HEALTH CARE ACCESS AMONG HISPANIC IMMIGRANTS: ¿ALGUIEN ESTÁ ESCUCHANDO? [IS ANYBODY LISTENING?].
HEALTH CARE ACCESS AMONG HISPANIC IMMIGRANTS: ¿ALGUIEN ESTÁ ESCUCHANDO? [IS ANYBODY LISTENING?].
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DOI：
10.1111/j.1556-4797.2010.01051.x
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发表时间：
2010-11-01
期刊：
影响因子：
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通讯作者：
Song D
中科院分区：
文献类型：
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作者：
Pérez-Escamilla R;Garcia J;Song D
这项系统性综述确定了77项研究，以检查在美国生活的西班牙裔移民（HI）的模式和决定因素，尽管主要的精神和身体护理需求，HI及其家人是在非常高的风险，没有获得医疗保健相比，非移民西班牙裔和非西班牙裔白人。非公民身份是获得医疗保健的一个主要障碍，因为没有资格参加该计划，而且担心被污名化和驱逐出境。英语水平低也是医疗保健的一个重要障碍。文化上适当的社区外展计划在很大程度上依赖于社区卫生工作者，也被称为promotoras，改善了卫生保健的获得和质量。墨西哥为居住在边境各州的艾滋病患者分担医疗费用，呼吁两国对话。为了更好地了解：a）文化适应对移民健康的净影响; B）非正式的（例如，在促进获得保健服务方面，家庭（如家庭）与正式（如宣传员）的社会支持; c）与“单身”男性移徙农场工人有关的问题; d）“西班牙裔死亡率悖论”; e）HI中的传统治疗和药物。需要进行全面的卫生和移民改革，以尊重艾滋病患者获得卫生保健的人权。
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.