Search results

1 – 10 of over 1000
Article
Publication date: 1 March 2006

Patrick A. Rivers and Fausto G. Patino

Latinos comprise 12.5 percent of the overall population in the USA, and are the fastest‐growing minority, among which the Mexican‐origin population makes up about 66 percent…

3692

Abstract

Purpose

Latinos comprise 12.5 percent of the overall population in the USA, and are the fastest‐growing minority, among which the Mexican‐origin population makes up about 66 percent. Undocumented Latino immigrants are a small, yet important group within the immigrant population. The purpose of this paper is to review the literature and discuss the most important factors that prevent immigrants from accessing health care.

Design/methodology/approach

Literature review was conducted from the library database. A total of 50 items of literature related to the subject were reviewed.

Findings

Border states have the highest concentration of Mexican‐origin people. The concentration of immigrants in the border has unique health and economic implications due to the vital role they have in US society, contributing both to the economy and diversity of the USA. Despite their important role, they disproportionately lack health insurance, and receive fewer health care services than US‐born citizens. This lack of insurance puts a burden on the nation's economy, and their health status deteriorates as they become more prone to chronic health conditions, and their complications due to lack of primary medical attention.

Originality/value

Tailored public health interventions that address the health needs of Latino immigrants in the USA need to be based on reliable data and statistics in order to effectively place resources, and to track achievements and flaws.

Details

International Journal of Social Economics, vol. 33 no. 3
Type: Research Article
ISSN: 0306-8293

Keywords

Article
Publication date: 17 August 2017

M. Amalia Pesantes and Patricia I. Documet

The purpose of this paper is to describe and discuss the limitations of strategies that mothers of undocumented Latino children use in an emerging community to address the health…

Abstract

Purpose

The purpose of this paper is to describe and discuss the limitations of strategies that mothers of undocumented Latino children use in an emerging community to address the health needs of their children.

Design/methodology/approach

In-depth interviews with low-income immigrant mothers of undocumented Latino children (n=10) and social service providers (n=6). Interviews were transcribed, coded using Atlas-ti and analyzed to identify common perspectives on the strategies used to secure healthcare for uninsured undocumented children.

Findings

Mothers of undocumented Latino children struggle to secure healthcare for their children. Based on the principles of familismo and personalismo, they rely on social support networks such as friends, relatives and fellow churchgoers to secure information about available healthcare options. Despite the willingness of social and health service providers to help them access healthcare, options are limited and depend on the actions of individuals rather than organized solutions. Securing care for undocumented children using families, friends and sympathetic individual providers as the source of information and advice leads to fragile unsustainable solutions.

Research limitations/implications

This paper adds to the small yet growing literature of Latinos in emerging communities.

Practical implications

Emerging Latino communities are usually unprepared to welcome Latinos and address its various needs. Undocumented children are a particularly vulnerable group and any sustainable strategy to address their needs would require structural changes in existing health services to ensure that undocumented children’s lives are not affected by poor health.

Originality/value

Healthcare access problems for immigrant children are presented from the perspective of parents and offers a nuanced description of health systems unpreparedness to provide care for vulnerable groups whose immigrant status is poorly understood.

Details

International Journal of Migration, Health and Social Care, vol. 13 no. 3
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 20 March 2017

Kelsey S. Dickson, Sasha M. Zeedyk, Jonathan Martinez and Rachel Haine-Schlagel

Well-documented ethnic disparities exist in the identification and provision of quality services among children receiving community-based mental health services. These disparities…

Abstract

Purpose

Well-documented ethnic disparities exist in the identification and provision of quality services among children receiving community-based mental health services. These disparities extend to parent treatment engagement, an important component of effective mental health services. Currently, little is known about differences in how providers support parents’ participation in treatment and the degree to which parents actively participate in it. The purpose of this paper is to examine potential differences in both provider and parent in-session participation behaviours.

Design/methodology/approach

Participants included 17 providers providing standard community-based mental health treatment for 18 parent-child dyads, with 44 per cent of the dyads self-identifying as Hispanic/Latino. In-session participation was measured with the parent participation engagement in child psychotherapy and therapist alliance, collaboration, and empowerment strategies observational coding systems.

Findings

Overall, results indicate significantly lower levels of parent participation behaviours among Hispanic/Latino families compared to their Non-Hispanic/Non-Latino counterparts. No significant differences were seen in providers’ in-session behaviours to support parent participation across Hispanic/Latino and Non-Hispanic/Non-Latino families.

Research limitations/implications

These findings contribute to the literature on ethnic differences in parent treatment engagement by utilising measures of in-session provider and parent behaviours and suggest that further investigation is warranted to documenting and understanding ethnic disparities in parents’ participation in community-based child mental health treatment.

Originality/value

This paper contributes to the evaluation of differences in parent treatment engagement through demonstrating the utility of an in-session observational coding system as a measure of treatment engagement.

Article
Publication date: 5 June 2017

Cynthia Morton, Sebastian Galindo, Maria Morera, Naa Dodoo, Cristobal Gonzalez, Linwan Wu, Suzanne Fundingsland, Kendra Auguste, Lauren Headrick, Paul Monaghan and Karla Shelnutt

The purpose of this paper is to present a case study of the research steps taken to identify message directions for a community-wide health communication campaign aimed at…

Abstract

Purpose

The purpose of this paper is to present a case study of the research steps taken to identify message directions for a community-wide health communication campaign aimed at supporting healthier eating behaviors among Latino farmworker families in the Immokalee community in Florida. Latino mothers were targeted to understand their beliefs about children’s healthy eating needs and identify communication campaign opportunities that would reinforce choices made in the home, surrounding meal planning, food selection and preparation and portion sizes.

Design/methodology/approach

A sequential mixed-methods approach using focus group, group interview and qualitative message concept testing was used in three distinct stages of research exploration. An independent sample was recruited at each stage through convenience sampling and snowball sampling methods. The stages of change theory provided a framework for research inquiry in the context of healthy eating-at-home practices.

Findings

In general, mothers were aware and participatory in the effort to serve healthy meals for their children at home. The time and money associated with buying nutritious foods and cooking healthy meals daily was stressful, but they were receptive to communication efforts to help them maintain their commitment to give their children healthy foods. These findings provided directional opportunities for the discovery and implementation of health communication strategies. Test results found that the target was most receptive to message strategies that acknowledged the responsibility of both parents to model healthy eating practices to children.

Research limitations/implications

Recruiting resulted in small sample sizes at each stage of the investigation. The reliability of quantitative measurement was a limitation to the research conclusions.

Practical implications

Partnership with the audience from discovery to conceptualization resulted in messages that uniquely resonated with the audience for which they were aimed. Understanding about the target stage of readiness improves message effectiveness to the target group.

Social implications

Health communication campaigns planned and developed with the target audience at its center will generate message strategies that effectively address issues of greatest relevance to those communication agents that seek to change.

Originality/value

The study provides a unique exploration of the steps that health communication agents should pursue to establish a thorough profile of their target audience and the issues that resonate when considering healthy eating behavior at home. The application of the stages of the change model encouraged the discovery of issues surrounding the challenge and highlighted potential obstacles that would mitigate the behavior change efforts.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 11 no. 2
Type: Research Article
ISSN: 1750-6123

Keywords

Article
Publication date: 9 December 2014

Kya Fawley-King, Emily Trask, Nancy E. Calderón, Gregory A. Aarons and Ann F. Garland

The purpose of this paper is to examine the implementation and adaptation of group Triple P, an evidence-based parenting intervention developed in Australia, for a Latina…

Abstract

Purpose

The purpose of this paper is to examine the implementation and adaptation of group Triple P, an evidence-based parenting intervention developed in Australia, for a Latina population living in the USA.

Design/methodology/approach

Mothers with pre-school age children participated in the programme, which was offered by a community mental health agency. The final study sample consisted of 174 Latina mothers.

Findings

Participation in group Triple P was associated with clinically significant improvements in maternal mental health, parenting styles, and child behaviour problems. Additionally, mothers reported high levels of satisfaction with the programme.

Practical implications

Triple P is a promising intervention for Latina caregivers who are concerned about the behaviour of their young children. It can be implemented successfully into community-based mental health care systems.

Originality/value

This is the first study to examine the applicability of Triple P to Latina caregivers.

Details

Journal of Children's Services, vol. 9 no. 4
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 15 May 2009

Rachel Slough

This paper seeks to provide a guide to significant primary and secondary resources relevant to the study of Latino health in the USA. It builds on prior scholarship to reflect the…

821

Abstract

Purpose

This paper seeks to provide a guide to significant primary and secondary resources relevant to the study of Latino health in the USA. It builds on prior scholarship to reflect the most valuable resources published from 1997 to 2007.

Design/methodology/approach

Many materials were identified through bibliographies, online catalogs, and the worldwide web. Citation analysis, supported by book reviews published in professional and academic journals, was used to determine impact. All resources were annotated by the author after personal examination.

Findings

The paper introduces each resource, describing its content and relevance to the study of Latino health.

Originality/value

Latinos are among the fastest growing minorities in the USA. Although several guides address multicultural health care, few focus solely on the specific needs and issues of Latino health. Moreover, existing resource guides, both on multicultural health care and on Latinos, are at least 12 years old. This guide highlights the most recent developments about this topic.

Details

Reference Services Review, vol. 37 no. 2
Type: Research Article
ISSN: 0090-7324

Keywords

Article
Publication date: 16 March 2015

Laurens Holmes, Sequoia Jackson, Alexandra LaHurd, Pat Oceanic, Kelli Grant and Kirk Dabney

The purpose of this paper is to examine the prevalence of obesity/overweight using higher body mass index (BMI), assess racial/ethnic variance in overweight/obese prevalence, and…

Abstract

Purpose

The purpose of this paper is to examine the prevalence of obesity/overweight using higher body mass index (BMI), assess racial/ethnic variance in overweight/obese prevalence, and to determine whether or not insurance status explains the variance.

Design/methodology/approach

A cross-sectional design was used to assess medical records of children in Nemours Healthcare System during 2011. The authors reviewed the records and extracted information on normal BMI, BMI percent, higher BMI, prevalence of overweight/obese and other variables as well as race and ethnicity. χ2 statistic, Fischer's exact and logistic regression model were used to examine the data.

Findings

Overall, the prevalence of higher BMI as overweight/obese was comparable to that of the US pediatric population, 33.4 percent. Compared to Caucasian/white, Asians were less likely to have higher BMI, prevalence odd ratio (POR)=0.79, 95 percent CI=0.70-0.90, but Blacks/African Americans (POR=1.22, 95 percent CI=1.18-1.27) and Some other Race were more likely to have higher BMI, POR=1.61, 95 percent CI=1.92-1.71. After controlling for insurance status, the racial disparities in higher BMI persisted; p<0.0001.

Research limitations/implications

Racial/ethnic disparities exist in childhood higher BMI, which were not removed after controlling for insurance coverage as a surrogate for socioeconomic status. These findings are indicative of assessing sex, religious, dietary patterns, physical activities level, environmental resources, social media resources; and geographic locale as confounders in race/ethnicity and higher BMI association.

Originality/value

Understanding the predisposing factors to obesity/overweight among diverse populations is essential in developing and implementing intervention programs in addressing this epidemic in our nation.

Details

International Journal of Human Rights in Healthcare, vol. 8 no. 1
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 1 September 1997

Barbara A. Zsembik, Greg L. Drevenstedt and C. Preston McLane

Using data from the 1990 Latino sample of the Panel Study of Income Dynamics and the 1988 National Survey of Elderly Hispanics, this research examines ethnic variation in the…

Abstract

Using data from the 1990 Latino sample of the Panel Study of Income Dynamics and the 1988 National Survey of Elderly Hispanics, this research examines ethnic variation in the economic well‐being of older Latinos. Older Puerto Ricans are less economically secure than Cubans or Mexican Americans, reporting lower median incomes, higher rates of poverty, and disproportionate enrollments in the state health insurance program. We decompose household income into its sources to provide insight in ethnic differences in economic security and highlight how federal cutbacks in social programs for the elderly will uniquely impact each Latino ethnic group. The results show that older Puerto Ricans remain most vulnerable to the negative consequences of changing social policies. Health insurance coverage varies by ethnicity, revealing that access to health care is most limited among older Cubans. Clearly, each Latino ethnic group present a distinctive economic profile for older adults, profiles which call for policies guarding economic security to be tailored to each ethnic group.

Details

International Journal of Sociology and Social Policy, vol. 17 no. 9/10
Type: Research Article
ISSN: 0144-333X

Article
Publication date: 1 November 2023

Keri Elliott Revens, Lennin Caro, Sarai Guerrero Ordonez, Amanda Walsh and Daniel Alvarez-Orlachia

The COVID-19 pandemic disproportionately impacted Latinos across the United States though data on emerging immigrant communities is lacking. The purpose of this study is to better…

Abstract

Purpose

The COVID-19 pandemic disproportionately impacted Latinos across the United States though data on emerging immigrant communities is lacking. The purpose of this study is to better understand how Latino immigrants were impacted by the COVID-19 pandemic, allowing a community health clinic in Charlotte, North Carolina to quickly respond to their needs.

Design/methodology/approach

A mixed method, rapid appraisal using community-based participatory research approaches conducted in February to April 2021 by a team of bilingual researchers. Project consisted of a Spanish, electronic survey distributed through community leaders and in-person interviews conducted in Spanish at COVID-19 vaccine clinics. SPSS Version 26 was used for quantitative analysis. Ordinal and binary logistic regression tests were performed to assess the associations among several outcome and four predictor variables: documentation status, status of health insurance, level of trust in the vaccine and place of birth. Qualitative analysis used rapid appraisal and grounded theory approaches.

Findings

Latino immigrants experienced job and income loss, resulting in difficulty paying for food, housing and health care. Participants experienced emotional and financial stress and isolation from family. Undocumented immigrants were more likely to experience detrimental impacts than documented immigrants. Most wanted the vaccine but felt barriers like trust and insurance may prevent them.

Research limitations/implications

Findings from this study are locally relevant to Latino immigrants living in the Charlotte area of North Carolina and findings may not be generalizable to other Latinos. Participants were recruited through faith networks and those who are not connected may not be represented. In addition, interview participants were sampled during vaccination clinics and likely had positive views of the vaccine.

Practical implications

As a direct result of this project, community health clinic (CHC) held vaccination clinics to instill more confidence in the vaccination process. Spanish-speaking staff were available to assist with paperwork and answer questions onsite. The importance of familismo in decision-making and the reported presence of misinformation about the vaccine prompted CHC to continue providing accurate information about the vaccine in Spanish, and to strategize marketing materials to reflect a family-centric approach to better appeal to Latinos. Findings were used to obtain funding for expansion of clinical and behavioral health services in the community through mobile units, increasing accessibility for Latino immigrants.

Originality/value

To the best of the authors’ knowledge, this was the first study to examine the effects of the pandemic on a growing and disproportionately underrepresented group in an emerging immigrant state. Findings informed culturally competent COVID-19 vaccine clinics, marketing strategies and the expansion of medical and behavioral health services for a local community clinic.

Details

International Journal of Migration, Health and Social Care, vol. 19 no. 3/4
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 9 December 2014

Megan Finno-Velasquez, Danielle L. Fettes, Gregory A. Aarons and Michael S. Hurlburt

The purpose of this paper is to examine the experiences of Latino clients following a naturalistic cultural adaptation made to SafeCare, an evidence-based home visiting…

Abstract

Purpose

The purpose of this paper is to examine the experiences of Latino clients following a naturalistic cultural adaptation made to SafeCare, an evidence-based home visiting intervention designed to address specific linguistic and cultural issues affecting the Latino community during implementation in San Diego County, California.

Design/methodology/approach

Hierarchical linear models examined whether Latino clients experienced differences in perceptions of SafeCare delivery, working relationship with the home visitor and satisfaction with services when compared with non-Latino clients and whether language of service delivery and provider-client ethnic match were related to Latino clients’ experiences of the intervention.

Findings

Overall, across several different dimensions, there was no decrement in experience with SafeCare for Latino clients compared to non-Latino ones, implying that adaptations made locally adequately engaged Latino and Spanish-speaking clients in services without compromising perceived adherence to the programme model.

Research limitations/implications

Because this was a non-experimental study, conclusions could not be drawn as to whether the locally adapted SafeCare would fare better in Latino client ratings than SafeCare unadapted. However, the findings are important because they contradict concerns that EBPs may not be relevant to diverse client groups, and support the idea that when adaptations are made, it is possible to maintain adherence at the same level of adherence as when the programme is delivered in its non-adapted form.

Originality/value

The study explicitly documents and generates knowledge around an organic adaptation made in a community to an evidence-based intervention for a client group about whom there has been documented concern regarding the relevance of and engagement in services.

Details

Journal of Children's Services, vol. 9 no. 4
Type: Research Article
ISSN: 1746-6660

Keywords

1 – 10 of over 1000