An Analysis of Acculturation Status and Healthcare Coverage for the Needs of Mental Health Service Utilization among Latinos in Mississippi, Louisiana, and Alabama

Bhuiyan, Azad R.; Cannon-Smith, Gerri; Leggett, S.; McCoy, Pamela; Barvie, Maria; Jones, Ashley White

doi:10.3390/psych1010035

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…The stress of trying to fit into two cultures that are so different and have different norms, beliefs and customs may pose significant psychological stress on Sub-Sahara African immigrants. Although there is vast literature exploring acculturation and health/ mental health outcomes (Fox et al, 2017;Organista et al, 2003;Jardin et al, 2018;Afulani et al, 2016;Bhuiyan, 2019), limited research has explored acculturative stressors related to cultural barriers of access of health and mental health treatments. A few studies have documented acculturative stressors of domestic violence, shifts in the meaning of marriage and parenting as contributing to mental health in African immigrants (Akinsulure-Smith et al, 2013;Akinsulure-Smith, 2017;Betancourt et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

On the go – parents are working 24/7

Mbao

Hamilton-Mason

2021

IJMHSC

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Purpose The purpose of this study was to explore the perceptions of African community leaders, on factors that influence substance use and mental health status of Sub-Sahara African immigrants living in the northeast region of the USA. Design/methodology/approach A social constructionist approach to grounded theory was used to understand social life’s complexity in the African community. Data analysis consisted of initial coding and focused coding, which led to the emerging of the following mid-range theories. Findings The following mid-range theories are developed: the work culture of Sub-Sahara African immigrants may influence substance-use behaviors, impact treatment for mental health and contribute to interpersonal conflicts related to marriage and parenting; there may be a relationship between the culture of privacy and spirituality because the church is often a place of comfort, and many may not seek treatment for mental health for fear of losing that community; Sub-Sahara African immigrants’ mental health and substance-use behaviors are influenced by unique factors that stem from balancing living in the new culture while also preserving their unique cultural norms. Originality/value The analysis of perceptions of African community leaders underscored “On the go” as a metaphor for describing Sub-Sahara African immigrants.

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Section: Discussionmentioning

confidence: 99%

On the go – parents are working 24/7

Mbao

Hamilton-Mason

2021

IJMHSC

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“…Fifth, the study is also limited to the inclusion of respondents with a usual source of care (USC) for their providers. This limitation prevents generalization of the study to the population without USC [ 50 ]. Similarly, the findings in the study are limited to the population of non-institutionalized civilians in the survey.…”

Section: Conclusion and Limitationsmentioning

confidence: 99%

Racial Concordance on Healthcare Use within Hispanic Population Subgroups

Campbell

Sanchez

et al. 2023

J. Racial and Ethnic Health Disparities

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Objective To examine the association of patient-provider racial and ethnic concordance on healthcare use within Hispanic ethnic subgroups. Methods We estimate multivariate probit models using data from the Medical Expenditure Panel Survey, the only national data source measuring how patients use and pay for medical care, health insurance, and out-of-pocket spending. We collect and utilize data on preventive care visits, visits for new health problems, and visits for ongoing health problems from survey years 2007–2017 to measure health outcomes. Additionally, we include data on race and ethnicity concordance, non-health-related socioeconomic and demographic factors, health-related characteristics, provider communication characteristics, and provider location characteristics in the analysis. The sample includes 59,158 observations: 74.3% identified as Mexican, 10.6% identified as Puerto Rican, 5.1% identified as Cuban, 4.8% identified as Dominican, and 5.2% classified in the survey as Other Hispanics. Foreign-born respondents comprised 56% of the sample. A total of 8% (4678) of cases in the sample involved Hispanic provider-patient concordance. Results Hispanic patient-provider concordance is statistically significant and positively associated with higher probabilities of seeking preventive care (coef=.211, P<.001), seeking care for a new problem (coef=.208, P<.001), and seeking care for an ongoing problem (coef=.208, P<.001). We also find that the association is not equal across the Hispanic subgroups. The association is lowest for Mexicans in preventive care (coef=.165, P<.001) and new problems (coef=.165, P<.001) and highest for Cubans in preventive care (coef=.256, P<.001) and ongoing problems (coef=.284, P<.001). Results are robust to the interaction of the Hispanic patient-provider concordance for the Hispanic patient categories and being foreign-born. Conclusions In summary, racial disparities were observed in health utilization within Hispanic subgroups. While Hispanic patient-provider concordance is statistically significant in associating with healthcare utilization, the findings indicate that this association varies across Hispanic subpopulations. The observations suggest the importance of disaggregating Hispanic racial and ethnic categories into more similar cultural or origin groups. Linked with the existence of significant differences in mortality and other health outcomes across Hispanic subgroups, our results have implications for the design of community health promotion activities which should take these differences into account. Studies or community health programs which utilize generalized findings about Hispanic populations overlook differences across subgroups which may be crucial in promoting healthcare utilization.

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An Analysis of Acculturation Status and Healthcare Coverage for the Needs of Mental Health Service Utilization among Latinos in Mississippi, Louisiana, and Alabama

Abstract: Background: The use of mental health services by Latinos is only 7.3%, despite the high prevalence of depression rates of between 27.0% and 38.

Cited by 2 publications

References 24 publications

On the go – parents are working 24/7

On the go – parents are working 24/7

Racial Concordance on Healthcare Use within Hispanic Population Subgroups

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