Healthcare Experiences of Latinos in a Nontraditional Destination Area

Jacquez, Farrah; Vaughn, Lisa M.; Pelley, Terri J.; Topmiller, Michael

doi:10.1080/10705422.2014.983629

Cited by 29 publications

(38 citation statements)

References 47 publications

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“…37 The adapted version of the BCQ has been used in previous studies with Latinos and other underserved populations and yielded similar internal consistency reliability, with subscale alphas ranging from .74–.91. 33 In the current study, we used two subscales of the BCQ: Pragmatics and Skills. Pragmatics refers to logistical and cost issues that might prevent or delay health care utilization (e.g., Problems with transporting yourself to the clinic or doctor’s office; Problems with having to wait too long in the waiting room).…”

Section: Methodsmentioning

confidence: 99%

“…32 Pockets of communities in Cincinnati with higher concentrations of Latinos are geographically dispersed, making communication, transportation and access to resources more difficult. 33 Demographic data from one large community-based survey showed that most Latinos in the Greater Cincinnati area were from Mexico, Guatemala, Peru, and Colombia. 8 About one third of these Latinos completed more than 12 years of education, with a majority (79.4%) being employed, and nearly half of participants earning less than $20,000 per year.…”

Section: Introductionmentioning

confidence: 99%

“…8 Further, Latino immigrants in Cincinnati reported feeling less social acceptance in their communities, compared to U.S.-born Latinos, Whites, and African Americans. 33 This lower perceived social acceptance was associated with worse mental health outcomes and more barriers to healthcare. 33 Anti-immigrant sentiment has been blatant in some areas of Cincinnati, especially in adjacent counties, where billboards publicizing anti-immigration messages have been displayed, making Latinos apprehensive in being visible or engaging in their own communities.…”

Section: Introductionmentioning

confidence: 99%

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Demographic Characteristics Associated With Barriers to Health Care Among Mexican and Guatemalan Immigrants in a Nontraditional Destination Area

Zhen‐Duan

Jacquez

Vaughn³

2017

Family &Amp; Community Health

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The purpose of this study was to examine demographic factors associated with healthcare barriers among Mexican (n = 258) and Guatemalan (n = 143) immigrants in Cincinnati, a nontraditional destination (new migration area). Three primary results emerged: length of U.S. residence was not associated with fewer healthcare barriers, Mexican women and younger Guatemalans endorsed fewer skills-related barriers, and childless Guatemalans reported more barriers to care the longer they reside in the U.S, when compared to Guatemalans with children. Our study highlights the importance of disaggregating data in order to create more tailored interventions to eliminate health disparities for Latinos.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Demographic Characteristics Associated With Barriers to Health Care Among Mexican and Guatemalan Immigrants in a Nontraditional Destination Area

Zhen‐Duan

Jacquez

Vaughn³

2017

Family &Amp; Community Health

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“…Latinos in non-traditional migration areas tend to live in isolated neighborhoods, lack established resources and networks of care, and report a lack of Spanish-speaking physicians and translation services [6–8]. Like other non-traditional migration areas, immigrant Latinos in Cincinnati face higher barriers than non-immigrant Latinos [9], and are utilizing community health centers as their primary source of healthcare [10]. As the Affordable Care Act (ACA) improves access to healthcare for many groups in the U.S., it has little impact on undocumented immigrants, who are not eligible for Medicaid or health insurance subsidies.…”

Section: Introductionmentioning

confidence: 99%

“…Due to the obstacles related to Cincinnati’s status as a new immigrant destination and lack of infrastructure to provide services to the large influx of incoming immigrants, immigrant Latinos in the area have significantly higher barriers to care compared with U.S.-born Latinos, Blacks, and Whites, particularly in the northern and eastern parts of the region [9]. Consistent with previous research [19–20], results from a recent community-partnered research project in Cincinnati revealed Latino immigrants have much lower utilization of healthcare and identified lack of documentation, fear, and language as the most important barriers to healthcare [10].…”

Section: Introductionmentioning

confidence: 99%

Place Matters in Non-Traditional Migration Areas: Exploring Barriers to Healthcare for Latino Immigrants by Region, Neighborhood, and Community Health Center

Topmiller

Zhen‐Duan

Jacquez

et al. 2016

J. Racial and Ethnic Health Disparities

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This paper identifies differences in adult Latino immigrant barriers to healthcare in the Cincinnati area in Hamilton County, OH on three levels: by region, by neighborhood, and by community health center. Secondary data analysis was performed on 439 surveys. Respondents were aggregated by the geographic regions and neighborhoods where they live and by two community health centers where they receive care. Outcome measures included pragmatic and skill barrier indices adapted from the Barriers to Care Questionnaire (BCQ); the pragmatics index consists logistical barriers, including transportation and cost; the skills index is made up of items related to navigating the healthcare system, including communicating with physicians and completing paperwork. The results indicate that immigrant Latinos living in western Cincinnati and northern Hamilton County face significantly higher pragmatic barriers to care, while Latino immigrants going to a community health center in western Cincinnati have significantly fewer pragmatic and skill barriers than immigrants utilizing a nearby community health center. Because healthcare options for undocumented immigrants do not improve with the Affordable Care Act, community health centers will continue to serve as their primary source of care. This is particularly true in non-traditional migration areas, where immigrants tend to be isolated and lack resources. Efforts to improve access to healthcare for immigrant Latinos require place-based approaches that allow for targeted resources to improve care in these locations. This study helps to fill that need by identifying variation in barriers to care on multiple levels and offering strategies to alleviate these barriers.

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A Social Network Approach to Understanding Community Partnerships in a Nontraditional Destination for Latinos

Eiler

Bologna

Vaughn

et al. 2017

Journal Community Psychology

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Cincinnati, like other new migration areas, has recently experienced tremendous growth in the Latino immigrant population. Because greater health disparities exist for Latinos compared to both majority and other minority groups, it is essential to understand how migratory patterns and healthcare infrastructure are related. In this study, social network analysis (SNA), which quantitatively assesses and evaluates network formation and network relationships, was used to investigate the structure of the Greater Cincinnati Latino health network. Referral and collaboration networks were assessed for 29 individuals serving the Latino community. Results indicated the desired collaboration network was nearly twice as dense as either the physical or the mental health referral networks. The physical network was also denser than the mental health network. Similar results were found when analyzing network centralization. Taken together, results indicate a need for additional strategic partnerships between Latino‐serving providers and the Latino‐serving community. Specific recommendations are briefly discussed.

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Healthcare Experiences of Latinos in a Nontraditional Destination Area

Cited by 29 publications

References 47 publications

Demographic Characteristics Associated With Barriers to Health Care Among Mexican and Guatemalan Immigrants in a Nontraditional Destination Area

Demographic Characteristics Associated With Barriers to Health Care Among Mexican and Guatemalan Immigrants in a Nontraditional Destination Area

Place Matters in Non-Traditional Migration Areas: Exploring Barriers to Healthcare for Latino Immigrants by Region, Neighborhood, and Community Health Center

A Social Network Approach to Understanding Community Partnerships in a Nontraditional Destination for Latinos

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