title: Strangers in a strange land: health care experiences for recent Latino immigrants in Midwest communities.
abstract: Latino immigrants in recent years are moving to U.S. communities that have little experience with immigration from Latin America. Although public health initiatives have been created to expand health care services to uninsured adults and children, little is known about whether and to what extent new immigrants benefit from such resources.
  
  
  METHODS
  We conducted 50 in-depth, semi-structured interviews with recent Latino immigrants residing in the Ann Arbor/Ypsilanti area of southeast Michigan to explore (a) these immigrants' perceptions of access to public health resources; (b) their assessments of their own health status, social and health needs, and patterns of use of health care services; (c) barriers to health care utilization; (d) strategies they have adopted to approach these barriers; and (e) how best to address the needs of growing immigrant communities.
  
  
  RESULTS
  Latino immigrants often are not using and are unaware of local public health programs and other health resources. The principal barriers to care noted included lack of insurance, language barriers, and isolation in new communities. Many strategies, both effective and ineffective, have been adopted to overcome these barriers.
  
  
  CONCLUSIONS
  With the dynamic flux of new immigrants into many communities, outreach efforts must be continuously renewed and re-oriented to reach new arrivals.
authors.affiliation: University of Michigan, Ann Arbor, MI, USA. nurit.harari@gmail.com
authors.forename: Nurit
authors.initials: N
authors.lastname: Harari
authors.forename: Matthew
authors.initials: M
authors.lastname: Davis
authors.forename: Michele
authors.initials: M
authors.lastname: Heisler
mesh_terms: D000293:Adolescent; D000328:Adult; D003144:Communication Barriers; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000191:economics / Q000458:organization & administration*; D006304:Health Status; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007802:Language; D008297:Male; D017057:Medically Uninsured; D011203:Poverty; D014481:United States; D035862:Vulnerable Populations; D055815:Young Adult