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    Factors Associated to Health Care Service Use among Latino Day Laborers

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    Author
    Boyas, J.F.
    Negi, N.J.
    Valera, P.
    Date
    2017
    Journal
    American Journal of Men's Health
    Publisher
    SAGE Publications Inc.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://www.doi.org/10.1177/1557988317694297
    Abstract
    Latino day laborers (LDLs) are at elevated risks for disease and injury because of the environments in which they work. Despite this recognition, a comprehensive examination of factors related to LDLs’ health service use remains unexamined. Using the Andersen model, the current exploratory study examined predisposing (age, education level, location of educational training, legal status, and marital status), enabling (income, trust in medical personnel, whether the respondent has someone they consider their personal doctor, and whether their doctor speaks the same language, perceived barriers to care), and need (self-rated health, number of chronic conditions) variables to predict use of health services among a purposive sample of LDLs (N = 150). Cross-sectional data were collected in 2012 from 4 day laborer sites in Dallas and Arlington, Texas. Regression results suggest that the strongest predictor of health care use was trust in medical providers (β = .41). LDLs who were U.S legal residents (β = .21), reported multiple chronic conditions (β = .16), and had a doctor who spoke their language (β = .15) reported significantly higher levels of health care usage. In terms of barriers, not being able to pay for services (β = −.23), lacking health care insurance coverage (β = −.22), and being embarrassed or having a family member not approve of utilizing services (β = −.18) were significantly associated with lower health care usage among LDLs. These findings suggest that LDLs are faced with a number of predisposing, enabling, and need factors that comprise health care use. Copyright The Author(s) 2017.
    Keyword
    Andersen model
    Latino day laborers
    use of health care services
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021112640&doi=10.1177%2f1557988317694297&partnerID=40&md5=3b544ce9fef4b7bd21fab363ded8ef55; http://hdl.handle.net/10713/9975
    ae974a485f413a2113503eed53cd6c53
    10.1177/1557988317694297
    Scopus Count
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    UMB Open Access Articles 2017

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