**9. Conclusion**

Immigrants and refugees are a growing component of the U.S. population, and their ability to access and utilize healthcare is an increasing public health concern. Healthcare disparities and problems with healthcare access exist among immigrants and refugees [15]. This mixed study explored the relationship between refugee culture and the actual frequency of use of available healthcare services. Demographic factors directly impacted access through nationality and indirectly through language and religion, while social factors and beliefs impacted access through acculturation, health insurance and the level of cultural competency of a health care facility or provider. Despite accessibility of services, without perceived or realized need for services among immigrants, utilization may not occur [16]. Hence, the continued need for awareness and preventive health education.

### **Acknowledgements**

This study was the collaborative efforts of individuals at the International Center, ARIKY (Association of Rescue and Intervention of Kentucky), and Community Action of Bowling Green (CA) who were willing to disseminate and cull information from their various wards.

### **Funding and conflict of interest**

There were no external funds required for this research, more so there was no conflict of interest.

*Demographic Analysis - Selected Concepts, Tools, and Applications*
