The University of Arizona, Tucson, Arizona, USA.
Qual Health Res. 2021 May;31(6):1043-1055. doi: 10.1177/1049732321992041. Epub 2021 Feb 15.
Barriers to health care access faced by Mexican immigrants in the United States have been well-documented, including lack of insurance, fear of deportation, and language barriers. However, little is known about this population's care-seeking experiences before migration. In this article, I use a life-course approach to explore binational isolation from health care and the ways in which early-life experiences pattern Mexicans' care-seeking practices in the United States. This ethnographic research project took place in Tucson, Arizona, between 2013 and 2014 and used semistructured interviews with service providers and first-generation Mexican immigrants. The majority of participants faced significant barriers to medical care in Mexico, which resulted in low rates of care utilization and heavy reliance on lay modalities. Immigrants faced an even broader array of barriers to care in the United States, and their lack of prior health care access further discouraged care utilization and compromised their medical care experiences after migration.
美国墨西哥移民在获得医疗服务方面面临的障碍已得到充分记录，包括缺乏保险、担心被驱逐出境和语言障碍。然而，对于这一人群在移民前的就医经历知之甚少。在本文中，我使用生命历程方法来探讨两国之间在医疗保健方面的隔离以及早期生活经历对墨西哥人在美国寻求医疗服务的影响。这项民族志研究项目于 2013 年至 2014 年在亚利桑那州图森市进行，使用半结构化访谈对服务提供者和第一代墨西哥移民进行了访谈。大多数参与者在墨西哥面临着严重的医疗障碍，导致医疗利用率低，严重依赖非专业手段。移民在美国面临着更多的医疗障碍，他们缺乏之前的医疗服务，这进一步阻碍了他们的医疗利用率，并在移民后影响了他们的医疗体验。
