Association between duration of residence and access to ambulatory care among Caribbean immigrant adolescents.

Sonis, Jeffrey

doi:10.2105/ajph.88.6.964

Cited by 19 publications

(9 citation statements)

References 21 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, studies have demonstrated increased access to health care services for Black immigrants over time. 56,57 Similarly, this study found that barriers to HIV testing were lower in longer-term immigrants.…”

Section: Discussionsupporting

confidence: 57%

Barriers to HIV Testing in Black Immigrants to the U.S.

Ojikutu¹,

Nnaji²,

Sithole-Berk³

et al. 2014

hpu

View full text Add to dashboard Cite

Background Late HIV testing is common among immigrants from sub Saharan Africa and the Caribbean. Since 2010, HIV testing is no longer a required component of immigrant screening examinations or mandatory for immigrants seeking long term residence in the US. Thus, barriers to HIV testing must be addressed. Methods Five hundred and fifty-five (555) immigrants completed a barriers-to-HIV testing scale. Univariate and multivariate linear regression were performed to examine predictors of barriers. Results In multivariate analysis, primary language other than English (β=2.9, p=.04), lower education (β=5.8, p=.03), low income [= below $20K/year] (β=4.6, p=.01), no regular provider (β=5.2, p=.002) and recent immigration (β=5.7, p=.0008) were independently associated with greater barriers. Barriers due to health care access, privacy, fatalism, and anticipated stigma were greater for recent versus longer term immigrants. Discussion Immigrants from sub-Saharan Africa and the Caribbean face significant barriers to HIV testing. Interventions to improve access and timely entry into care are needed.

show abstract

Section: Discussionsupporting

confidence: 57%

Barriers to HIV Testing in Black Immigrants to the U.S.

Ojikutu¹,

Nnaji²,

Sithole-Berk³

et al. 2014

hpu

View full text Add to dashboard Cite

show abstract

“…In addition, many recent multivariate studies of the predictors of access to health care were based on selected samples of clinic users or special populations rather than on representative community samples. 13,[16][17][18] While the present study included individuals 65 years of age, who were more likely to have public insurance coverage through Medicare, only 8 respondents were of this age group, minimizing the possibility of confounding age and insurance coverage.…”

Section: Discussionmentioning

confidence: 99%

“…7,8,11,12 Most studies of the predictors of having a usual source of care do not include attitudinal influences and focus on such socioeconomic and demographic factors as gender, age, income, insurance coverage, education, race/ethnicity, and geographic area. 7,9,[13][14][15][16][17][18][19] Thus, it is difficult to assess the role of perceived need for health care in explaining the gender differential in access indicators. The connection of having a usual source of care with perceived need for health services is supported by the frequent finding that people without a usual source of care tend to be in better health than those with a regular source.…”

mentioning

confidence: 99%

Gender differences in health care access indicators in an urban, low-income community

Merzel

2000

Am J Public Health

View full text Add to dashboard Cite

Objectives. This study examined factors associated with gender differences in health insurance coverage and having a usual source of medical care.Methods. In-person interviews were conducted with a community sample of 695 residents of Central Harlem, New York City. Predictors of the 2 outcome variables and the interaction of key variables with gender were analyzed via logistic regression.Results. No strong patterns emerged to explain gender differentials in having insurance coverage and having a usual provider. However, women employed full time had increased odds of insurance coverage, whereas employment had no similar effect among men. Public assistance evidenced a strong relationship with insurance coverage among both men and women. Socioeconomic factors and health insurance were important independent predictors of having a usual source of health care for men but had little effect among women.Conclusions. Expanding the availability of both public insurance and affordable private coverage for men living in low-income communities is an important means of reducing gender disparities in access to health care. Public assistance is an important means of enabling access to health care for men as well as women. A common premise of health research is that gender operates as an independent influence on virtually any population-based outcome of interest. This assertion is supported in the literature, which consistently indicates that men and women differ in regard to health, access to health care, and use of health services. As a result, gender is typically viewed as a variable that must be controlled in analyses. This approach, however, does not permit explicit examination of the underlying inference that predictive models may vary by gender. As a result, our understanding of most influences on health-related outcomes is based on effects independent of gender.While many studies identify the general determinants of health insurance and a usual source of medical care, including gender, few examine how these factors differ between men and women. This is a significant gap in that most research shows that women are more likely than men to have access to both insurance coverage and a usual source of care. Understanding the interplay between gender and the distinct determinants of these indicators has important implications for policies designed to promote equal access to health care.US national surveys demonstrate that men are less likely than women to have health insurance coverage.1,2 In general, the most important determinants of insurance status are income and employment-related factors, the latter the result of the predominance of employment-based coverage in the United States.3,4 While men who work full time are more likely than women who work full time to have employment-based coverage, this trend may be a result of the tendency of married working women to decline their own coverage in favor of their husband's insurance. Indeed, single women who work full time are slightly more likely than men to be covered through the...

show abstract

“…Disparities between foreign-born and U.S.-born populations in the number of physician visits and annual general health care visits have been documented previously among younger children (10,13,15,16,28), adolescents (14), and adults (28). While our results are consistent with previous findings, our study is the first to document trends in the use of routine care by immigrant categories and time of residence in the U.S. among in-school adolescents of Mexican, Cuban and C/S or DR origins.…”

Section: Discussionmentioning

confidence: 88%

“…They are also well-positioned to identify and treat immigrant adolescents who are already having health problems. Unfortunately, foreign-born children and adolescents report fewer annual doctor office visits than their U.S.-born counterparts (10)(11)(12)(13)(14)(15)(16). These missed opportunities may have important implications for the health and well-being of this rapidly growing population of Latino youth in the U.S.…”

Section: Introductionmentioning

confidence: 99%

Routine Physical Examination and Forgone Health Care among Latino Adolescent Immigrants in the United States

et al. 2005

View full text Add to dashboard Cite

Knowledge concerning patterns of health care utilization among Latino-adolescent immigrants is needed to develop culturally-appropriate programs. The objectives of this study were to estimate the annual prevalence of having had a routine physical exam and episodes of adolescents' not seeking health care when they thought they should (forgone health care) among Latino adolescents by immigrant-generational status. Cross-sectional analysis of data from Latino adolescents in Wave I of the National Longitudinal Adolescent Health Study. First-generation immigrants who had lived in the U.S. < or = 5 years were less likely to receive routine care than third-generation immigrants (39.0% vs. 54.9%). This disparity decreased after adjustment for insurance status, parental education and poverty among Mexican origin adolescents. On average, 16.0% of first-generation immigrants who had lived in the U.S. < or = 5 years and 22.5% of third-generation immigrants reported forgoing health care. After adjustment for age, insurance status, parental education and routine care, recent arrivals were less likely than third-generation immigrants to forgo health care. Recent arrivals were less likely to receive a routine physical exam and to forgo care than third-generation immigrants. Future studies should explore the effect of acculturation on knowledge, beliefs and perceptions about health, illness and care-seeking behaviors.

show abstract

Association between duration of residence and access to ambulatory care among Caribbean immigrant adolescents.

Cited by 19 publications

References 21 publications

Barriers to HIV Testing in Black Immigrants to the U.S.

Barriers to HIV Testing in Black Immigrants to the U.S.

Gender differences in health care access indicators in an urban, low-income community

Routine Physical Examination and Forgone Health Care among Latino Adolescent Immigrants in the United States

Contact Info

Product

Resources

About