Escuela de Enfermería, Universidad Santo Tomás, Concepción 3349001, Chile.
Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1270709, Chile.
Int J Environ Res Public Health. 2024 Sep 23;21(9):1258. doi: 10.3390/ijerph21091258.
(1) Background: To evaluate a model based on the right-to-health approach, considering the impact of associated factors on the future utilization of primary healthcare services among international migrants in Chile. (2) Methods: A cross-sectional design was employed to survey 499 South American migrants residing in Chile. Ad-hoc questionnaires were used to assess their experiences related to the right to health, perceived discrimination, income, education, length of residence, age, marital status, gender, migration status, among others. Correlation analyses were conducted, followed by path analysis with significant variables to assess the fit of two models. (3) Results: Ten variables were identified as significant for path analysis. Among the two evaluated models, the final model identified six variables with significant direct and indirect effects. Among them, the availability, accessibility, acceptability, and quality of healthcare services were positively associated with the future intention to use them. Additionally, perceived racial and ethnic discrimination also had a positive effect on the intention to use healthcare services, suggesting a possible adaptive response to adversity, exhibiting acceptable goodness-of-fit indices (χ =241,492; < 0.001; CFI = 0.913; TLI = 0.82; RMSEA = 0.062; SRMR = 0.05). (4) Conclusions: While the initial model provides valuable insights, it is essential to broaden the analysis to include other factors influencing the specific context of international migrants.
(1) 背景：评估一个基于健康权方法的模型，考虑相关因素对智利国际移民未来利用初级卫生保健服务的影响。(2) 方法：采用横断面设计调查了 499 名居住在智利的南美移民。使用专门的问卷评估了他们与健康权相关的经历、感知歧视、收入、教育、居住时间、年龄、婚姻状况、性别、移民身份等。进行了相关分析，然后对有显著意义的变量进行路径分析，以评估两个模型的拟合程度。(3) 结果：有 10 个变量被确定为路径分析的显著变量。在所评估的两个模型中，最终模型确定了 6 个具有显著直接和间接影响的变量。其中，医疗保健服务的可及性、可及性、可接受性和质量与未来使用它们的意愿呈正相关。此外，感知到的种族和民族歧视也对使用医疗保健服务的意愿产生了积极影响，这表明可能存在一种适应逆境的反应，表现出可接受的拟合优度指数（χ=241.492；<0.001；CFI=0.913；TLI=0.82；RMSEA=0.062；SRMR=0.05）。(4) 结论：虽然初始模型提供了有价值的见解，但有必要扩大分析范围，纳入影响国际移民特定背景的其他因素。
