Access to and Use of Health Care Services Among Latinos in East Los Angeles and Boyle Heights

Overview

Journal Fam Community Health

Specialties Health Services
Public Health

Date 2015 Nov 26

PMID 26605956

Citations 13

Authors

Hector E Alcala

Stephanie L Albert

Shawn K Trabanino

Rosa-Elena Garcia

Deborah C Glik

Michael L Prelip

Alexander N Ortega

Affiliations

Soon will be listed here.

Abstract

This study examined differences in access, utilization, and barriers to health care by nativity, language spoken at home, and insurance status in East Los Angeles and Boyle Heights, California. Data from household interviews of neighborhood residents conducted as part of a corner store intervention project were used. Binary and multinomial logistic regression models were fitted. Results showed that uninsured and foreign-born individuals were differentially affected by lack of access to and utilization of health care. While the Affordable Care Act may ameliorate some disparities, the impact will be limited because of the exclusion of key groups, like the undocumented, from benefits.

Citing Articles

Salud sin Fronteras: Identifying Determinants of Frequency of Healthcare Use among Mexican immigrants in Southern Arizona.

Maldonado A, Martinez D, Villavicencio E, Crocker R, Garcia D J Racial Ethn Health Disparities. 2024; .

PMID: 38833092 DOI: 10.1007/s40615-024-02024-x.

Raising patient voices in medical education: an assessment of patient perceived effect of social determinants of health conversations and the patient-physician relationship on quality of obstetric care, to inform the development of patient driven....

Brito S, Rau A, Escobar C, Garza P, Sriprasert I, Mitchell Chadwick N Front Reprod Health. 2024; 6:1283390.

PMID: 38435087 PMC: 10905965. DOI: 10.3389/frph.2024.1283390.

"It's Not That We Care Less": Insights into Health Care Utilization for Comorbid Diabetes and Depression among Latinos.

Borja S, Valdovinos M, Rivera K, Giraldo-Santiago N, Gearing R, Torres L Int J Environ Res Public Health. 2024; 21(2).

PMID: 38397639 PMC: 10887805. DOI: 10.3390/ijerph21020148.

Stress and DNA Methylation of Blood Leukocytes among Pregnant Latina Women.

Barcelona V, Abuaish S, Lee S, Harkins S, Butler A, Tycko B Epigenomes. 2023; 7(4).

PMID: 37987302 PMC: 10660842. DOI: 10.3390/epigenomes7040027.

Interventions for improving health literacy in migrants.

Baumeister A, Aldin A, Chakraverty D, Hubner C, Adams A, Monsef I Cochrane Database Syst Rev. 2023; 11:CD013303.

PMID: 37963101 PMC: 10645402. DOI: 10.1002/14651858.CD013303.pub2.

References

Singh G, Lin S . Marked ethnic, nativity, and socioeconomic disparities in disability and health insurance among US children and adults: the 2008-2010 American community survey. Biomed Res Int. 2013; 2013:627412. PMC: 3819828. DOI: 10.1155/2013/627412. View

Pauly M, Pagan J . Spillovers and vulnerability: the case of community uninsurance. Health Aff (Millwood). 2007; 26(5):1304-14. DOI: 10.1377/hlthaff.26.5.1304. View

Ortega A, Rodriguez H, Vargas Bustamante A . Policy dilemmas in Latino health care and implementation of the Affordable Care Act. Annu Rev Public Health. 2015; 36:525-44. PMC: 4890541. DOI: 10.1146/annurev-publhealth-031914-122421. View

Derose K, Baker D . Limited English proficiency and Latinos' use of physician services. Med Care Res Rev. 2000; 57(1):76-91. DOI: 10.1177/107755870005700105. View

Bertakis K, Azari R, Helms L, CALLAHAN E, Robbins J . Gender differences in the utilization of health care services. J Fam Pract. 2000; 49(2):147-52. View

Guendelman S, Wagner T . Health services utilization among Latinos and white non-Latinos: results from a national survey. J Health Care Poor Underserved. 2000; 11(2):179-94. DOI: 10.1353/hpu.2010.0719. View

Ayanian J, Weissman J, Schneider E, Ginsburg J, Zaslavsky A . Unmet health needs of uninsured adults in the United States. JAMA. 2000; 284(16):2061-9. DOI: 10.1001/jama.284.16.2061. View

Diaz E, Prigerson H, Desai R, Rosenheck R . Perceived needs and service use of Spanish speaking monolingual patients followed at a Hispanic clinic. Community Ment Health J. 2001; 37(4):335-46. DOI: 10.1023/a:1017552608517. View

Reijneveld S, Stronks K . The validity of self-reported use of health care across socioeconomic strata: a comparison of survey and registration data. Int J Epidemiol. 2002; 30(6):1407-14. DOI: 10.1093/ije/30.6.1407. View

10.

Corbie-Smith G, Flagg E, Doyle J, OBrien M . Influence of usual source of care on differences by race/ethnicity in receipt of preventive services. J Gen Intern Med. 2002; 17(6):458-64. PMC: 1495054. DOI: 10.1046/j.1525-1497.2002.10733.x. View

11.

Weinick R, Jacobs E, Cacari Stone L, Ortega A, Burstin H . Hispanic healthcare disparities: challenging the myth of a monolithic Hispanic population. Med Care. 2004; 42(4):313-20. DOI: 10.1097/01.mlr.0000118705.27241.7c. View

12.

Ortega A, Fang H, Perez V, Rizzo J, Carter-Pokras O, Wallace S . Health care access, use of services, and experiences among undocumented Mexicans and other Latinos. Arch Intern Med. 2007; 167(21):2354-60. DOI: 10.1001/archinte.167.21.2354. View

13.

Pagan J, Balasubramanian L, Pauly M . Physicians' career satisfaction, quality of care and patients' trust: the role of community uninsurance. Health Econ Policy Law. 2008; 2(Pt 4):347-62. DOI: 10.1017/S1744133107004239. View

14.

Blewett L, Johnson P, Lee B, Scal P . When a usual source of care and usual provider matter: adult prevention and screening services. J Gen Intern Med. 2008; 23(9):1354-60. PMC: 2518015. DOI: 10.1007/s11606-008-0659-0. View

15.

DuBard C, Gizlice Z . Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. Am J Public Health. 2008; 98(11):2021-8. PMC: 2636430. DOI: 10.2105/AJPH.2007.119008. View

16.

Call K, Davidson G, Davern M, Brown E, Kincheloe J, Nelson J . Accuracy in self-reported health insurance coverage among Medicaid enrollees. Inquiry. 2009; 45(4):438-56. DOI: 10.5034/inquiryjrnl_45.04.438. View

17.

Short M, Goetzel R, Pei X, Tabrizi M, Ozminkowski R, Gibson T . How accurate are self-reports? Analysis of self-reported health care utilization and absence when compared with administrative data. J Occup Environ Med. 2009; 51(7):786-96. PMC: 2745402. DOI: 10.1097/JOM.0b013e3181a86671. View

18.

Keating S, Carlson B, Jimenez S, Estrada J, Gastelum B, Romero T . Psychometric testing of the Immigrant Barriers to Health Care Scale: Hispanic Version. Nurs Health Sci. 2009; 11(3):235-43. DOI: 10.1111/j.1442-2018.2009.00446.x. View

19.

Vargas Bustamante A, Fang H, Rizzo J, Ortega A . Understanding observed and unobserved health care access and utilization disparities among US Latino adults. Med Care Res Rev. 2009; 66(5):561-77. DOI: 10.1177/1077558709338487. View

20.

Vargas Bustamante A, Fang H, Rizzo J, Ortega A . Heterogeneity in health insurance coverage among US Latino adults. J Gen Intern Med. 2009; 24 Suppl 3:561-6. PMC: 2764037. DOI: 10.1007/s11606-009-1069-7. View