2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'An estimated 10.5 million undocumented immigrants reside in the U.S.;
|
|
|
|
|
|
|
|
|
|
10\% are 55 and older. Undocumented older adults do not qualify for
|
|
|
|
|
|
|
|
|
|
Medicaid or Social Security benefits even though many pay taxes. The
|
|
|
|
|
|
|
|
|
|
study examines undocumented older adults'' perceptions on their health
|
|
|
|
|
|
|
|
|
|
status and their experiences in accessing health care. In-depth
|
|
|
|
|
|
|
|
|
|
semi-structured interviews were used to facilitate dialogue with
|
|
|
|
|
|
|
|
|
|
undocumented older adults (N = 30) ages 55-63 (M = 61.67, SD = 5.50).
|
|
|
|
|
|
|
|
|
|
Most of the participants were Mexican (n = 26, 87\%) and had lived in
|
|
|
|
|
|
|
|
|
|
the U.S. on average 21 years (SD = 8.78). A constant comparative
|
|
|
|
|
|
|
|
|
|
approach was used while completing initial, focused, and axial coding.
|
|
|
|
|
|
|
|
|
|
Participants were classified into a five-group typology that captures
|
|
|
|
|
|
|
|
|
|
the intersection of perceived health status/need and access to health
|
|
|
|
|
|
|
|
|
|
care; (1) High need, with access to care; (2) High need, with ambiguous
|
|
|
|
|
|
|
|
|
|
access; (3) Undiagnosed need, with no access; (4) Perceived healthy
|
|
|
|
|
|
|
|
|
|
status, with no access; (5) Healthy status, with access to care.
|
|
|
|
|
|
|
|
|
|
Participants who reported high health needs experienced a range of
|
|
|
|
|
|
|
|
|
|
chronic and degenerative health conditions. Participants accessed care
|
|
|
|
|
|
|
|
|
|
by paying-out-of-pocket (between \$100 and 300/visit for consultation,
|
|
|
|
|
|
|
|
|
|
lab work, and medications). High need participants with ambiguous access
|
|
|
|
|
|
|
|
|
|
have been able to access care through permanently residing under color
|
|
|
|
|
|
|
|
|
|
of law status or Medically Indigent Services Programs; access is
|
|
|
|
|
|
|
|
|
|
uncertain given their undocumented status and changes in policies.
|
|
|
|
|
|
|
|
|
|
Participants faced multiple barriers to accessing health care-mainly
|
|
|
|
|
|
|
|
|
|
high cost and documentation status. Limited access to care leads to
|
|
|
|
|
|
|
|
|
|
several detrimental consequences such as debilitated health, emotional
|
|
|
|
|
|
|
|
|
|
burden, and economic insecurity. Older undocumented adults are a
|
|
|
|
|
|
|
|
|
|
vulnerable population that experience great health needs. The high cost
|
|
|
|
|
|
|
|
|
|
for health care and limited access to care takes a toll on undocumented
|
|
|
|
|
|
|
|
|
|
older adults. The findings highlight many opportunities for policy
|
|
|
|
|
|
|
|
|
|
advocacy and practice with older undocumented adults.'
|
|
|
|
|
affiliation: 'Ayon, C (Corresponding Author), Univ Calif Riverside, Sch Publ Policy,
|
|
|
|
|
900 Univ Way, Riverside, CA 92521 USA.
|
|
|
|
|
|
|
|
|
|
Ayon, Cecilia; Lopez Torres, Andrea Sthepania, Univ Calif Riverside, Sch Publ Policy,
|
|
|
|
|
900 Univ Way, Riverside, CA 92521 USA.
|
|
|
|
|
|
|
|
|
|
Ramos Santiago, Jonathan, Univ Calif Berkeley, Sch Social Work, Berkeley, CA 94720
|
|
|
|
|
USA.'
|
|
|
|
|
author: Ayon, Cecilia and Ramos Santiago, Jonathan and Lopez Torres, Andrea Sthepania
|
|
|
|
|
author-email: cayon@ucr.edu
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Ayon
|
|
|
|
|
given: Cecilia
|
|
|
|
|
- family: Ramos Santiago
|
|
|
|
|
given: Jonathan
|
|
|
|
|
- family: Lopez Torres
|
|
|
|
|
given: Andrea Sthepania
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.1007/s10903-019-00966-7
|
|
|
|
|
earlyaccessdate: JAN 2020
|
|
|
|
|
eissn: 1557-1920
|
|
|
|
|
files: []
|
|
|
|
|
issn: 1557-1912
|
|
|
|
|
journal: JOURNAL OF IMMIGRANT AND MINORITY HEALTH
|
|
|
|
|
keywords: Undocumented; Older adults; Health; Health access
|
|
|
|
|
keywords-plus: 'IMMIGRATION ENFORCEMENT; LEGAL VIOLENCE; BARRIERS; QUALITY; JUSTICE;
|
|
|
|
|
|
|
|
|
|
PROGRAM; RISK'
|
|
|
|
|
language: English
|
|
|
|
|
month: OCT
|
|
|
|
|
number: '5'
|
|
|
|
|
number-of-cited-references: '65'
|
|
|
|
|
pages: 996-1009
|
|
|
|
|
papis_id: 1039745708e2f176aad55e16401e63cd
|
|
|
|
|
ref: Ayon2020latinxundocumented
|
|
|
|
|
researcherid-numbers: Torres, Andrea/HLP-6166-2023
|
|
|
|
|
times-cited: '19'
|
|
|
|
|
title: Latinx Undocumented Older Adults, Health Needs and Access to Healthcare
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000505365100002
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '10'
|
|
|
|
|
volume: '22'
|
|
|
|
|
web-of-science-categories: Public, Environmental \& Occupational Health
|
|
|
|
|
year: '2020'
|
