Journal of immigrant health
Volume 7, Issue 4, 2005, Pages 305-316

Routine physical examination and forgone health care among Latino adolescent immigrants in the United States. (Article)

Sarmiento O.L.* , Miller W.C. , Ford C.A. , Schoenbach V.J. , Adimora A.A. , Viadro C.I. , Suchindran C.M.
  • a Departments of Epidemiology, University of North Carolina at Chapel HillNC 27599-7435, United States
  • b Departments of Epidemiology, University of North Carolina at Chapel HillNC 27599-7435, United States
  • c Departments of Epidemiology, University of North Carolina at Chapel HillNC 27599-7435, United States
  • d Departments of Epidemiology, University of North Carolina at Chapel HillNC 27599-7435, United States
  • e Departments of Epidemiology, University of North Carolina at Chapel HillNC 27599-7435, United States
  • f Departments of Epidemiology, University of North Carolina at Chapel HillNC 27599-7435, United States
  • g Departments of Epidemiology, University of North Carolina at Chapel HillNC 27599-7435, United States

Abstract

Knowledge concerning patterns of health care utilization among Latino-adolescent immigrants is needed to develop culturally-appropriate programs. The objectives of this study were to estimate the annual prevalence of having had a routine physical exam and episodes of adolescents' not seeking health care when they thought they should (forgone health care) among Latino adolescents by immigrant-generational status. Cross-sectional analysis of data from Latino adolescents in Wave I of the National Longitudinal Adolescent Health Study. First-generation immigrants who had lived in the U.S. < or = 5 years were less likely to receive routine care than third-generation immigrants (39.0% vs. 54.9%). This disparity decreased after adjustment for insurance status, parental education and poverty among Mexican origin adolescents. On average, 16.0% of first-generation immigrants who had lived in the U.S. < or = 5 years and 22.5% of third-generation immigrants reported forgoing health care. After adjustment for age, insurance status, parental education and routine care, recent arrivals were less likely than third-generation immigrants to forgo health care. Recent arrivals were less likely to receive a routine physical exam and to forgo care than third-generation immigrants. Future studies should explore the effect of acculturation on knowledge, beliefs and perceptions about health, illness and care-seeking behaviors.

Author Keywords

[No Keywords available]

Index Keywords

poverty risk human Odds Ratio statistics health service Confidence Intervals child behavior ethnology Hispanic Americans Health Services Needs and Demand Cross-Sectional Studies Confidence interval United States cross-sectional study Humans Hispanic Adolescent male Emigrants and Immigrants female risk factor Risk Factors Multivariate Analysis questionnaire health services Health Knowledge, Attitudes, Practice Article Adolescent Behavior Questionnaires migration Utilization Review patient attitude Patient Acceptance of Health Care Physical Examination attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-40349104730&partnerID=40&md5=d33875f030d6526703cdc156ab1cea6f
ISSN: 10964045
Cited by: 5
Original Language: English