S1639 Perception of Care in Immigrant and Non-Immigrant Persons With Inflammatory Bowel Disease: A Survey-Based Study
Notice bibliographique
Résumé
Introduction: Immigrant persons are at a heightened risk of developing inflammatory bowel disease (IBD) following relocation and their interactions with the healthcare system differ from non-immigrants. This study aimed to explore the challenges and perspectives of immigrants living with IBD regarding their healthcare. Methods: We recruited persons aged 18 or over with IBD to anonymously complete an online survey on the REDCap platform. We included persons with and without an immigration history. Descriptive statistics were reported as frequencies and cross-group comparison was completed using the chi-square test. Results: We included 75 immigrant and 150 non-immigrant persons with IBD. The baseline demographics were similar between the 2 groups: many participated from Canada (73 (95%) vs 114 (100%)), most were women (40 (53.3%) vs 99 (66%)) and had a full-time job (48 (64% vs 84 (56%)). The distribution of IBD was also non-significant with immigrant persons slightly more likely to have a diagnosis of ulcerative colitis compared to non-immigrant persons (41 (54.7%) vs 60 (40%), P = 0.16). Concerning access to care, immigrant persons reported lower access to a dedicated IBD nurse (48 (64%) vs 63 (42%), P = 0.004). Immigrant persons were more likely to report no access to formal translational services during their appointment (14 (36%) vs 2 (1.8%), P < 0.001) despite 1 in 3 not speaking the same language as their GI doctor (31 (41.3%) vs 3 (2%), P < 0.001). With respect to financial considerations, compared to non-immigrant persons, they were more likely to be unable to miss work for their healthcare appointments (24 (32%) vs 17 (11.3%), P < 0.001). Despite the majority of immigrant persons being diagnosed after immigrating (58 (77.3%) P > 0.001), more than 1/3 of immigrant persons with IBD had contacted physicians in their home countries (29 (38.7%) and bought medicine from their home countries (8 (10.7%)). Finally, most immigrant persons had concerns that “Western” foods in their current country contributed to their IBD flares (44 (58.7%)) compared to only 11 (14.7%) worried about their home countries food. Conclusion: This data reveals that immigrants encounter significant barriers to care, including poor communication, financial constraints regarding the logistics of appointments, in addition to cultural preferences, including diet. Future research should expand on these themes by conducting focus groups and studying larger cohorts to explore differences in communication, finances and culture.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».