“We Need Health for All”: Mental Health and Barriers to Care among Latinxs in California and Connecticut
Abstract
:1. Introduction
2. Materials and Methods
2.1. Survey Data on Latinx Immigrant Health Needs and Assets
2.1.1. Sampling and Eligibility Criteria
2.1.2. Anxiety
2.1.3. Socio-Demographic Factors
2.1.4. Mental Health Services Access
2.1.5. Experiences of Discrimination
2.1.6. Reported and Perceived Barriers to Mental Health Services
2.2. Ethnographic Vignettes
2.3. Analysis
3. Results
3.1. Research Question 1: What Factors Influence Mental Health among Latinx (im)migrant Community Members?
3.2. Research Question 2: How Can Services Be Effectively Improved to Meet these Factors and Barriers?
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
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Central CA Sample | Southern CT Sample | ||||
---|---|---|---|---|---|
Variables | Response Categories | n | % | n | % |
Gender | Women | 123 | 82.0 | 65 | 100.0 |
Men | 14 | 9.3 | 0 | 0.0 | |
Not Listed | 13 | 8.7 | 0 | 0.0 | |
Indigeneity | Not Indigenous | 125 | 83.3 | 59 | 90.8 |
Indigenous | 25 | 16.7 | 6 | 9.2 | |
Country of Origin | Belizean | 2 | 1.5 | 0 | 0.0 |
Brazilian | 2 | 1.6 | 0 | 0.0 | |
Chicana/o/x | 5 | 3.9 | 0 | 0.0 | |
Chilean | 2 | 1.6 | 1 | 1.5 | |
Colombian | 0 | 0.0 | 1 | 1.5 | |
Cuban | 1 | 0.7 | 0 | 0.0 | |
Dominican | 1 | 0.8 | 7 | 10.8 | |
Ecuadorian | 0 | 0.0 | 18 | 27.7 | |
Guatemalan | 9 | 6.6 | 9 | 13.8 | |
Honduran | 1 | 0.7 | 2 | 3.1 | |
Jamaican | 0 | 0.0 | 1 | 1.5 | |
Mexican | 91 | 66.9 | 15 | 23.1 | |
Mexican–American | 23 | 16.9 | 0 | 0.0 | |
Peruvian | 2 | 1.5 | 2 | 3.1 | |
Puerto Rican | 0 | 0.0 | 7 | 10.8 | |
Salvadoran | 7 | 5.1 | 2 | 3.1 |
Categorical Variables | Response Categories | n | % |
---|---|---|---|
Eligibility criteria | Outside advocate | 38 | 21.5 |
Immigrant community members | 139 | 78.5 | |
Language | English | 95 | 53.7 |
Spanish | 82 | 46.3 | |
Race | Other Race | 22 | 14.3 |
Latina/o/x or Hispanic | 132 | 85.7 | |
Indigeneity | Not Indigenous | 125 | 83.3 |
Indigenous | 25 | 16.7 | |
Insurance Coverage | No/Decline to State | 34 | 30.1 |
Yes | 79 | 69.9 | |
Continuous Variables | M | SD | |
General anxiety disorder symptoms a | 1.91 | 0.77 | |
Trust in biomedical healthcare b | 2.89 | 0.62 | |
Trust in therapists b | 2.79 | 0.76 | |
Mental health knowledge c | 3.35 | 1.32 | |
Concern for mental health issues c | 3.57 | 1.44 | |
Experiences of discrimination a | 0.47 | 0.90 |
Independent Variables | B | SE | β |
---|---|---|---|
Immigrant community member | −0.03 | 0.19 | −0.02 |
Spanish-speaking | −0.18 | 0.18 | −0.12 |
Latina/o/x or Hispanic | −0.43 | 0.24 | −0.19 |
Indigenous | 0.29 | 0.20 | −14 |
Insured | 0.47 ** | 0.17 | 0.29 |
Trust in biomedical healthcare | 0.11 | 0.16 | 0.09 |
Trust in therapists | 0.10 | 0.14 | 0.10 |
Mental health knowledge | −0.21 ** | 0.07 | −0.37 |
Concern for mental health issues | 0.11 * | 0.06 | 0.22 |
Experiences of discrimination | 0.19 * | 0.08 | 0.26 |
Constant | 1.55 *** | 0.47 | |
Model Summary | |||
F (10, 80) | 3.87 *** | ||
R2 | 0.326 |
Barriers | Health Needs | Relevant Quotes |
---|---|---|
Access | Preventative health services Accessibility Transportation Language support Remove fear and stigma Nutrition | “We need health4all. I am undocumented (DACA), and was accessing (student health insurance) but now that I’ve graduated I will lose coverage”. “Necesito más dinero para comida y medicina” a “Outreach is essential”. “Tener mas [sic] recurso y confiar en el sistema”. b |
Cost | Free or low-cost services Affordable sliding scales Insurance coverage Childcare Affordable housing | “Mas recursos economicos [sic] para todos” c “Recognizing that emergency Medi-Cal and sliding scales are not equitable care.” “Ser mas [sic] considerados y flexibles ala hora de ayudarlos en cualquier problema ya sea de salud o de algun otro recurso que ocupen para mejorar su estilo de vida” d |
Capacity | High-quality and consistent health services Mental health services Specialty doctors Health promotion and outreach | “More education, more promotion and easier access to services” “Ahora la salud mental no hay ayuda si no tienes papeles ahora la estan ofreciendo solo x lo del COVID-19, si no ni ofrecen ayuda psicológica” e “Proveyendo mas (sic) servicios y haciendo mas [sic] outreach para que la comunidad sepa de ellos, muchas veces si hay servicios pero la gente no esta (sic) informada y/o no saben que existen esos servicios” f |
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Espinoza-Kulick, M.A.V.; Cerdeña, J.P. “We Need Health for All”: Mental Health and Barriers to Care among Latinxs in California and Connecticut. Int. J. Environ. Res. Public Health 2022, 19, 12817. https://doi.org/10.3390/ijerph191912817
Espinoza-Kulick MAV, Cerdeña JP. “We Need Health for All”: Mental Health and Barriers to Care among Latinxs in California and Connecticut. International Journal of Environmental Research and Public Health. 2022; 19(19):12817. https://doi.org/10.3390/ijerph191912817
Chicago/Turabian StyleEspinoza-Kulick, Mario Alberto Viveros, and Jessica P. Cerdeña. 2022. "“We Need Health for All”: Mental Health and Barriers to Care among Latinxs in California and Connecticut" International Journal of Environmental Research and Public Health 19, no. 19: 12817. https://doi.org/10.3390/ijerph191912817