Your browser doesn't support javascript.
Provider perceptions of availability, accessibility, and adequacy of health and behavioral services for Latino immigrants in Philadelphia: a qualitative study.
Martinez-Donate, Ana P; Dsouza, Nishita; Cuellar, Sierra; Connor, Gabrielle; Zumaeta-Castillo, Claudia; Lazo-Elizondo, Mariana; Yamasaki, Yoshiaki; Perez, Cristina; Carroll-Scott, Amy; Martinez, Omar; Hassrick, Elizabeth McGhee.
  • Martinez-Donate AP; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA. apm78@drexel.edu.
  • Dsouza N; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
  • Cuellar S; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
  • Connor G; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
  • Zumaeta-Castillo C; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
  • Lazo-Elizondo M; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
  • Yamasaki Y; The Philadelphia AIDS Consortium, Philadelphia, PA, USA.
  • Perez C; WOAR Philadelphia Center Against Sexual Violence, Philadelphia, PA, USA.
  • Carroll-Scott A; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
  • Martinez O; College of Public Health, Temple University, Philadelphia, PA, USA.
  • Hassrick EM; Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
BMC Public Health ; 22(1): 1645, 2022 08 30.
Article in English | MEDLINE | ID: covidwho-2038699
ABSTRACT

OBJECTIVE:

Latino populations in the United States are disproportionately affected by substance use, HIV/AIDS, violence, and mental health issues (SAVAME). A growing body of evidence demonstrates the syndemic nature of SAVAME and the need for integrated strategies to reduce their impact. This study sought to understand the network of SAVAME services for Latino immigrants in Philadelphia to inform future interventions for SAVAME prevention and mitigation.

METHODOLOGY:

Key informant interviews (N = 30) were conducted with providers working in Latino-serving organizations providing SAVAME services. Interviews were analyzed using thematic coding and grounded theory.

RESULTS:

Latino-serving providers perceived a large need for, and important limitations in the availability, accessibility, and adequacy of SAVAME services for Latino immigrants. Gaps were seen as especially acute for mental health and substance use services, partly because of insufficient funding for these services. Latino immigrants' lack of health insurance, immigration status, limited English proficiency (LEP), stigma surrounding SAVAME issues, and limited knowledge of available services were identified as significant barriers preventing access to services. Providers noted that scarcity of well-trained, culturally competent, and ethnically concordant providers reduced the adequacy of SAVAME services for Latino immigrant clients. The small size, low levels of infrastructure, and limited capacity were reported as additional factors limiting the ability of many Latino-serving organizations to adopt a syndemic approach in the prevention and treatment of SAVAME services.

CONCLUSIONS:

The results call for changes in the structure of funding streams and communitywide strategies to foster collaboration across SAVAME providers working with Latino immigrant clients.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Substance-Related Disorders / Emigrants and Immigrants Type of study: Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: S12889-022-14066-z

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Substance-Related Disorders / Emigrants and Immigrants Type of study: Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: S12889-022-14066-z