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Ghanaians tend to have poor Dutch language proficiency.
Parallel to socio-economic inequalities, large differences in Dutch language proficiency exist.
Though, Dutch language proficiency is best among Surinamese; Antilleans use their own language more [ 23].
It might be possible that some women with good Dutch language proficiency still speak another language at home.
Extensive (pre-existing) comorbidity or (mental) disabilities and insufficient Dutch language proficiency are criteria for exclusion, see Table 1.
However, poor Dutch language proficiency and mistrust in health care providers appear to be important barriers in accessing healthcare.
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To be able to conduct statistical analyses, we cluster ethnic minorities into four major ethnic groups that are most homogenous in the Dutch society regarding their proficiency of the Dutch language and their socio economic position.
The participants were taking Dutch lessons (2nd grade Dutch for Foreigners), third year students who graduated from level 2. The level of proficiency in the Dutch language of these participants was such that they were well able to understand all instructions, as well as provide reasonably adequate answers in Dutch.
Patients are excluded from the study if they a) do not have adequate proficiency in the Dutch language, both verbal and written, b) do not have a valid e-mail address and a (tablet) computer with Internet access, c) suffer from one or more of the following disorders: a psychotic disorder, bipolar disorder and/or substance dependence, d) are identified to be at high risk for suicide.
Patients are excluded from the study if they i) do not have adequate proficiency in the Dutch language, both verbal and written, ii) do not have a valid e-mail address and a computer with Internet access, iii) suffer from one or more of the following disorders: a psychotic disorder, bipolar disorder and/or substance dependence, iv) are identified to be at high risk for suicide.
We found no differences in judgement between Dutch and ethnic minority patients, or between language proficiency groups.
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