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Latinos' Health Care Access: Financial and Cultural Barriers

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Abstract

This study aimed at investigating how income, culture, and language affect health care access. Data from a structured questionnaire administered to a random sample of 206 Latinos was analyzed using multivariate logistic regression. Qualitative data served to explain quantitative results. Point estimates for various access measures were similar to national data. In multivariate logistic regression, income and education determined having health insurance (OR 6.8 and 7.4; 95% CI 2.7–17.3 and 2.9–19.0, respectively). Time in the U.S. and health insurance determined having a regular source of care (OR 4.6 and 5.8; 95% CI 1.7–12.8 and 2.1–16.0, respectively). Having a source of care and being female determined visit to the doctor in the past year (OR 6.14 and 6.73; 95% CI 2.3–16.5 and 2.4–19.3, respectively). Language and culture showed no statistically significant effect on access measures, but qualitative data showed they were related to health care barriers.

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REFERENCES

  1. U.S. Department of Health and Human Services: Healthy People 2010: Understanding and Improving Health. 2nd edn. Washington, DC: U.S. Government Printing Office; 2000 (http://www.health.gov/healthypeople)

    Google Scholar 

  2. Grieco EM, Cassidy RC: Census 2000 Shows America's Diversity. Washington, DC: U.S. Department of Commerce; 2001 (http://www.census.gov/prod/2001pubs/c2kbr01-1.pdf)

    Google Scholar 

  3. Brown ER, Ojeda VD, Wyn R, Levan R: Racial and Ethnic Disparities in Access to Health Insurance and Health Care. Los Angeles, CA: UCLA Center for Health Policy Research; 2000

    Google Scholar 

  4. Gray J, Puente S: Introduction to special issue. J Med Syst 1996; 20:229-233

    Google Scholar 

  5. Hajat A, Lucas JB, Kington R: Health outcomes among Hispanic subgroups: Data from the National Health Interview Survey, 1992–95. Adv Data 2000; 25:1-14

    Google Scholar 

  6. Aday LA, Fleming GV, Andersen R: Access to Medical Care in the U.S.: Who Has It, Who Doesn't. Chicago, IL: Pluribus, University of Chicago, Center for Health Administration Studies; 1984

    Google Scholar 

  7. Andersen RM: Revisiting the behavioral model and access to medical care: Does it matter? J Health Soc Behav 1995; 36: 1-10

    Google Scholar 

  8. Aday LA, Begley CE, Lairson DA, Slater CA: Evaluating the Medical Care System: Effectiveness, Efficiency and Equity. 2nd edn. Ann Arbor, MI: Health Administration Press; 1998

    Google Scholar 

  9. de la Torre A, Friis R, Hunter HR, Ellis BK, Garcia L: The health insurance status of older Latinas: A population at risk. J Border Health 1999; IV:23-30

    Google Scholar 

  10. Weissman JS, Epstein AM: Falling Through the Safety Net. Insurance Status and Access to Health Care. Baltimore, MD: Johns Hopkins University Press; 1994

    Google Scholar 

  11. Flores G, Abreu M, Olivar MA, Kastner B: Access barriers to health care for Latino children. Arch Pediatr Adolesc Med 1998; 152:1119-1125

    Google Scholar 

  12. Fulton JP, Rakowski W, Jones AC: Determinants of breast cancer screening among inner-city Hispanic women in comparison with other inner-city women. Public Health Rep 1995; 110:476-482

    Google Scholar 

  13. Halfon N, Wood DL, Burciaga Valdez R, Pereyra M, Duan N: Medicaid enrollment and health services access by Latino children in inner-city Los Angeles. JAMA 1997; 277:636-641

    Google Scholar 

  14. Smith MW, Kreutzer RA, Goldman L, Casey-Paal A, Kizer KW: How economic demand influences access to medical care for rural Hispanic children. Med Care 1996; 34:1135-1148

    Google Scholar 

  15. Schur CL, Albers LA: Language, sociodemographics, and health care use of Hispanic adults. J Health Care Poor Underserved 1996; 7:140-158

    Google Scholar 

  16. Riedel RL: Access to health care: In: Loue S, ed. Handbook of Immigrant Health. New York: Plenum; 1998, 101-123

    Google Scholar 

  17. Office of Management and Budget: Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity. Washington, DC: U.S. Government Printing Office; 1997 (http://www.whitehouse.gov/omb/edreg/ombdir15.html)

    Google Scholar 

  18. U.S. Census Bureau: Definitions of Subject Characteristics. Washington, DC: U.S. Department of Commerce; 1999 (http://www.census.gov/td/stf3/append_b.html)

  19. U.S. Census Bureau: Annual Time Series of County Population Estimates by Age, Sex, Race, and Hispanic Origin [Data file]. Washington, DC: U.S. Department of Commerce; 2000 (http://www.census.gov/population/www/estimates/co_casrh.html)

  20. U.S. Census Bureau: Basic Facts. Quick Tables [Data file]. Washington, DC: U.S. Department of Commerce; 2001 (http://Online: http://factfinder.census.gov/bf)

    Google Scholar 

  21. Fox G: Hispanic Nation: Culture, Politics, and the Construction of Identity. Tucson, AZ: The University of Arizona Press; 1996

    Google Scholar 

  22. Howard CA, Samet JM, Buechley RW, Schrag SD, Key CR: Survey research in New Mexico Hispanics: Some methodological issues. Am J Epidemiol 1983; 117:27-34

    Google Scholar 

  23. Aday LA, Chiu GY, Andersen R: Methodological issues in health care surveys of the Spanish heritage population. Am J Public Health 1980; 70:367-374

    Google Scholar 

  24. Ludwig-Beymer P, Blankemeier JR, Casas-Byots C, Suarez-Balcazar Y: Community assessment in a suburban Hispanic community: A description of method. J Transcult Nurs 1996; 8:19-27

    Google Scholar 

  25. Becerra RM, Zambrana RE: Methodological approaches to research on Hispanics. Soc Work Res Abstr 1985; 21:42-49

    Google Scholar 

  26. Scheaffer RL, Mendenhall W, III, Ott RL: Elementary Survey Sampling. 5th edn. Belmont, CA: Duxbury, Wadsworth; 1996

    Google Scholar 

  27. Marin G, van Oss Marin B, Perez-Stable E: Feasibility of a telephone survey to study a minority community: Hispanics in San Francisco. Am J Public Health 1990; 80:323-326

    Google Scholar 

  28. Sonis J: Association between duration of residence and access to ambulatory care among Caribbean immigrant adolescents. Am J Public Health 1998; 88:964-966

    Google Scholar 

  29. Palacios C, Sheps S: A pilot study assessing the health status of the Hispanic American community living in Vancouver. Can J Public Health 1992; 85:346-349

    Google Scholar 

  30. Krosnick JA: Survey research ‘Review’. Annu Rev Psychol 1999; 50:537-567

    Google Scholar 

  31. Lipton R, Losey L, Giachello AL, Corral M, Girotti MH, Mendez JJ: Factors affecting diabetes treatment and patient education among Latinos: Results of a preliminary study in Chicago. J Med Syst 1996; 20:267-276

    Google Scholar 

  32. Diaz T, Klevens M: The supplement to HIV and AIDS Surveillance Project Group. Differences by ancestry in sociodemographics and risk behaviors among Latinos with AIDS. Ethn Dis 1997; 7:200-206

    Google Scholar 

  33. Marin G, van Oss Marin B: Research With Hispanic Populations. Newbury Park, CA: Sage; 1991

    Google Scholar 

  34. Sherraden MS, Barrera RE: Qualitative research with an understudied population: In-depth interviews with women of Mexican descent. J Health Care Poor Underserved 1995; 17:452-470

    Google Scholar 

  35. Giachello AL: Health outcomes research on Hispanic/Latinos. J Med Syst 1996; 20:235-254

    Google Scholar 

  36. Aday LA: Designing and Conducting Health Surveys. 2nd edn. San Francisco, CA: Jossey-Bass, 1996

    Google Scholar 

  37. Korn EL, Graubad BI: Sample weights and imputation: In: Analysis of Health Surveys. New York: Wiley; 1999, 159-191

    Google Scholar 

  38. Hammersley M, Atkinson P: Ethnography. Principles in Practice. 2nd edn. London: Routledge; 1995

    Google Scholar 

  39. Weiss RS: Respondents: Choosing them and recruiting them: In: Anonymous, Learning From Strangers: The Art and Method of Qualitative Interview Studies. New York: Free Press; 1994, 15-37

    Google Scholar 

  40. Marin G, Sabogal F, van Oss Marin B, Otero-Sabogal R, Perez-Stable E: Development of a short acculturation scale for Hispanics. Hisp J Behav Sci 1987; 9:183-205

    Google Scholar 

  41. Thamer M, Richard C, Casebeer AW, Ray NF: Health insurance coverage among foreign-born US residents: The impact of race, ethnicity, and length of residence. Am J Public Health 1997; 87:96-102

    Google Scholar 

  42. Ware JE, Kosinski M, Keller SD: SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales. 2nd edn. Boston, MA: The Health Institute, New England Medical Center; 1995.

    Google Scholar 

  43. Health Resources and Services Administration (HRSA), Office of Minority Health: Health Care RX: Access for All. The President's Initiative on Race. Barriers to Health Care for Racial and Ethnic Minorities: Access, Workforce Diversity and Cultural Competence. Washington, D.C.: U.S. Department of Health and Human Services; 1999 (http://www.whitehouse.gov/initiatives/OneAmerica/america.html)

    Google Scholar 

  44. Davidson PL, Andersen RM, Marcus M, Atchison KA, Reifel N, Nakazono T, Rana H: Indicators of oral health in diverse ethnic and age groups: Findings from the International Collaborative Study of Oral Health Outcomes (ICS-II) USA research locations. J Med Syst 1996; 20:295-316

    Google Scholar 

  45. Hosmer DW, Lemeshaw S: Applied Logistic Regression. New York: Wiley; 1989

    Google Scholar 

  46. Kraut AM: Healers and strangers. Immigrant attitudes toward the physician in America. A relationship in historical perspective. JAMA 1990; 263:1807-1811

    Google Scholar 

  47. Schulman KA, Berlin JA, Harless W, Ferner JF, Sistrun K, Gersh BJ, Phil D, Dubé R, Taleghani CK, Burke JE, Williams S, Eisenberg JM, Escarce JJ: The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med 1999; 340:618-626

    Google Scholar 

  48. McDermott M, Silva J, Rydman R, Giachello AL, Yarzagaray E, Robinson D, Peragallo N, Barquero H, Arrom JO: Practice variations in treating urban minority asthmatics in Chicago. J Med Syst 1996; 20:255-266

    Google Scholar 

  49. Friedl J: Health Care Services and the Appalachian Migrant. Columbus, OH: Ohio State University; 1978

    Google Scholar 

  50. Moore RD, Stanton D, Gopalan R, Chaisson RE: Racial differences in the use of drug therapy for HIV disease in an urban community. N Engl J Med 1994; 330:763-768

    Google Scholar 

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Correspondence to Patricia I. Documét.

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Documét, P.I., Sharma, R.K. Latinos' Health Care Access: Financial and Cultural Barriers. Journal of Immigrant Health 6, 5–13 (2004). https://doi.org/10.1023/B:JOIH.0000014638.87569.2e

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