Assessing the Likelihood of Having a Regular Health Care Provider among African American and African Immigrant Women

Immigrants, especially refugees, face unique barriers to accessing health care relative to native born Americans. In this study, we examined how immigration status, health, barriers to access, and knowledge of the health care system relate to the likelihood of having a regular health care provider....

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Bibliographic Details
Published in:	Ethnicity & disease Vol. 29; no. 2; pp. 253 - 260
Main Authors:	Ahad, Fatema Binte, Zick, Cathleen D., Simonsen, Sara E., Mukundente, Valentine, Davis, France A., Digre, Kathleen
Format:	Journal Article
Language:	English
Published:	United States Ethnicity & Disease, Inc 18-04-2019
Subjects:	Original Report: Public Health Access Refugee Primary Care Health Care Provider Health Literacy African Immigrants
Online Access:	Get full text
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Summary:	Immigrants, especially refugees, face unique barriers to accessing health care relative to native born Americans. In this study, we examined how immigration status, health, barriers to access, and knowledge of the health care system relate to the likelihood of having a regular health care provider. Using logistic regression and data from a community-based participatory study, we estimated the relative likelihood that an African immigrant woman would have a regular health care provider compared with an African American woman. Immigrant status remains a powerful predictor of whether a woman had a regular health care provider after controlling for covariates. African immigrants were 73% less likely to have a regular health care provider than were otherwise similar African American women. Expanding health care educational efforts for immigrants may be warranted. Future research should examine how cultural beliefs and time in residence influence health care utilization among US immigrants.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Research concept and design: Ahad, Zick, Simonsen, Mukundente, Davis, Digre; Acquisition of data: Simonsen, Mukundente, Davis; Data analysis and interpretation: Ahad, Zick, Simonsen, Davis; Manuscript draft: Ahad, Zick, Simonsen, Davis, Digre; Statistical expertise: Ahad, Zick; Acquisition of funding: Simonsen, Digre; Administrative: Simonsen, Mukundente, Davis, Digre; Supervision: Simonsen, Davis, Digre Competing Interests: None declared.
ISSN:	1049-510X 1945-0826
DOI:	10.18865/ed.29.2.253