title: Sociocultural factors influencing delay in seeking routine health care among Latinas: a community-based participatory research study.
abstract: OBJECTIVE
  To assess sociocultural factors associated with delaying routine healthcare among Latinas.
  
  
  METHODS
  Using community-based participatory research; we interviewed 287 Latinas from the Capital District, NY. The Andersen model of healthcare utilization was used to assess predisposing, enabling and need factors influencing delay in seeking care. Modified Poisson regression was used to estimate prevalence risk ratios (PRR) and 95% confidence intervals.
  
  
  RESULTS
  Overall 70% of women reported delaying care. After controlling for other factors, women who were not married (PRR 1.21), had chronic disease (PRR 1.24), preferred a Latino doctor (PRR 1.18), used alternative medicine (PRR 1.28), were uninsured (PRR 1.29), or had faced discrimination during earlier health care visits (PRR 1.23), were significantly more likely to delay care.
  
  
  CONCLUSIONS
  Delay in seeking care among Latinas is determined by cultural and social factors that need to be incorporated in interventions aimed at improving access.
authors.affiliation: Department of Epidemiology and Biometrics, University at Albany, Albany New York, USA.
authors.forename: Tabassum Z
authors.initials: TZ
authors.lastname: Insaf
authors.forename: Janine M
authors.initials: JM
authors.lastname: Jurkowski
authors.forename: Ladan
authors.initials: L
authors.lastname: Alomar
mesh_terms: D000328:Adult; D002908:Chronic Disease; D055812:Community-Based Participatory Research; D000529:Complementary Therapies / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino; D006801:Humans; D017533:Marital Status; D017057:Medically Uninsured; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D016012:Poisson Distribution