Social Determinants of Health and Health Disparities Among Immigrants and their Children

Chang, Cindy D.

doi:10.1016/j.cppeds.2018.11.009

Cited by 159 publications

(122 citation statements)

References 40 publications

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“…We were a little bit surprised that both models did not confirm the relationship between GDP and life expectancies. We have expected to bear out the existence of this link based on previous studies that identify income as a major SDH [2,8,9,11,13,16,19,22,28] and, additionally, research that positively verified the impact of GDP or national wealth [17,23].…”

Section: Discussionmentioning

confidence: 99%

“…Health care system, poverty, housing insecurity and homelessness, education, and immigration policies and laws [2] societal class) [19] Zhang, A., Padilla, Y.C. and Kim, Y.…”

Section: Authors Determinantsmentioning

confidence: 99%

“…SDH covers, therefore, all factors determining the condition of a human organism, both physical and psychological. In other words they describe non-medical conditions that influence populations' health SDH [2][3][4][5][6]. These factors, combined or individually, can exert a favorable or unfavorable impact on the health of individuals, as well as the entire population.…”

Section: Introductionmentioning

confidence: 99%

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Does “Rural” Always Mean the Same? Macrosocial Determinants of Rural Populations’ Health in Poland

Ucieklak-Jeż

Bem

2020

IJERPH

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Rural areas, as well as urban ones, are not homogeneous in terms of social and economic conditions. Those surrounding large urban centers (suburban rural areas) act different roles than those located in remote areas. This study aims to measure the level of inequalities in social determinants of health (SDH) between two categories of rural areas. We pose the following research hypotheses: (hypothesis H1) rural areas in Poland are relatively homogenous in the context of SDH and (hypothesis H2) SDH affects life expectancies of rural residents. Based on data covering all rural territories, we found that rural areas in Poland are homogenous in SDH. We also find important determinants of health rooted in a demographic structure—the feminization index and a ratio of the working-age population. On the other hand, we cannot confirm the influence of commonly used SDH-GDP and unemployment rate.

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Section: Discussionmentioning

confidence: 99%

“…Health care system, poverty, housing insecurity and homelessness, education, and immigration policies and laws [2] societal class) [19] Zhang, A., Padilla, Y.C. and Kim, Y.…”

Section: Authors Determinantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Does “Rural” Always Mean the Same? Macrosocial Determinants of Rural Populations’ Health in Poland

Ucieklak-Jeż

Bem

2020

IJERPH

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“…Current studies have focused on dissemination and adoption of innovation among non-Hispanic Whites, while neglecting Hispanics/Latinos [13]; consequently, there is a risk of exacerbating health disparities in this hard-to-reach population [40]. The Hispanic/Latino population is diverse with different social, cultural, and linguistic backgrounds, which may include low or complete absence of English proficiency, lacks or has limited access to healthcare, has low or lacks educational attainment, lives in poverty and marginalization, and experiences housing insecurity [41][42][43][44][45].…”

Section: Barriersmentioning

confidence: 99%

Barriers and facilitators to dissemination and adoption of precision medicine among Hispanics/Latinos

et al. 2020

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Background: With the rapid advances in gene technologies in recent years, the potential benefits of precision medicine (PM) may spread unevenly to disadvantaged populations, such as Hispanics/Latinos. The objective of this study was to explore patient-level barriers and facilitators to dissemination and adoption of PM among Hispanics/Latinos, including knowledge and awareness. Methods: Self-identified Hispanics/Latinos from diverse countries in Latin America (N = 41) participated in the study. Using a cross-sectional observational qualitative research design, six focus groups and a demographic questionnaire were collected in English and Spanish. Qualitative content analysis was utilized to code the transcripts and identify emerging themes. Results: Hispanics/Latinos never heard of and had no knowledge about PM. Barriers to dissemination and adoption of PM included lack of health insurance, financial burden, participants' immigration status, distrust of government, limited English proficiency, low literacy levels, cultural norms, fear about genetic testing results, lack of transportation, newness of PM, and lack of information about PM. Facilitators included family support; information provided in Spanish; use of plain language and graphics; assistance programs for uninsured; trust in physicians, healthcare staff, wellknown hospitals, academic institutions, and health care providers and community organization as sources of reliable information; personal motivation, and altruism or societal benefit. Conclusions: Culturally-and linguistically-tailored, low-literacy educational material about PM should be created in English and Spanish. Future research should examine provider-level and system-level barriers and facilitators to implementation and adoption of PM among Hispanic/Latino patients.

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“…7 Many work low paying jobs, experience significant financial instability, are rent-burdened and foodinsecure. 8 Still, undocumented immigrants contribute an estimated $3 billion in federal state and local taxes each year, including payments to Social Security, Medicare and Medicaid. 9,10 Undocumented immigrants face significant obstacles to needed health care.…”

Section: Introductionmentioning

confidence: 99%

Coronavirus Disease 2019 and the Case to Cover Undocumented Immigrants in California

et al. 2020

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Latinos have been affected at higher rates in California. These include undocumented immigrants who are the largest group of Californians that remains uninsured. This population has limited access to health care services and coverage options. The coronavirus disease 2019 (COVID-19) pandemic has shown that undocumented immigrants are particularly vulnerable during this outbreak as they are more likely to delay seeking medical care and lack a regular source of care. In addition, many work in essential services, have low or moderate incomes, and live in overcrowded conditions increasing their risk for exposure to COVID-19. To reduce the state's COVID-19 burden, California should expand comprehensive MediCal to all eligible individuals regardless of immigration status.

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Social Determinants of Health and Health Disparities Among Immigrants and their Children

Cited by 159 publications

References 40 publications

Does “Rural” Always Mean the Same? Macrosocial Determinants of Rural Populations’ Health in Poland

Does “Rural” Always Mean the Same? Macrosocial Determinants of Rural Populations’ Health in Poland

Barriers and facilitators to dissemination and adoption of precision medicine among Hispanics/Latinos

Coronavirus Disease 2019 and the Case to Cover Undocumented Immigrants in California

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