Overcoming barriers to the recruitment of immigrant Hispanic people in perinatal research

Laguna-Torres, Alicia; Velosa, Leo; Barreto, Alejandra; Lorch, Scott; Virudachalam, Senbagam; Montoya-Williams, Diana

doi:10.1111/1475-6773.14127

Cited by 3 publications

(5 citation statements)

References 31 publications

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“…However, the concept can also be applied to the rights of other marginalized birthing people, including immigrants, who may face intersectional oppression related to structural xenophobia, racism, and/or colorism 24 . As discussed separately, our team used the principles of birth equity to inform the rationale for the study, the construction of the research team, our recruitment approach, as well as why and how we chose questions for our interview guide 25 . Secondly, this study aimed to bolster structural resilience among Latine immigrant communities.…”

Section: Methodsmentioning

confidence: 99%

“…Finally, participants were asked to brainstorm what health care providers and/or systems could do to help pregnant immigrant patients feel safe and comfortable receiving prenatal care. The interviews were conducted in Spanish by 2 ethnically concordant study team members to minimize power imbalances between participants and the research team 25 . Interviews lasted ~45–60 minutes.…”

Section: Methodsmentioning

confidence: 99%

“…24 As discussed separately, our team used the principles of birth equity to inform the rationale for the study, the construction of the research team, our recruitment approach, as well as why and how we chose questions for our interview guide. 25 Secondly, this study aimed to bolster structural resilience among Latine immigrant communities. Structural resilience is defined as the communitylevel resilience that emerges from the combination of social capital, policies, institutions, opportunities, and built environment that lead individuals in a community to exhibit individual resilience to poor outcomes.…”

Section: Grounding Frameworkmentioning

confidence: 99%

“…The interviews were conducted in Spanish by 2 ethnically concordant study team members to minimize power imbalances between participants and the research team. 25 Interviews lasted ~45-60 minutes. After the interview, participants were mailed a $40 gift card, a children's book, and a flyer with information about health and social service eligibility.…”

Section: Data Collectionmentioning

confidence: 99%

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Philadelphia Latine Immigrant Birthing People’s Perspectives on Mitigating the Chilling Effect on Prenatal Care Utilization

Montoya-Williams,

Barreto,

Laguna-Torres

et al. 2024

Medical Care

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Research Design: Community-engaged qualitative study using inductive thematic analysis of semistructured interviews. Objective: To understand Latine immigrants’ recent prenatal care experiences and develop community-informed strategies to mitigate policy-related chilling effects on prenatal care utilization. Background: Decreased health care utilization among immigrants due to punitive immigration policies (ie, the “chilling effect”) has been well-documented among Latine birthing people both pre and postnatally. Patients and Methods: Currently or recently pregnant immigrant Latine people in greater Philadelphia were recruited from an obstetric clinic, 2 pediatric primary care clinics, and 2 community-based organization client pools. Thematic saturation was achieved with 24 people. Participants’ pregnancy narratives and their perspectives on how health care providers and systems could make prenatal care feel safer and more comfortable for immigrants. Results: Participants’ recommendations for mitigating the chilling effect during the prenatal period included training prenatal health care providers to sensitively initiate discussions about immigrants’ rights and reaffirm confidentiality around immigration status. Participants suggested that health care systems should expand sources of information for pregnant immigrants, either by partnering with community organizations to disseminate information or by increasing access to trusted individuals knowledgeable about immigrants’ rights to health care. Participants also suggested training non-medical office staff in the use of interpreters. Conclusion: Immigrant Latine pregnant and birthing people in greater Philadelphia described ongoing fear and confusion regarding the utilization of prenatal care, as well as experiences of discrimination. Participants’ suggestions for mitigating immigration-related chilling effects can be translated into potential policy and programmatic interventions which could be implemented locally and evaluated for broader applicability.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Grounding Frameworkmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

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Philadelphia Latine Immigrant Birthing People’s Perspectives on Mitigating the Chilling Effect on Prenatal Care Utilization

Montoya-Williams,

Barreto,

Laguna-Torres

et al. 2024

Medical Care

Self Cite

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“…Critically, we felt this approach allowed us to gather information that might be challenging or uncomfortable for immigrant people to disclose themselves, due to immigration status-related fears or the inherent power imbalances that might be felt by immigrant research participants. 21 …”

Section: Introductionmentioning

confidence: 99%

Exploring Prenatal Care Quality and Access During the COVID-19 Pandemic Among Pregnant Immigrants in Philadelphia Through the Lens of Community-Based Organizations

Marshall

Perez

et al. 2023

Women's Health Reports

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Background: The peak of the COVID-19 pandemic led to decreased maternal and child health care engagement, especially among marginalized populations. Existing disparities in prenatal care access and quality faced by pregnant immigrant people are likely to be amplified by the pandemic. Materials and Methods: We conducted a study with direct service providers (DSPs) at community-based organizations (CBOs) serving pregnant immigrant families in the Philadelphia region. Semistructured interviews addressed barriers and facilitators to prenatal health care access and engagement among immigrant families both before and then after the onset of the pandemic in March 2020. Additional questions elicited context about the demographics of service populations, organizational connectedness to health care providers, and pandemic-related operational changes. Results: Between June and November 2021, 10 interviews were conducted in English and Spanish with DSPs at 5 CBOs. Primary themes included diminished access and quality of care received due to decreased language accessibility, increased restrictions around support persons, shifts to telemedicine, and changes to appointment scheduling. Additional themes included heightened hesitancy engaging with services due to documentation status, confusion around legal rights, financial strain, and health insurance status. Interviewees provided suggestions for improving service access during and postpandemic for immigrant pregnant people, including implementation of culturally responsive group prenatal care, institutional policies to improve understanding of legal rights, and increased financial supports. Conclusions: Understanding emergent and exacerbated barriers to prenatal care access and quality during the COVID-19 pandemic provides context for how to improve health equity for immigrant pregnant people through public health and health care policies as the pandemic continues, and once it has subsided.

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