSN: 11011262 NLM ISO Abbreviation: Eur J Public Health Subsets: MEDLINE

Publication: Oxford : Oxford University Press
Original Publication: Stockholm, Sweden : Almqvist & Wiksell International, c1991-

Emigrants and Immigrants*/statistics & numerical data ; Emigrants and Immigrants*/psychology ; Language* ; Telemedicine*/statistics & numerical data; Humans ; Female ; Sweden ; Cross-Sectional Studies ; Somalia/ethnology ; Adult ; Pregnancy ; Male ; Young Adult ; Adolescent ; Middle Aged ; Arabs/statistics & numerical data ; Arabs/psychology ; Child ; Vomiting ; Nausea ; Health Services Needs and Demand/statistics & numerical data ; Anxiety ; Child, Preschool

Background: Limited language fluency can impede healthcare system navigation. In Sweden, the national telehealth line (Healthcare Guide 1177) offers interpretation in Arabic and Somali. We compared calls by language to identify differences in healthcare use for immigrant populations, focusing on three contact causes: pregnancy; vomiting or nausea in children; and worry/anxiety.
Methods: We conducted a cross-sectional analysis of 3.9 million (n = 18 351 Arabic, n = 7199 Somali) telehealth calls (2014-18). Using multivariable logistic regression, we investigated associations between language of the call (Arabic, Somali, non-interpreted) and each contact cause. Potential confounders (age, region, year, and additionally for vomiting or nausea, month) and an interaction between age and language were considered.
Results: Compared with non-interpreted calls, interpreted calls were associated with increased odds of being for pregnancy, especially for 19 to 29-year-olds [adjusted odds ratio (aOR) (95% CI) = 4.04 (3.66-4.46) and 4.60 (4.05-5.23), for Arabic and Somali calls, respectively]. Vomiting or nausea showed similar results, with aOR increasing with age: from 0.90 (0.75-1.07) (Arabic, <1 year) to 3.79 (2.86-5.01) (Somali, 5-9 years). In contrast, in unadjusted analyses, Arabic and Somali calls were associated with decreased odds of being for worry/anxiety [OR = 0.47 (0.38-0.58) and 0.34 (0.21-0.50)], respectively, compared with non-interpreted calls.
Conclusion: Our results suggest callers to the interpreted lines may need additional assistance navigating the healthcare system for pregnancy and for vomiting or nausea among children. These findings can inform healthcare services planning for immigrants to Sweden and highlight a novel use of telehealth data as a way to uncover disparities in healthcare use within a multi-linguistic population.
(© The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association.)

J Public Health Med. 2003 Jun;25(2):174-6. (PMID: 12848411)
Int J Equity Health. 2014 Nov 07;13:99. (PMID: 25376276)
Prev Chronic Dis. 2015 Jun 25;12:E99. (PMID: 26111159)
Int J Qual Stud Health Well-being. 2014 Jun 24;9:24255. (PMID: 24964860)
J Adv Nurs. 2009 May;65(5):1074-83. (PMID: 19399984)
Ticks Tick Borne Dis. 2020 Sep;11(5):101486. (PMID: 32723627)
Musculoskeletal Care. 2009 Sep;7(3):210-8. (PMID: 19130434)
Sex Reprod Healthc. 2013 Oct;4(3):99-106. (PMID: 24041730)
BMC Health Serv Res. 2017 Nov 9;17(1):706. (PMID: 29121920)
Health Syst Transit. 2023 Sep;25(4):1-236. (PMID: 38230685)
Am J Public Health. 2010 May;100(5):846-52. (PMID: 20299658)
J Public Health (Oxf). 2008 Mar;30(1):75-81. (PMID: 18216300)
Epidemiol Infect. 2015 Aug;143(11):2390-8. (PMID: 25471689)
Midwifery. 2019 Jul;74:107-115. (PMID: 30953966)
Br J Gen Pract. 2005 Apr;55(513):287-91. (PMID: 15826436)
BMC Public Health. 2016 Nov 3;16(1):1134. (PMID: 27809815)
Health Aff (Millwood). 2021 Mar;40(3):487-495. (PMID: 33646862)
Int J Equity Health. 2020 Oct 27;19(1):190. (PMID: 33109227)
J Infect. 2019 Feb;78(2):95-100. (PMID: 30267800)
BMC Pregnancy Childbirth. 2020 May 1;20(1):262. (PMID: 32357845)
Matern Child Health J. 2013 Jul;17(5):816-36. (PMID: 22714797)
BMC Public Health. 2017 Apr 18;17(1):328. (PMID: 28420373)
Epidemiol Infect. 2014 Feb;142(2):303-13. (PMID: 23672877)
Scand J Trauma Resusc Emerg Med. 2011 Sep 05;19:48. (PMID: 21892945)

Stockholm University and the Public Health Agency of Sweden; Stockholm University; Public Health Agency of Sweden

Date Created: 20240522 Date Completed: 20240607 Latest Revision: 20240610

20240611

PMC11161146

10.1093/eurpub/ckae028

38775060