title: Impact of Neighborhood Environments on Health Consciousness, Information Seeking, and Attitudes among US-Born and Non-US-Born Free Clinic Patients.
abstract: OBJECTIVE
  This study examined the impact of neighborhood environments on health consciousness, information seeking, and attitudes among uninsured free clinic patients to better understand the specific needs of the population for health promotion and prevention efforts.
  
  
  METHODS
  US-born English-speaking, non-US-born English-speaking, and Spanish-speaking free clinic patients completed a self-administered survey using reliable measures in autumn 2014 (N = 769).
  
  
  RESULTS
  The results of this study suggest that social cohesion is positively associated with health consciousness, information seeking, and attitudes. Lower levels of available healthy food in the community were associated with higher levels of health consciousness. Although Spanish speakers reported lower levels of the availability of healthy food, social cohesion, and access to the Internet or text messaging compared with US-born or non-US-born English speakers, they were more likely to be health conscious and have higher levels of health information seeking. Spanish speakers as well as non-US-born English speakers, were more likely to attend health education classes compared with US-born English speakers.
  
  
  CONCLUSIONS
  Health education programs for free clinic patients should include strategies to increase social cohesion. Health education programs should consider the diverse needs of these individual populations to maximize the effectiveness of the programs for free clinic patients.
authors.affiliation: From the Departments of Sociology and Health Society and Policy, and the School of Medicine, University of Utah, Salt Lake City, the Maliheh Free Clinic, Salt Lake City, and the College of Health and Human Services, University of North Carolina at Wilmington.
authors.forename: Akiko
authors.initials: A
authors.lastname: Kamimura
authors.affiliation: From the Departments of Sociology and Health Society and Policy, and the School of Medicine, University of Utah, Salt Lake City, the Maliheh Free Clinic, Salt Lake City, and the College of Health and Human Services, University of North Carolina at Wilmington.
authors.forename: Jeanie
authors.initials: J
authors.lastname: Ashby
authors.affiliation: From the Departments of Sociology and Health Society and Policy, and the School of Medicine, University of Utah, Salt Lake City, the Maliheh Free Clinic, Salt Lake City, and the College of Health and Human Services, University of North Carolina at Wilmington.
authors.forename: Allison
authors.initials: A
authors.lastname: Jess
authors.affiliation: From the Departments of Sociology and Health Society and Policy, and the School of Medicine, University of Utah, Salt Lake City, the Maliheh Free Clinic, Salt Lake City, and the College of Health and Human Services, University of North Carolina at Wilmington.
authors.forename: Ha Ngoc
authors.initials: HN
authors.lastname: Trinh
authors.affiliation: From the Departments of Sociology and Health Society and Policy, and the School of Medicine, University of Utah, Salt Lake City, the Maliheh Free Clinic, Salt Lake City, and the College of Health and Human Services, University of North Carolina at Wilmington.
authors.forename: Maziar M
authors.initials: MM
authors.lastname: Nourian
authors.affiliation: From the Departments of Sociology and Health Society and Policy, and the School of Medicine, University of Utah, Salt Lake City, the Maliheh Free Clinic, Salt Lake City, and the College of Health and Human Services, University of North Carolina at Wilmington.
authors.forename: Sarah Yukie
authors.initials: SY
authors.lastname: Finlayson
authors.affiliation: From the Departments of Sociology and Health Society and Policy, and the School of Medicine, University of Utah, Salt Lake City, the Maliheh Free Clinic, Salt Lake City, and the College of Health and Human Services, University of North Carolina at Wilmington.
authors.forename: Liana
authors.initials: L
authors.lastname: Prudencio
authors.affiliation: From the Departments of Sociology and Health Society and Policy, and the School of Medicine, University of Utah, Salt Lake City, the Maliheh Free Clinic, Salt Lake City, and the College of Health and Human Services, University of North Carolina at Wilmington.
authors.forename: Justine J
authors.initials: JJ
authors.lastname: Reel
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D003243:Consciousness; D005006:Ethnicity; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D007198:Indians, North American; D057226:Information Seeking Behavior; D008297:Male; D017057:Medically Uninsured; D008875:Middle Aged; D012111:Residence Characteristics; D012931:Social Environment; D044465:White People