Social determinants of health in the Mixtec and Zapotec community in Ventura County, California

Maxwell, Annette E.; Young, Sandra; Crespi, Catherine M.; Vega, Roena Rabelo; Cayetano, Reggie T.; Bastani, Roshan

doi:10.1186/s12939-015-0148-0

Cited by 18 publications

(9 citation statements)

References 17 publications

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“…We noticed that the health access for children was better than that for adults. This is in agreement with other studies where adults reported that they prefer to seek medical attention for their children rather than for themselves [12].…”

Section: Discussionsupporting

confidence: 93%

Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Perú

Calderón

Alvarado-Villacorta

Barrios

et al. 2019

Int J Equity Health

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Background Health needs and access to health care is a huge challenge in developing countries, especially in some isolated indigenous communities. Amantani is an island located at 3854 m above sea level in Lake Titicaca, Peru. There is no official date on key local health needs and determinants, which precludes the prioritization and efficient implementation of health interventions. The objective of this study is to validate a health need assessment tool and ascertain the main health needs of the indigenous high-altitude population living on Amantani. Methods We conducted a cross-sectional study to describe the health needs of the indigenous population of Amantani using a questionnaire based on the “Peruvian Demographic and Health Survey”. The questionnaire underwent expert and field-work validation. We selected a random sample of the island residents using two-stage cluster sampling. We estimated the prevalence of key health needs and determinants, and evaluated their distribution by age, sex and education through prevalence ratio. All analyses accounted for the complex sampling design. Results We surveyed 337 individuals (223 adults and 144 children) in 151 houses. The most frequent health needs were: (i) lack of access to medical screening for a)non-communicable diseases (> 63.0%) and b)eye problems (76.5%); and (ii) poor knowledge about communicable diseases (> 54.3%), cancer (71.4%) and contraception (> 32.9%). Smoking and alcohol use was more frequent in males (PR = 4.70 IC95%:1.41–15.63 and PR = 1.69 95% CI:1.27–2.25, respectively). People with higher education had more knowledge about TB/HIV and cancer prevention ( p < 0.05). Regarding children’s health, > 38% have never undergone eye or dental examination. Corporal punishment and physical bullying at school in the last month were relatively common (23 and 33%, respectively). Conclusion The main health needs in Amantani are related to poor healthcare access and lack of awareness of disease prevention. Our findings can be used to develop and implement efficient health interventions to improve the health and quality of life of indigenous populations living in the islands in Southern Peru/Northern Bolivia. Electronic supplementary material The online version of this article (10.1186/s12939-019-0993-3) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 93%

Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Perú

Calderón

Alvarado-Villacorta

Barrios

et al. 2019

Int J Equity Health

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“…The bond between TB patient and the professional and health services is directly related to the continuity of care (4) and success of the treatment. In the search for solutions to the problem of TB in the homeless population, professional subjects believe that action on the social determinants understood as better social conditions such as housing, education, recreation, sanitation, employment and change of lifestyle can be facilitators for reducing the disease in this group (18)(19) . The linguistic remark 'challenge' indicates the need for change and new www.ee.usp.br/reeusp Experience of health professionals in care of the homeless population with tuberculosis perspectives of health care, such as intervention in all of the health production chain: health promotion, disease prevention, surveillance and rehabilitation, in addition to medical care and medication (20) .…”

Section: Discussionmentioning

confidence: 99%

Experience of health professionals in care of the homeless population with tuberculosis

Alecrim

Mitano

Reis

et al. 2016

Rev. esc. enferm. USP

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OBJECTIVE Analyzing statements of health professionals from a Street Clinic regarding care of a homeless population with tuberculosis. METHOD This is a qualitative research, conducted in the central region of São Paulo at three basic health units in the period of November to December 2014. A semi-structured interview guideline was implemented for data collection and all interviews were recorded using a digital recorder. RESULTS Six health professionals were interviewed. According to the Discourse Analysis perspective, three discursive segments emerged: experiences on care in the streets; weaknesses inherent to the treatment process; and incentives as a means of maintaining sick people in treatment. CONCLUSION Caring for a the homeless population with tuberculosis constitutes a new and challenging experience. It involves difficulties in dealing with the reality of a miserable social context, a lack and inadequacy of services, as well as care limitations for treatment and treatment dropout, which reinforces multiresistance. However, the investigated Street Clinic teams seek to expand access to health and social care services to this population.

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“…Some of these promotoras are now employed by local clinics to serve as interpreters and navigators for indigenous patients. MICOP and the University of California Los Angeles partnered in 2011 to enhance the capacity for health promotion in the indigenous community in Ventura County [7, 8]. The study we discuss here focused on understanding access to care and navigation of health care services among indigenous women.…”

Section: Introductionmentioning

confidence: 99%

Understanding Factors that Influence Health Care Utilization Among Mixtec and Zapotec Women in a Farmworker Community in California

et al. 2017

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This paper examines health care utilization among indigenous immigrants from Oaxaca, Mexico, who have settled in a farmworker community in southern California. In 2016, two trained Spanish-Mixteco and Spanish-Zapoteco bi-lingual interviewers conducted in-depth interviews with 44 indigenous women residing in Oxnard, California on issues that affect health care utilization. Interviews were conducted in Mixteco, Zapoteco and Spanish and were coded to identify structural, cultural, and provider-related barriers to health care utilization. Five bi-lingual Spanish-Mixteco indigenous interpreters employed at local clinics were also interviewed. Many women reported lack of health insurance, inability to pay, language barriers, long waiting times, rushed encounters with providers, and seeking western medical care only after home remedies did not work. However, several women were able to access routine health care services, often with support from indigenous interpreters employed at clinics. Interviews with five interpreters found that they provided assistance with interpretation during medical encounters and appointment making. They also educated patients about upcoming exams, identified low-cost services and insurance programs available to patients, assisted with paperwork and occasionally educated physicians on behalf of their patients. In addition to addressing barriers to health care access our findings suggest the importance of identifying and leveraging community assets, such as indigenous navigators, when developing programs for such underserved communities. Our findings can inform best practice in settings that provide health care to indigenous populations and may also apply to settings that provide health care to other immigrant communities that have very limited familiarity and contact with western health care.

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Social determinants of health in the Mixtec and Zapotec community in Ventura County, California

Cited by 18 publications

References 17 publications

Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Perú

Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Perú

Experience of health professionals in care of the homeless population with tuberculosis

Understanding Factors that Influence Health Care Utilization Among Mixtec and Zapotec Women in a Farmworker Community in California

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