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Mexican Immigrants-Attitudes and Interest in Health Insurance: A Qualitative Descriptive Study
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  • 作者:Carolyn M. Ziemer (1)
    Sylvia Becker-Dreps (2)
    Donald E. Pathman (3)
    Paul Mihas (4)
    Pamela Frasier (2)
    Melida Colindres (5)
    Milton Butterworth (6)
    Scott S. Robinson (7)
  • 关键词:Immigrant ; Health ; Mexican ; Insurance
  • 刊名:Journal of Immigrant and Minority Health
  • 出版年:2014
  • 出版时间:August 2014
  • 年:2014
  • 卷:16
  • 期:4
  • 页码:724-732
  • 全文大小:431 KB
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  • 作者单位:Carolyn M. Ziemer (1)
    Sylvia Becker-Dreps (2)
    Donald E. Pathman (3)
    Paul Mihas (4)
    Pamela Frasier (2)
    Melida Colindres (5)
    Milton Butterworth (6)
    Scott S. Robinson (7)

    1. School of Medicine, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    2. Department of Family Medicine, University of North Carolina at Chapel Hill, 590 Manning Drive, CB #7595, Chapel Hill, NC, 27599-7595, USA
    3. Department of Family Medicine, The Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    4. The Odom Institute, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    5. Inter-Am: English and Spanish Cross-Cultural Communications, Chapel Hill, NC, USA
    6. Development and Community Relations, Blue Ridge Community Health Services, Inc, Hendersonville, NC, USA
    7. Departamento de Antropologia, Universidad Autónoma Metropolitana, Iztapalap Campus, Mexico, Distrito Federal, Mexico
  • ISSN:1557-1920
文摘
Mexican immigrants to the U.S. are nearly three times more likely to be without health insurance than non-Hispanic native citizens. To inform strategies to increase the number of insured within this population, we elicited immigrants-understanding of health insurance and preferences for coverage. Nine focus groups with Mexican immigrants were conducted across the State of North Carolina. Qualitative, descriptive methods were used to assess people’s understanding of health insurance, identify their perceived need for health insurance, describe perceived barriers to obtaining coverage, and prioritize the components of insurance that immigrants value most. Individuals have a basic understanding of health insurance and perceive it as necessary. Participants most valued insurance that would cover emergencies, make care affordable, and protect family members. Barriers to obtaining insurance included cost, concerns about immigration status discovery, and communication issues. Strategies that address immigrants-preferences for and barriers to insurance should be considered.

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