Latinx Health and Health Care in the United States : Comparing Rural and Urban Adults in New versus Established Destinations
- Author
- Chandler, Raeven Faye
- Published
- [University Park, Pennsylvania] : Pennsylvania State University, 2019.
- Physical Description
- 1 electronic document
- Additional Creators
- Jensen, Leif
Access Online
- etda.libraries.psu.edu , Connect to this object online.
- Graduate Program
- Restrictions on Access
- Open Access.
- Summary
- Findings concerning health and healthcare access/use among the Latinx community in the U.S. are varied, with some studies suggesting better health than their white counterparts and others reporting far worse outcomes. Given increased internal migration and spatial dispersion of Latinxs within the U.S., it is imperative that rural/urban differences in health are explored. In this study I focus on variations in Latinx health care access, use, and satisfaction across different residential contexts, including between new versus established destinations and metropolitan and nonmetropolitan counties. I use restricted National Health Interview Survey data within Penn States Federal Statistical Research Data Center to identify respondents counties of residence and link individual-level data to contextual demographic, economic, health care, and policy data. This research aims to 1) Describe rural/urban differences in Latinx health and healthcare access, use, and satisfaction; 2) Identify the individual and contextual factors that contribute to the differences in these outcomes; and 3) Determine whether destination status moderates associations between county metropolitan status and outcomes of interest. I conduct analyses on four outcomes: self-rated health, number of emergency room visits, delaying care, and satisfaction with care. Several important findings emerge. Latinxs in metropolitan counties have higher odds of reporting fair or poor self-rated health, visiting an ER two or more times in the past year, reporting delays in care, and slightly higher odds of reporting satisfaction with care. County health professional supply, ethnic enclave characteristics, and economic factors were found to be significant in explaining some of these relationships. Significant differences in destination status were found for all outcomes of interest, although the odds ratios were quite small in most cases. Findings from this dissertation help to illuminate the growing body of research on spatial differentiations in Latinx health in the United States.
- Other Subject(s)
- Genre(s)
- Dissertation Note
- Ph.D. Pennsylvania State University 2019.
- Reproduction Note
- Microfilm (positive). 1 reel ; 35 mm. (University Microfilms 28097119)
- Technical Details
- The full text of the dissertation is available as an Adobe Acrobat .pdf file ; Adobe Acrobat Reader required to view the file.
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