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J Health Care Poor Underserved. 2019;30(4):1360-1372. doi: 10.1353/hpu.2019.0099.

Health Care Use by Muslim Patients During Ramadan.

Abstract

PURPOSE:

Health care utilization during Ramadan has not been examined in the United States.

METHODS:

A retrospective review of billing and electronic health record data for Muslims (n = 2,919) and non-Muslims (n = 184,803) in primary care practices in Eastern Massachusetts.

RESULTS:

Muslim patients were younger, less educated, less often commercially insured, more likely to have Medicare, and less likely to be primary English speakers (p < .0001 for all comparisons). In multivariate models, during Ramadan, Muslims, compared with non-Muslims, had a higher rate of primary care visits (incidence rate ratio [IRR], 1.06; 95% confidence interval [CI], 1.01-1.11), emergency department visits (IRR, 1.60; 95% CI, 1.34-1.91), and hospitalizations (IRR, 1.18; 95% CI, 1.03-1.34).

CONCLUSIONS:

Important demographic differences exist between Muslim and non-Muslim patients. Muslims, compared with non-Muslims, had higher health care utilization during Ramadan.

PMID:
31680102
DOI:
10.1353/hpu.2019.0099

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