Guyanese immigrants are the 5th largest foreign-born group in NY State, but sparse literature is available on their health status and health needs. A community-based health interview survey of Schenectady NY residents aged 18–64 (N = 1861) was analyzed. Bivariate comparisons between Guyanese respondents and White, Black, and Hispanic respondents were made for each variable to identify disparities. As predominantly low SES immigrants, Guyanese adults were less likely to be covered by health insurance, have a usual place for care, and receive cancer screenings. They were more likely to engage in alcohol binge drinking, but generally in good overall physical and mental health and less likely to smoke or report disability. Stable family structure and supportive interpersonal relationships are major assets of this group. Improved access to affordable health insurance, linkages to primary care, targeted cancer screening programs, and culturally-sensitive behavioral health services are recommended for Guyanese immigrants. © 2017, Springer Science+Business Media, LLC.

Health behavior Healthcare utilization healthcare access Cancer screening Guyanese immigrants

patient care demography health insurance Continental Population Groups ancestry group mental health human Health Behavior epidemiology middle aged statistics and numerical data Stress, Psychological mental stress early cancer diagnosis health status social support Early Detection of Cancer Patient-Centered Care Insurance, Health ethnology Residence Characteristics Young Adult Humans migrant New York Adolescent male Emigrants and Immigrants female Socioeconomic Factors socioeconomics Guyana adult patient attitude Patient Acceptance of Health Care health literacy Health Services Accessibility health care delivery