title: The relationship between psychosocial status of immigrant Latino mothers and use of emergency pediatric services.
abstract: Consistent empirical evidence has shown that low-income Latino populations tend to underutilize health care services and do not have a usual source of care. This article identifies and describes the sociodemographic and psychosocial characteristics of Latino immigrant mothers who use emergency pediatric services, assesses the association of maternal characteristics with perceived barriers to care, and examines key predictors of total number of pediatric visits in a year. A survey was carried out to obtain data on reason for emergency room visit, usual sources of care, child's health, and mother's physical and psychosocial health. The results revealed a clear pattern of delayed care for acute problems in the children, a high number of reported barriers to pediatric care, and high mental distress reported by mothers.
authors.affiliation: College of Nursing and Health Sciences, George Mason University, Fairfax, VA 22030-4444.
authors.forename: R E
authors.initials: RE
authors.lastname: Zambrana
authors.forename: K
authors.initials: K
authors.lastname: Ell
authors.forename: C
authors.initials: C
authors.lastname: Dorrington
authors.forename: L
authors.initials: L
authors.lastname: Wachsman
authors.forename: D
authors.initials: D
authors.lastname: Hodge
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D002662:Child Health Services / Q000706:statistics & numerical data*; D002675:Child, Preschool; D004544:El Salvador / Q000208:ethnology; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D004641:Emigration and Immigration; D005260:Female; D006166:Guatemala / Q000208:ethnology; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006300:Health Services Misuse / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008016:Life Change Events; D015141:Los Angeles; D008297:Male; D017058:Mexican Americans / Q000523:psychology / Q000706:statistics & numerical data; D009035:Mothers / Q000523:psychology; D010342:Patient Acceptance of Health Care