title: Health care-seeking among Latino immigrants: blocked access, use of traditional medicine, and the role of religion.
abstract: Barriers to health care and use of cultural alternatives are studied from open-ended interviews of 96 Latino immigrants, 12 hometown association leaders, and five pastors and health outreach workers. Frequently mentioned barriers to approaching hospitals and clinics included problems in communication, establishing financial eligibility, and extremely long waits for service. We found frequent use of cultural alternatives, such as herbal medications, obtaining care from Mexican doctors, and some use of traditional healers. The role of religiosity is studied: prayer is viewed as fundamental to health, but the church is not perceived as an aid in physical health-seeking. Health care for Latino immigrants often involves a blend of mainstream and traditional medicine; the study discusses examples of respondents who navigate between the two systems within the interplay of culture and structure.
authors.affiliation: Department of Sociology, University of Southern California, Los Angeles 90089-2539, California, USA. ransford@usc.edu
authors.forename: H Edward
authors.initials: HE
authors.lastname: Ransford
authors.forename: Frank R
authors.initials: FR
authors.lastname: Carrillo
authors.forename: Yessenia
authors.initials: Y
authors.lastname: Rivera
mesh_terms: D001294:Attitude to Health / Q000208:ethnology; D002489:Central America / Q000208:ethnology; D003144:Communication Barriers; D003469:Culture; D004608:Eligibility Determination; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D006297:Health Services Accessibility; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008519:Medicine, Traditional / Q000706:statistics & numerical data*; D008800:Mexico / Q000208:ethnology; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011369:Professional-Patient Relations; D036301:Qualitative Research; D012068:Religion and Medicine; D014850:Waiting Lists