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000157797 0247_ $$2doi$$a10.1371/journal.pone.0250821
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000157797 037__ $$aDZNE-2021-01254
000157797 041__ $$aEnglish
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000157797 1001_ $$0P:(DE-HGF)0$$aGeorges, Daniela$$b0
000157797 245__ $$aHealth determinants among refugees in Austria and Germany: A propensity-matched comparative study for Syrian, Afghan, and Iraqi refugees.
000157797 260__ $$aSan Francisco, California, US$$bPLOS$$c2021
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000157797 520__ $$aIn recent years, Germany and Austria have been among the leading European receiving countries for asylum seekers and refugees (AS&R). The two countries have cultural and economic similarities, but differ, for example, in their health care systems, with AS&R having unrestricted access to health services upon arrival in Austria, but not in Germany. This study investigates the determinants of health among refugees in Austria and Germany, and how these determinants differ between the two countries. We analyze comparable and harmonized survey data from both countries for Syrian, Afghan, and Iraqi nationals aged 18 to 59 years who had immigrated between 2013 and 2016 (Germany: n = 2,854; Austria: n = 374). The study adopts a cross-sectional design, and uses propensity score matching to examine comparable AS&R in the two receiving countries. The results reveal that the AS&R in Germany (72%) were significantly less likely to report being in (very) good health than their peers in Austria (89%). Age and education had large impacts on health, whereas the effects of length of stay and length of asylum process were smaller. Compositional differences in terms of age, sex, nationality, education, and partnership situation explained the country differences only in part. After applying propensity score matching to adjust for structural differences and to assess non-confounded country effects, the probability of reporting (very) good health was still 12 percentage points lower in Germany than in Austria. We conclude that many of the determinants of health among AS&R correspond to those in the non-migrant population, and thus call for the implementation of similar health policies. The health disadvantage found among the AS&R in Germany suggests that removing their initially restricted access to health care may improve their health.
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000157797 650_2 $$2MeSH$$aAdult
000157797 650_2 $$2MeSH$$aAfghanistan
000157797 650_2 $$2MeSH$$aAge Factors
000157797 650_2 $$2MeSH$$aAustria: ethnology
000157797 650_2 $$2MeSH$$aCross-Sectional Studies
000157797 650_2 $$2MeSH$$aEducational Status
000157797 650_2 $$2MeSH$$aFemale
000157797 650_2 $$2MeSH$$aGermany: ethnology
000157797 650_2 $$2MeSH$$aHealth Policy
000157797 650_2 $$2MeSH$$aHealth Services Accessibility: statistics & numerical data
000157797 650_2 $$2MeSH$$aHealth Status
000157797 650_2 $$2MeSH$$aHumans
000157797 650_2 $$2MeSH$$aIraq
000157797 650_2 $$2MeSH$$aMale
000157797 650_2 $$2MeSH$$aMiddle Aged
000157797 650_2 $$2MeSH$$aPropensity Score
000157797 650_2 $$2MeSH$$aRefugees: classification
000157797 650_2 $$2MeSH$$aRefugees: statistics & numerical data
000157797 650_2 $$2MeSH$$aSyria
000157797 650_2 $$2MeSH$$aYoung Adult
000157797 7001_ $$aBuber-Ennser, Isabella$$b1
000157797 7001_ $$aRengs, Bernhard$$b2
000157797 7001_ $$0P:(DE-HGF)0$$aKohlenberger, Judith$$b3
000157797 7001_ $$0P:(DE-2719)2811246$$aDoblhammer-Reiter, Gabriele$$b4$$eLast author$$udzne
000157797 773__ $$0PERI:(DE-600)2267670-3$$a10.1371/journal.pone.0250821$$gVol. 16, no. 4, p. e0250821 -$$n4$$pe0250821$$tPLOS ONE$$v16$$x1932-6203$$y2021
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