Perceived Quality of Care, Receipt of Preventive Care, and Usual Source of Health Care Among Undocumented and Other Latinos

UCLA Department of Family Medicine, 10880 Wilshire Blvd #1800, Los Angeles, CA, 90024, USA.
Journal of General Internal Medicine (Impact Factor: 3.42). 11/2009; 24 Suppl 3(Suppl 3):508-13. DOI: 10.1007/s11606-009-1098-2
Source: PubMed


BACKGROUND Latinos are the largest minority group in the United States and experience persistent disparities in access to and quality of health care. OBJECTIVES (1) To determine the relationship between nativity/immigration status and self-reported quality of care and preventive care. (2) To assess the impact of a usual source of health care on receipt of preventive care among Latinos. DESIGN Using cross-sectional data from the 2007 Pew Hispanic Center/Robert Wood Johnson Foundation Hispanic Healthcare Survey, a nationally representative telephone survey of 4,013 Latino adults, we compared US-born Latinos with foreign-born Latino citizens, foreign-born Latino permanent residents and undocumented Latinos. We estimated odds ratios using separate multivariate ordered logistic models for five outcomes: blood pressure checked in the past 2 years, cholesterol checked in the past 5 years, perceived quality of medical care in the past year, perceived receipt of no health/health-care information from a doctor in the past year, and language concordance. RESULTS Undocumented Latinos had the lowest percentages of insurance coverage (37% vs 77% US-born, P P P P P Undocumented Latinos also reported the highest percentage receiving no health/health-care information from their doctor (40% vs 20% US-born, P CONCLUSION In this national sample, undocumented Latinos were less likely to report receiving blood pressure and cholesterol level checks, less likely to report having received excellent/good quality of care, and more likely to receive no health/health-care information from doctors, even after adjusting for potential confounders. Our study shows that differences in nativity/immigration status should be taken into consideration when we discuss perceived quality of care among Latinos.

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    • "This pattern may extend to vaccination. On the other hand, prior research also suggests that insurance coverage is the strongest predictor of flu vaccination in the US (Takayama et al., 2012), and first generation Latinos are more likely to be uninsured than second generation Latinos (Rodriguez et al., 2009). While understanding if flu vaccination varies by generational status among Latinos is important, most literature on preventive care utilization treats Latinos as a homogenous group even though Mexicans and Central Americans are less likely to utilize preventive care than other Latino subgroups (Vargas Bustamante et al., 2010). "
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    • "This finding suggests that quality of care is an important factor to consider in increasing the use of health care services by Latinos. Existing studies have found that Latinos report negative experiences in health care settings (De Jesus & Xiao 2012; DuBard & Gizlice 2008; Ortega et al., 2007; Rodriguez et al., 2009), which may foster mistrust of physicians and medical institutions, and in turn, contribute to a pattern of underutilization of health care services in this population. Given the lack of studies that investigate and compare the effects of multiple factors as proposed by competing hypotheses , this study contributed to the literature by shedding light on the relative strength of factors influencing health care service use relevant to disparities among Latinos. "
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