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Table 3 Basic descriptive of African ASRs in Hong Kong, assessing structural and health system determinants of health as defined by the CSDH framework (Solar & Irwin [16]) (n = 374)

From: Mental health of African asylum-seekers and refugees in Hong Kong: using the social determinants of health framework

Health system determinants of health

 Satisfaction with Medical Services

  Not used

87 (23.3%)

  Fair/Poor

105 (28.1%)

  Good-Excellent

182 (48.6%)

 Admission to hospitala

  Yes

146 (39.0%)

  No

228 (61.0%)

 Difficulties Accessing Medical Facilities

  No

104 (27.8%)

  Yes

270 (72.2%)

 Obtained treatment due to illness/injurya

  Yes

217 (58.0%)

  No

157 (42.0%)

Structural determinants of health

 Socio-economic Position

  ASR Status

   Refugee

32 (8.6%)

   Asylum Seeker Claimant

172 (46.0%)

   Torture Claimant

115 (30.7%)

   Asylum Seeker & Torture Claimant

55 (14.7%)

  Education Level in country of origin

   None

55 (14.7%)

   Primary

87 (23.3%)

   High School

177 (47.3%)

   University or above

55 (14.7%)

  Occupation in country of origin

   Professional

124 (33.1%)

   Supervisory

57 (15.2%)

   Skilled manual worker

74 (19.8%)

   Semi/Unskilled manual worker

44 (11.8%)

   Casual worker or unemployed

75 (20.1%)

  Discrimination

   Everyday Discrimination Scale: Mean = 12.87; SD = ±7.01

    Treated with less respect than localsa

     None

118 (31.5)

     Not regularly

96 (25.7)

     Regularly

160 (42.8)

 Receive Poorer Services than localsa

  None

104 (27.8)

  Not regularly

83 (22.2)

  Regularly

187 (50.0)

 Considered Not Smarta

  None

100 (26.8)

  Not regularly

88 (23.5)

  Regularly

186 (49.7)

 People Fear youa

  None

117 (31.3)

  Not regularly

84 (22.4)

  Regularly

173 (46.3)

 Felt threateneda

  None

169 (45.2)

  Not Regularly

79 (21.1)

  Regularly

126 (33.7)

  1. aReported in the past 12 months