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Factors Associated to Health Care Service Use among Latino Day Laborers

Latino day laborers (LDLs) are at elevated risks for disease and injury because of the environments in which they work. Despite this recognition, a comprehensive examination of factors related to LDLs’ health service use remains unexamined. Using the Andersen model, the current exploratory study exa...

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Autores principales: Boyas, Javier Francisco, Negi, Nalini Junko, Valera, Pamela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5675338/
https://www.ncbi.nlm.nih.gov/pubmed/28625117
http://dx.doi.org/10.1177/1557988317694297
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author Boyas, Javier Francisco
Negi, Nalini Junko
Valera, Pamela
author_facet Boyas, Javier Francisco
Negi, Nalini Junko
Valera, Pamela
author_sort Boyas, Javier Francisco
collection PubMed
description Latino day laborers (LDLs) are at elevated risks for disease and injury because of the environments in which they work. Despite this recognition, a comprehensive examination of factors related to LDLs’ health service use remains unexamined. Using the Andersen model, the current exploratory study examined predisposing (age, education level, location of educational training, legal status, and marital status), enabling (income, trust in medical personnel, whether the respondent has someone they consider their personal doctor, and whether their doctor speaks the same language, perceived barriers to care), and need (self-rated health, number of chronic conditions) variables to predict use of health services among a purposive sample of LDLs (N = 150). Cross-sectional data were collected in 2012 from 4 day laborer sites in Dallas and Arlington, Texas. Regression results suggest that the strongest predictor of health care use was trust in medical providers (β = .41). LDLs who were U.S legal residents (β = .21), reported multiple chronic conditions (β = .16), and had a doctor who spoke their language (β = .15) reported significantly higher levels of health care usage. In terms of barriers, not being able to pay for services (β = −.23), lacking health care insurance coverage (β = −.22), and being embarrassed or having a family member not approve of utilizing services (β = −.18) were significantly associated with lower health care usage among LDLs. These findings suggest that LDLs are faced with a number of predisposing, enabling, and need factors that comprise health care use.
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spelling pubmed-56753382017-12-12 Factors Associated to Health Care Service Use among Latino Day Laborers Boyas, Javier Francisco Negi, Nalini Junko Valera, Pamela Am J Mens Health Racial and Ethnic Diversity and Disparity Issues Latino day laborers (LDLs) are at elevated risks for disease and injury because of the environments in which they work. Despite this recognition, a comprehensive examination of factors related to LDLs’ health service use remains unexamined. Using the Andersen model, the current exploratory study examined predisposing (age, education level, location of educational training, legal status, and marital status), enabling (income, trust in medical personnel, whether the respondent has someone they consider their personal doctor, and whether their doctor speaks the same language, perceived barriers to care), and need (self-rated health, number of chronic conditions) variables to predict use of health services among a purposive sample of LDLs (N = 150). Cross-sectional data were collected in 2012 from 4 day laborer sites in Dallas and Arlington, Texas. Regression results suggest that the strongest predictor of health care use was trust in medical providers (β = .41). LDLs who were U.S legal residents (β = .21), reported multiple chronic conditions (β = .16), and had a doctor who spoke their language (β = .15) reported significantly higher levels of health care usage. In terms of barriers, not being able to pay for services (β = −.23), lacking health care insurance coverage (β = −.22), and being embarrassed or having a family member not approve of utilizing services (β = −.18) were significantly associated with lower health care usage among LDLs. These findings suggest that LDLs are faced with a number of predisposing, enabling, and need factors that comprise health care use. SAGE Publications 2017-02-01 2017-07 /pmc/articles/PMC5675338/ /pubmed/28625117 http://dx.doi.org/10.1177/1557988317694297 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Racial and Ethnic Diversity and Disparity Issues
Boyas, Javier Francisco
Negi, Nalini Junko
Valera, Pamela
Factors Associated to Health Care Service Use among Latino Day Laborers
title Factors Associated to Health Care Service Use among Latino Day Laborers
title_full Factors Associated to Health Care Service Use among Latino Day Laborers
title_fullStr Factors Associated to Health Care Service Use among Latino Day Laborers
title_full_unstemmed Factors Associated to Health Care Service Use among Latino Day Laborers
title_short Factors Associated to Health Care Service Use among Latino Day Laborers
title_sort factors associated to health care service use among latino day laborers
topic Racial and Ethnic Diversity and Disparity Issues
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5675338/
https://www.ncbi.nlm.nih.gov/pubmed/28625117
http://dx.doi.org/10.1177/1557988317694297
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