Puleo Blair K, Dillon Frank R, Ertl Melissa M, Da Silva Nicole, Cabrera Tineo Yajaira A, Verile Michael, De La Rosa Mario
School of Counseling and Counseling Psychology, Arizona State University, Tempe, AR, USA.
HIV Center for Clinical and Behavioral Studies, Columbia University and New York State Psychiatric Institute, New York, NY, USA.
Hisp Health Care Int. 2024 Jun;22(2):83-91. doi: 10.1177/15404153231187394. Epub 2023 Jul 16.
The present longitudinal study examined changes in perceived access to health care among a recently immigrated cohort of Latina young adults who were assessed annually during their first 3 years in the United States. A parallel process growth model of perceived access to health care and neighborhood collective efficacy was examined, accounting for socioeconomic indicators and immigration status. Five hundred thirty Latina young adults (ages 18-23) participated at baseline assessment, and approximately 95% were retained over three annual assessment time points. Participants' mean level of perceived access to health care increased during their initial 3 years in the United States. Women who reported more of an increase in perceived access to health care tended to also indicate increased neighborhood collective efficacy relative to their peers during their first 3 years in the United States. Findings offer important information about the individual- and community-level factors that influence recently immigrated Latinas' health care access.
本纵向研究调查了一群新移民的拉丁裔年轻成年人在美国的头三年中每年接受评估时，他们对医疗保健可及性的认知变化。研究考察了医疗保健可及性与邻里集体效能感的平行过程增长模型，并考虑了社会经济指标和移民身份。530名年龄在18至23岁之间的拉丁裔年轻成年人参与了基线评估，在三个年度评估时间点中，约95%的人被保留下来。参与者对医疗保健可及性的平均认知水平在美国的头三年中有所提高。那些报告称医疗保健可及性提高幅度较大的女性，相对于同龄人而言，在其在美国的头三年中，邻里集体效能感也往往有所增强。研究结果提供了有关影响新移民拉丁裔女性医疗保健可及性的个人和社区层面因素的重要信息。
