Velez Diane, Palomo-Zerfas Ana, Nunez-Alvarez Arcela, Ayala Guadalupe X, Finlayson Tracy L
Graduate School of Public Health, San Diego State University, San Diego, CA, 92182, USA.
Vista Community Clinic, Vista, CA, 92084, USA.
J Immigr Minor Health. 2017 Oct;19(5):1216-1226. doi: 10.1007/s10903-016-0467-2.
To qualitatively examine facilitators and barriers to dental care access and quality services among Mexican migrant women and their families living in North San Diego County, California. Six focus groups were conducted, with 52 participants. Three focus groups were with community residents (average group size of 10), and three were with community health workers/leaders (called Lideres; average group size of 7). The behavioral model for vulnerable populations theoretical framework guided qualitative data analyses. Predisposing factors to dental care access varied and included immigration status, language, and dental care experiences. Barriers to accessing quality dental services included high cost, lack of insurance coverage, dissatisfaction with providers, long wait times and discrimination. Participants expressed a desire for health policy changes, including affordable coverage for immigrants and their families. This study provided insights into how dental care providers, community health centers, and policymakers can improve dental care access and services to migrant populations.
为了定性研究居住在加利福尼亚州北圣地亚哥县的墨西哥移民妇女及其家庭获得牙科护理和优质服务的促进因素和障碍。开展了6个焦点小组，共有52名参与者。其中3个焦点小组的参与者是社区居民（平均每组10人），另外3个焦点小组的参与者是社区卫生工作者/领导者（称为Lideres；平均每组7人）。弱势群体行为模型理论框架指导了定性数据分析。获得牙科护理的 predisposing 因素各不相同，包括移民身份、语言和牙科护理经历。获得优质牙科服务的障碍包括费用高昂、缺乏保险覆盖、对提供者不满意、等待时间长和歧视。参与者表示希望改变卫生政策，包括为移民及其家庭提供负担得起的保险。这项研究为牙科护理提供者、社区卫生中心和政策制定者如何改善移民人口的牙科护理可及性和服务提供了见解。
