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Health and Healthcare Utilization among Asylum-Seekers from Berlin’s LGBTIQ Shelter: Preliminary Results of a Survey

Author

Listed:
  • Nora Gottlieb

    (Department of Health Care Management, Technical University Berlin, 10623 Berlin, Germany)

  • Conny Püschmann

    (Berlin School of Public Health, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Fabian Stenzinger

    (Berlin School of Public Health, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Julia Koelber

    (Berlin School of Public Health, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Laurette Rasch

    (Berlin School of Public Health, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Martha Koppelow

    (Berlin School of Public Health, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Razan Al Munjid

    (Berlin School of Public Health, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany)

Abstract

Background: LGBTIQ asylum-seekers face multiple health risks. Yet, little is known about their healthcare needs. In 2016, Berlin opened the only major shelter for LGBTIQ asylum-seekers in Germany. This preliminary study describes health and healthcare utilization by asylum-seekers living in Berlin’s LGBTIQ shelter. To identify particular healthcare needs, we compared our results to asylum-seekers from other shelters. Methods: We surveyed residents of the LGBTIQ shelter and 21 randomly selected shelters in Berlin, using a validated questionnaire in nine languages (n = 309 respondents, including 32 respondents from the LGBTIQ shelter). Bivariate tests and generalized linear mixed models were applied to examine differences in health and healthcare utilization between the two groups. Results: Residents of the LGBTIQ shelter show high rates of chronic and mental illness. They use ambulatory and mental health services more frequently than asylum-seekers from other shelters, including a significantly higher chance of obtaining psychotherapy/psychiatric care in case of need. Emergency room utilization is also higher in the LGBTIQ group. Conclusions: Asylum-seekers from the LGBTIQ shelter face high chronic and mental health burdens. Tailored services in the LGBTIQ shelter help obtain adequate healthcare; they should be scaled up to maximize their potential. Yet, unmet needs remain and warrant further research.

Suggested Citation

  • Nora Gottlieb & Conny Püschmann & Fabian Stenzinger & Julia Koelber & Laurette Rasch & Martha Koppelow & Razan Al Munjid, 2020. "Health and Healthcare Utilization among Asylum-Seekers from Berlin’s LGBTIQ Shelter: Preliminary Results of a Survey," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4514-:d:375373
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    References listed on IDEAS

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    1. repec:aph:ajpbhl:10.2105/ajph.2016.303630_8 is not listed on IDEAS
    2. Scott, Penelope, 2014. "Black African asylum seekers’ experiences of health care access in an eastern German state," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 10(3), pages 134-147.
    3. Pia Jäger & Kevin Claassen & Notburga Ott & Angela Brand, 2019. "Does the Electronic Health Card for Asylum Seekers Lead to an Excessive Use of the Health System? Results of a Survey in Two Municipalities of the German Ruhr Area," IJERPH, MDPI, vol. 16(7), pages 1-9, April.
    4. Caceres, B.A. & Brody, A. & Luscombe, R.E. & Primiano, J.E. & Marusca, P. & Sitts, E.M. & Chyun, D., 2017. "A systematic review of cardiovascular disease in sexual minorities," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 13-21.
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    Cited by:

    1. Vanessa Yarwood & Francesco Checchi & Karen Lau & Cathy Zimmerman, 2022. "LGBTQI + Migrants: A Systematic Review and Conceptual Framework of Health, Safety and Wellbeing during Migration," IJERPH, MDPI, vol. 19(2), pages 1-22, January.
    2. Anna Christina Nowak & Yudit Namer & Claudia Hornberg, 2022. "Health Care for Refugees in Europe: A Scoping Review," IJERPH, MDPI, vol. 19(3), pages 1-10, January.

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