Hispanic-Asian Immigrant Inequality in Perceived Medical Need and Access to Regular Physician Care

Hasanali, Stephanie Howe; Jong, Gordon F. De; Graefe, Deborah Roempke

doi:10.1007/s10903-014-0137-1

Cited by 7 publications

(4 citation statements)

References 31 publications

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“…Hu, Shi, Rane, Zhu, & Chen, 2014). These disadvantages include limited educational attainment (Fiscella & Holt, 2007;Hasanali, De Jong, & Graefe, 2016), inadequate health insurance coverage (Kominski, Nonzee, & Sorensen, 2017;Miller & Wherry, 2017;Sommers, Gunja, Finegold, & Musco, 2015;Sommers, Maylone, Blendon, Orav, & Epstein, 2017), citizenship and immigration status (Ortega et al, 2007;M. A. Rodriguez, Bustamante, & Ang, 2009), and financial difficulties (J.…”

mentioning

confidence: 99%

Addressing Barriers to Primary Care Access for Latinos in the U.S.: An Agent-Based Model

Trinh

Vang

et al. 2020

Journal of the Society for Social Work and Research

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Disparities in access to primary health care have led to health disadvantages among Latinos and other non-White racial groups. To better identify and understand which policies are most likely to improve health care for Latinos, we examined differences in access to primary care between Latinos with proficient English language skills and Latinos with limited English proficiency (LEP) and estimated the extent of access to primary care providers (PCPs) among Latinos in the U.S. Method: We used agent-based modeling techniques to estimate the effects of English proficiency, insurance coverage, Latinos with LEP seeking care from English-speaking PCPs, distance to PCP, PCP availability, and Spanish-speaking PCP availability on access to primary care. We used NetLogo 6.0 to simulate a community of 10,000 Latinos seeking care for a 6-month period, running 5 controlled experiments to determine if population-level outcomes varied by scenario. Results: Models suggested that Latinos with LEP would likely delay care less often if policies were implemented to expand health insurance coverage, address linguistic barriers and promote an inclusive health care climate for patients with LEP, reduce mobility barriers, increase the number of PCPs, and train more Spanish-speaking PCPs. Conclusions: Findings support results from prior studies suggesting that policies and programs that help Latino patients overcome linguistic and cultural barriers to health care will improve Latinos' access to care.

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mentioning

confidence: 99%

Addressing Barriers to Primary Care Access for Latinos in the U.S.: An Agent-Based Model

Trinh

Vang

et al. 2020

Journal of the Society for Social Work and Research

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“…Immigration status (Cabral & Cuevas, 2020;Rodríguez et al, 2009), limited health literacy (Becerra et al, 2017), educational attainment (Howe Hasanali et al, 2016), and limited English proficiency (Becerra et al, 2017;Gulati & Hur, 2022) are also barriers to care.…”

Section: Introductionmentioning

confidence: 99%

“…They continue to face significant disparities in access to and utilization of health care (Artiga et al, 2020), including poorer health insurance coverage (Agency for Healthcare Research and Quality, 2019), quality of care, cancer screening (Fiscella & Sanders, 2016), and genetic counseling and testing (Cragun et al, 2017; Jagsi et al, 2015). Immigration status (Cabral & Cuevas, 2020; Rodríguez et al, 2009), limited health literacy (Becerra et al, 2017), educational attainment (Howe Hasanali et al, 2016), and limited English proficiency (Becerra et al, 2017; Gulati & Hur, 2022) are also barriers to care.…”

Section: Introductionmentioning

confidence: 99%

Medical interpreter‐mediated genetic counseling for Spanish preferring adults at risk for a hereditary cancer syndrome

Joseph

Lindberg

Guerra

et al. 2023

Journal of Genetic Counseling

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The objective of this study was to identify interpretation challenges specific to exome sequencing and errors of potential clinical significance in the context of genetic counseling for adults at risk for a hereditary cancer syndrome. Thirty transcripts of interpreter‐mediated telephone results disclosure genetic counseling appointments were coded for errors by bilingual researchers, and the coders applied an overall rating to denote the degree to which the errors interfered with communication overall. Genetic counselors reviewed a subset of errors flagged for potential clinical significance to identify those likely to have clinical impact. Qualitative interviews with 19 interpreters were analyzed to elucidate the challenges they face in interpreting for genetic counseling appointments. Our analysis identified common interpretation errors such as raising the register, omissions, and additions. Further, we found errors specific to genetic counseling concepts and content that appeared to impact the ability of the genetic counselor to accurately assess risk. These errors also may have impacted the patient's ability to understand their results, access appropriate follow‐up care, and communicate with family members. Among interpreters' strengths was the use of requests for clarification; in fact, even more use of clarification would have been beneficial in these encounters. Qualitative interviews surfaced challenges stemming from the structure of interpreter work, such as switching from medical and nonmedical interpretations without substantial breaks. Importantly, while errors were frequent, most did not impede communication overall, and most were not likely to impact clinical care. Nevertheless, potentially clinically impactful errors in communication of genetics concepts may contribute to inequitable care for limited English proficient patients and suggest that additional training in genetics and specialization in healthcare may be warranted. In addition, training for genetic counselors and guidance for patients in working effectively with interpreters could enhance interpreters' transmission of complex genetic concepts.

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“…Community based data sets for immigrant and refugee health are critical in the context of lower health care access among these groups [24,25] which renders clinic-based cohorts non-representative. Community-based research among immigrants and refugees can be problematic due to social, economic and linguistic vulnerability, if issues of power and trust are not well established between communities and researchers.…”

Section: Introductionmentioning

confidence: 99%

Diabetes Knowledge, Attitudes and Behaviors Among Somali and Latino Immigrants

Njeru

Formea

Osman³

et al. 2015

J Immigrant Minority Health

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Persons from Somalia constitute the largest group of immigrants and refugees from Africa among whom diabetes-related health disparities are well documented. As one of the first steps toward developing a behavioral intervention to address diabetes among Somali immigrants and refugees, we administered a face to face interview-based survey to Somali and Latino adults with diabetes in a single community to assess diabetes knowledge, attitudes and behaviors. Respondents (N = 78) reported several barriers to optimal diabetes management for physical activity and glucose self-monitoring, as well as a high burden of disease and negative perceptions of diabetes. High participant engagement in disease management, self-efficacy, and social support were important assets. Similarities suggest that the shared experiences of immigration and related systemic socioeconomic and linguistic factors play a significant role in the understanding and self-management of diabetes in these populations. Together with previously collected qualitative work, the survey findings will inform development of a behavioral intervention to improve outcomes and reduce diabetes-related health disparities among immigrant and refugee groups to the U.S.

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Hispanic-Asian Immigrant Inequality in Perceived Medical Need and Access to Regular Physician Care

Cited by 7 publications

References 31 publications

Addressing Barriers to Primary Care Access for Latinos in the U.S.: An Agent-Based Model

Addressing Barriers to Primary Care Access for Latinos in the U.S.: An Agent-Based Model

Medical interpreter‐mediated genetic counseling for Spanish preferring adults at risk for a hereditary cancer syndrome

Diabetes Knowledge, Attitudes and Behaviors Among Somali and Latino Immigrants

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