Journal of Immigrant and Minority Health
Volume 18, Issue 3, 2016, Pages 710-714

Structural Characteristics of Migrant Farmworkers Reporting a Relationship with a Primary Care Physician (Article)

McCoy H.V. , Williams M.L. , Atkinson J.S. , Rubens M.*
  • a Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC 4 - 405, Miami, FL 33199, United States
  • b Department of Health Policy and Management, Academic and Student Affairs, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, United States
  • c Center for Health Promotion and Prevention Research, University of Texas School of Public Health, Houston, TX, United States
  • d Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC 4 - 405, Miami, FL 33199, United States

Abstract

Migrant farmworkers are disproportionately affected by many adverse health conditions, but access healthcare sparingly. This study of migrant farmworkers examined the distribution and general characteristics associated with having access to healthcare. Access to healthcare was measured by asking whether the participants (N = 413) had a primary care physician. Majority of participants did not have a primary care physician. Female migrant workers (AOR = 2.823 CI: 1.575–4.103) with insurance (AOR = 6.183 CI: 4.956–11.937) who lived at study site for more than 5 years (AOR = 2.728 CI: 1.936–7.837) and born in the United States (AOR = 2.648 CI: 1.373–3.338) had greater odds to have a primary care physician than recent male migrants without insurance who were born outside United States. There is a need to focus on Community Health Centers and Migrant Health Centers in tailoring their services and to widen the implementation and improve funding of Accountable Care Organizations to improve access to care of migrant farmworkers. © 2015, Springer Science+Business Media New York.

Author Keywords

Primary care Community health Health promotion Community health centers Access to care

Index Keywords

patient care agricultural worker health insurance human sex difference middle aged statistics and numerical data Agriculture Aged general practitioner Farmers Insurance, Health Patient-Centered Care United States Young Adult Humans Adolescent male female adult migration Physicians, Primary Care Sex Factors Transients and Migrants Health Services Accessibility health care delivery

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939144028&doi=10.1007%2fs10903-015-0265-2&partnerID=40&md5=75a56b9d4fa75e7f6d8f96d8a9eef511

DOI: 10.1007/s10903-015-0265-2
ISSN: 15571912
Cited by: 3
Original Language: English