Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/83572
Title: Healthcare-seeking behaviour, barriers and mental health of non-domestic migrant workers in Singapore
Authors: Koh, Calvin J.
Chua, Brandon W. B.
Narayanaswamy, Shyamala
Wijaya, Limin
Chan, Lai Gwen
Goh, Wei Leong
Vasoo, Shawn
Ang, Jia Wei
Chia, Colin
Issue Date: 2017
Source: Ang, J. W., Chia, C., Koh, C. J., Chua, B. W. B., Narayanaswamy, S., Wijaya, L., et al. (2017). Healthcare-seeking behaviour, barriers and mental health of non-domestic migrant workers in Singapore. BMJ Global Health, 2(2), e000213-.
Series/Report no.: BMJ Global Health
Abstract: Background: Low-wage migrant workers are vulnerable to healthcare inequities. We sought to identify potential barriers to healthcare and risk factors for mental health issues in non-domestic migrant workers in Singapore, and identify high-risk subgroups. Methods: A cross-sectional, interviewer-administered survey of 433 non-domestic migrant workers was conducted at subsidised clinics and a foreign worker dormitory from July to August 2016. Questions assessed healthcare usage patterns, affordability issues, barriers to care and psychological distress using a validated screening scale (Kessler-6). Findings: Bangladeshi workers surveyed were more likely to be single, have more financial dependents, a lower level of education and salary and pay higher agent fees (p<0.01). 61.4% of workers reported that they had insurance, but had poor understanding of whether it covered inpatient/outpatient expenses. The majority of workers had not, or were not sure if they had, received information about company-bought insurance (72.4%). Among those who had, most reported that information was not in their native language (67.7%). Non-specific psychological distress was found in 21.9%, as estimated by the Kessler-6 scale. Multivariate analysis found that psychological distress was independently associated with Bangladeshi nationals (OR 2.98, 95% CI 1.58 to 5.62; p=0.001) and previous experience of financial barriers to healthcare (OR 3.86, 95% CI 2.25 to 6.62; p<0.0001). Interpretation: We identified gaps in non-domestic migrant workers' knowledge of healthcare coverage, and substantial financial barriers to healthcare. The Bangladeshi population in our study was at higher risk of such barriers and psychological distress. These represent areas for further research and intervention.
URI: https://hdl.handle.net/10356/83572
http://hdl.handle.net/10220/42700
DOI: 10.1136/bmjgh-2016-000213
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Rights: This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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