Journal of Immigrant and Minority Health
Volume 12, Issue 3, 2010, Pages 354-360

Health competence as predictor of access to care among latinos in Baltimore (Article)

Fonseca-Becker F.* , Perez-Patron M.J. , Munoz B. , O'Leary M. , Rosario E. , West S.K.
  • a [Affiliation not available]
  • b Department of Population and Family Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  • c Dana Center for Preventive Ophthalmology, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, United States
  • d Dana Center for Preventive Ophthalmology, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, United States
  • e Hispanic Apostolate, Baltimore, MD, United States
  • f Dana Center for Preventive Ophthalmology, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Abstract

The goal of this study is to identify the underlying structure of Health Competence and its value as a predictor of access to care among the Latino population in Baltimore, Maryland. Data on a cross-sectional urban probability sample were collected from 330 foreign-born Latino men and women aged 21-75 years residing in Baltimore at the time of the survey. Principal components analysis yielded a two-component solution: the first component comprised "factors enabling" access to care; the second, "perceived barriers". When testing the predictive power of the Health Competence construct using model building and the log likelihood criteria the "enabling factors" added significantly (P < .005) to the power of the socio-demographic variables to predict access to care, making it an important tool for programs aiming to improve US Latinos' health. © Springer Science+Business Media, LLC 2007.

Author Keywords

Health seeking behavior Health competence Hispanics Access to care Latinos

Index Keywords

information processing urban population social psychology health disparity Health Status Disparities predictive value risk human Health Behavior validation study middle aged Odds Ratio statistics Confidence Intervals Aged Logistic Models Hispanic Americans qualitative research Cross-Sectional Studies Confidence interval Young Adult United States cross-sectional study Humans Hispanic male female Multivariate Analysis Health Knowledge, Attitudes, Practice Article adult health education Predictive Value of Tests Prejudice patient attitude Health Services Accessibility Patient Acceptance of Health Care statistical model principal component analysis Baltimore attitude to health Focus Groups health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956055630&doi=10.1007%2fs10903-007-9101-7&partnerID=40&md5=55bdf09e0ee1a98a6a9226bd483e446a
DOI: 10.1007/s10903-007-9101-7
ISSN: 15571912
Cited by: 1
Original Language: English