TitleHEALTH CARE ACCESS AMONG HISPANIC IMMIGRANTS: ¿ALGUIEN ESTÁ ESCUCHANDO? [IS ANYBODY LISTENING?].
Publication TypeJournal Article
Year of Publication2010
AuthorsPérez-Escamilla, R, Garcia, J, Song, D
JournalNAPA Bull
Volume34
Issue1
Pagination47-67
Date Published2010 Nov 01
ISSN1556-4789
Abstract
 

This systematic review identified 77 studies to examine patterns and determinants of health care access among Hispanic immigrants (HI) living in the U.S. In spite of major mental and physical care needs, HI and their families are at very high risk of not having access to health care compared with non-immigrant Hispanics and non-Hispanic whites. Noncitizenship status is a major barrier for accessing health care due to program ineligibility and fear of stigma and deportation. Low English proficiency is also an important barrier to health care. Culturally appropriate community outreach programs relying heavily on community health workers, also known as promotoras, have improved health care access and quality. Mexico shares the health care cost for HIs living in bordering states, calling for a binational dialogue. Mixed-methods research is needed to better understand: a) the net influence of acculturation on migrant health; b) the role of informal (e.g., family) vs. formal (e.g. promotoras) social support at facilitating health care access; c) issues related to 'single' male migrant farm workers; d) the "Hispanic mortality paradox"; e) traditional healing and medicine among HI. Comprehensive health and immigration reforms are needed to respect the human right that HIs have to gain access to health care.

DOI10.1111/j.1556-4797.2010.01051.x
Alternate JournalNAPA Bull
PubMed ID21116464
PubMed Central IDPMC2992323
Grant ListP20 MD001765 / MD / NIMHD NIH HHS / United States
P20 MD001765-05 / MD / NIMHD NIH HHS / United States
T32 MH020031 / MH / NIMH NIH HHS / United States