López-Cevallos Daniel F, Lee Junghee, Donlan William
Center for Latino/a Studies and Engagement, Oregon State University, 225 Waldo Hall, Corvallis, OR, 97331, USA,
J Immigr Minor Health. 2014 Aug;16(4):706-11. doi: 10.1007/s10903-013-9845-1.
Migrant and seasonal farmworkers face many health risks with limited access to health care and promotion services. This study explored whether fear of deportation (as a barrier), and church attendance (as an enabling factor), were associated with medical and dental care use among Mexican-origin farmworkers. Interviews were conducted with 179 farmworkers who attended mobile services provided by a local federally-qualified health center (FQHC) in partnership with area churches, during the 2007 agricultural season. The majority of respondents (87 %) were afraid of being deported, and many (74 %) attended church. Although about half of participants reported poor/fair physical (49 %) and dental (58 %) health, only 37 % of farmworkers used medical care and 20 % used dental care during the previous year. Fear of deportation was not associated with use of medical or dental care; while church attendance was associated with use of dental care. Findings suggest that despite high prevalence of fear of deportation, support by FQHCs and churches may enable farmworkers to access health care services.
流动和季节性农场工人面临诸多健康风险,获得医疗保健和推广服务的机会有限。本研究探讨了对被驱逐出境的恐惧(作为一种障碍)和参加教会活动(作为一个促成因素)是否与墨西哥裔农场工人使用医疗和牙科护理有关。在2007年农业季节期间,对179名参加了由当地一家获得联邦资格认定的健康中心(FQHC)与地区教会合作提供的流动服务的农场工人进行了访谈。大多数受访者(87%)害怕被驱逐出境,许多人(74%)参加教会活动。尽管约一半的参与者报告身体(49%)和牙齿(58%)健康状况不佳/一般,但在上一年中,只有37%的农场工人使用了医疗护理,20%使用了牙科护理。对被驱逐出境的恐惧与使用医疗或牙科护理无关;而参加教会活动与使用牙科护理有关。研究结果表明,尽管对被驱逐出境的恐惧普遍存在,但FQHC和教会的支持可能使农场工人能够获得医疗保健服务。