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Crocker RM, Martínez DE, Maldonado A, Garcia DO. The maintenance of mexican traditional medicine practices among mexicans in southern Arizona. Soc Sci Med 2024; 351:116982. [PMID: 38788427 DOI: 10.1016/j.socscimed.2024.116982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 03/28/2024] [Accepted: 05/14/2024] [Indexed: 05/26/2024]
Abstract
Mexicans in the United States have been reported to maintain practices of Mexican traditional medicine at comparably higher rates than most other populations, including other Latino sub-groups. In this cross-sectional study, we examined the pre- and post-migration traditional medicine practices of first-generation immigrants from Mexico living in southern Arizona. Our objective was to assess how migration affected Mexican immigrants' ethnomedical practices and to better understand the mechanisms and motivating factors for the post-migration maintenance of practice. We designed a survey instrument based off prior qualitative data on traditional medicine practices and translated it into Spanish. The survey measured the rates and frequency of six domains of lay healing practices: herbal medicine, healing foods, self-medication with over-the-counter medicine, and three types of specialty healers (curandero/a, and sobador/a, or partero/a), and asked questions about knowledge sources, reasons for maintaining practice post-migration, and to what extent participants believed the remedies were effective. The research team fielded the telephone-based survey from April 2022 to February 2023 to 300 first-generation adult Mexican immigrants residing in southern Arizona. A series of proportions tests were conducted to examine differences in reliance on lay healing pre- and post-migration as well as to assess differences between women's and men's lay practices. The data indicate a general, but moderated decline in lay medical practices post-migration, with the usage of expert healers declining at much higher rates than the three self-care domains. Women tend to use herbal medicine and healing foods at higher rates than men post-migration. This cross-sectional quantitative study confirms prior research indicating that traditional medicine practices are heavily relied upon by Mexican origin people both pre- and post-migration. These findings suggest that public health messaging and medical providers should better address and harness Mexican immigrants' lay medical practices in order to optimize health in this population.
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Affiliation(s)
| | | | - Adriana Maldonado
- Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, USA
| | - David O Garcia
- Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, USA
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Scarinci IC, Hansen B, Green BL, Sodeke SO, Price-Haywood EG, Kim YI. Willingness to participate in various nontherapeutic cancer research activities among urban and rural African American and Latinx healthy volunteers. Cancer Causes Control 2022; 33:1059-1069. [PMID: 35404020 DOI: 10.1007/s10552-022-01576-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 03/18/2022] [Indexed: 11/30/2022]
Abstract
PURPOSE Inclusion of racial/ethnic minorities in cancer research can reduce disparities in health outcomes; however, data regarding barriers and motivators to participation are sparse. This study assessed African American (AA) and Latinx healthy volunteers' perspectives regarding willingness to participate in noninvasive and invasive research activities. METHODS Using a 38-item questionnaire adapted from the Tuskegee Legacy Project Questionnaire, we assessed willingness to participate in 12 research activities, offering 27 possible barriers and 14 motivators. The sample was segmented into four subgroups by AA/Latinx and rural/urban. RESULTS Across five states and Puerto Rico, 533 participants completed questionnaires. Overall, participants were more willing to participate in noninvasive versus invasive procedures, although, all subgroups were willing to participate in research if asked. Rural AA were most willing to complete a survey or saliva sample, while rural Latinx were least willing. Urban AA were least willing to provide cheek swab, while rural counterparts were most willing. Self-benefit and benefit to others were among the top three motivators for all subgroups. Curiosity was a primary motivator for urban AA while obtaining health information motivated rural Latinx. Primary barriers included fears of side effects and being experimented on, lack of information, and lack of confidentiality. CONCLUSIONS Latinx and AAs are willing to participate in the continuum of nontherapeutic research activities suggesting their lack of participation may be related to not being asked. Inclusive enrollment may be achieved by assessing needs of participants during the design phase of a study in order to reduce barriers to participation.
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Affiliation(s)
- Isabel C Scarinci
- Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 619 19th Street South, 10360F, Birmingham, Albama, 35249, USA.
| | - Barbara Hansen
- Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 619 19th Street South, 10360F, Birmingham, Albama, 35249, USA
| | | | | | | | - Young-Il Kim
- Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 619 19th Street South, 10360F, Birmingham, Albama, 35249, USA
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Babatunde AO, Shobanke HA, Akinade AA, Michael AJ, Osadare M, Akanbi OK, Favour OC, Adebisi YA. Enhancing preventive medicine over curative medicine: Role of telemedicine. PUBLIC HEALTH IN PRACTICE 2021; 2:100130. [PMID: 36101617 PMCID: PMC9461501 DOI: 10.1016/j.puhip.2021.100130] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 04/06/2021] [Accepted: 04/16/2021] [Indexed: 11/24/2022] Open
Abstract
Historically, healthcare has been skewed towards curative medicine neglecting preventive care leading to high cases of preventable diseases and mortalities. Preventive medicine does not only contribute towards improving health and well-being (SDG3) but also reduces poverty (SDG1). This article aims to highlight the need for prioritizing preventive medicine over curative medicine and also explore opportunities of telemedicine in its promotion.
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Scarinci IC, Hansen B, Kim YI. A Cluster-Randomized Controlled Trial to Evaluate a Community-Based Healthy Eating and Nutrition Label Interpretation Intervention Among Latinx Immigrant Mothers and Their Daughters. J Community Health 2021; 46:313-323. [PMID: 32671515 DOI: 10.1007/s10900-020-00885-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
We evaluated outcomes from a healthy eating/nutrition label interpretation intervention among Latinx immigrant mothers and their daughters, aged 9-12 years, in Alabama. Between May 2013-October 2017, this cluster randomized controlled trial assigned 299 mother-daughter dyads to either a healthy eating (intervention) or HPV vaccination (control) study arm. Participants attended four group sessions delivered in Spanish by Lay Health Educators covering portion sizes, healthy eating/cooking strategies, and nutrition label reading/interpretation. An individual session in participants' homes reviewed pantries and developed healthy eating plans. Identical interviewer-administered surveys were completed at baseline and 7-month follow-up by both study arms. Retention rate at follow-up was 93.4% in intervention arm (92.6% in control arm). Positive changes in healthy eating behaviors and proficiency in nutrition label interpretation were assessed. Adjusting for marital status, employment status, and health insurance coverage status, when compared to controls, mothers in the intervention arm had greater odds of increasing daily fruit and vegetable consumption (OR 3.66, 95% CI 2.14-6.27, p < 0.001), decreasing weekly fried food intake (OR 4.3, 95% CI 2.3-8.04, p < 0.001), decreasing daily sweetened beverages (OR 2.07, 95% CI 1.22-3.52, p < 0.01), increasing frequency of reading nutrition labels (OR 12.58, 95% CI 6.81-23.22, p < 0.001), and correctly interpreting nutrition labels (OR 4.45, 95% CI 2.64-7.48, p < 0.001). Significant positive changes in targeted behaviors were not observed among daughters. A community-based, culturally relevant intervention that includes nutrition label interpretation can positively influence eating habits among Latinx immigrant mothers.
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Affiliation(s)
- Isabel C Scarinci
- Division of Preventive Medicine, University of Alabama At Birmingham, 1717 11th Ave South, Birmingham, AL, 35205, USA.
| | - Barbara Hansen
- Division of Preventive Medicine, University of Alabama At Birmingham, 1717 11th Ave South, Birmingham, AL, 35205, USA
| | - Young-Il Kim
- Division of Preventive Medicine, University of Alabama At Birmingham, 1717 11th Ave South, Birmingham, AL, 35205, USA
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Cheng TC, Guo Y. Adult Immigrants’ Utilization of Physician Visits, Dentist Visits, and Prescription Medication. J Racial Ethn Health Disparities 2018; 6:497-504. [DOI: 10.1007/s40615-018-00548-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Revised: 11/16/2018] [Accepted: 11/23/2018] [Indexed: 10/27/2022]
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Reynolds MM, Childers TB. Cardiovascular Disease Screening Among Immigrants from Eight World Regions. J Immigr Minor Health 2018; 21:820-829. [PMID: 30056583 DOI: 10.1007/s10903-018-0796-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Inequalities between native-born and foreign-born individuals in screening rates for a variety of conditions have been well-documented in literature on immigrant health. A preponderance of this research focuses on the Latin American case and on cancer-specific screening. This study seeks to expand knowledge of such preventative-health screening differences by analyzing screening rates for blood sugar, blood pressure, and serum cholesterol among nine groups overall and (for immigrants) at various stages of US residency. Using nationally representative data from the National Health Interview Survey, we find that immigrants from eight geographic regions receive preventative care at lower rates than US-born Whites and that preventative screening is generally higher after 15 years than during the first 4 years of residency in the United States. Importantly, our data also show that screening patterns and trends vary based on region of origin and outcome. These findings improve our understanding of immigrant health and health care use in the United States.
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Affiliation(s)
- Megan M Reynolds
- Department of Sociology, University of Utah, 390 1530 E, Salt Lake City, UT, 84112, USA.
| | - Trenita B Childers
- Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Scarinci IC, Garcés-Palacio IC, Morales-Alemán MM, McGuire A. Sowing the Seeds of Health: Training of Community Health Advisors to Promote Breast and Cervical Cancer Screening among Latina Immigrants in Alabama. J Health Care Poor Underserved 2018; 27:1779-1793. [PMID: 27818438 DOI: 10.1353/hpu.2016.0162] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Latinas in the U.S. are disproportionately affected by breast and cervical cancer. This project sought to develop and evaluate a culturally relevant training for Community Health Advisors (CHA) to promote breast and cervical cancer screening among Latina immigrants in Alabama. The Empowerment Model guided training development and implementation supported by a formative evaluation and a Community Advisory Committee. The 16-hour CHA training included two intertwined components: knowledge and skills.Fifty-six (56) Latinas participated in the CHA training in six Alabama counties. The training increased the CHAs' (1) knowledge of cancer screening and other health topics and (2) their perceived confidence to communicate with women in their communities about cancer screening and to motivate them to attain cancer screenings. This work demonstrates the application of a transformative philosophical framework to promote capacity-building among CHAs toward the development and implementation of strategies to promote breast and cervical cancer screening among Latina immigrants.
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Morgan-Consoli ML, Unzueta E. Female Mexican Immigrants in the United States: Cultural Knowledge and Healing. WOMEN & THERAPY 2017. [DOI: 10.1080/02703149.2017.1323473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Melissa L. Morgan-Consoli
- Counseling, Clinical and School Psychology Department, University of California Santa Barbara, Santa Barbara, California
| | - Emily Unzueta
- Counseling, Clinical and School Psychology Department, University of California Santa Barbara, Santa Barbara, California
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White K, Ocampo M, Scarinci IC. A socio-ecological approach for examining factors related to contraceptive use among recent Latina immigrants in an emerging Latino state. Women Health 2016; 57:872-889. [DOI: 10.1080/03630242.2016.1206056] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Kari White
- Department of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Michelle Ocampo
- Department of Psychological Science, University of Arkansas, Fayetteville, Arkansas, USA
| | - Isabel C. Scarinci
- Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
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Alfaro KM, Gage JC, Rosenbaum AJ, Ditzian LR, Maza M, Scarinci IC, Miranda E, Villalta S, Felix JC, Castle PE, Cremer ML. Factors affecting attendance to cervical cancer screening among women in the Paracentral Region of El Salvador: a nested study within the CAPE HPV screening program. BMC Public Health 2015; 15:1058. [PMID: 26474762 PMCID: PMC4609068 DOI: 10.1186/s12889-015-2360-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2014] [Accepted: 09/28/2015] [Indexed: 11/13/2022] Open
Abstract
Background Cervical cancer is the third most commonly occurring cancer among women and the fourth leading cause of cancer-related deaths in women worldwide, with more than 85 % of these cases occurring in developing countries. These global disparities reflect the differences in cervical cancer screening rates between high-income and medium- and low-income countries. At 19 %, El Salvador has the lowest reported screening coverage of all Latin American countries. The purpose of this study is to identify factors affecting public sector HPV DNA-based cervical cancer screening participation in El Salvador. Methods This study was nested within a public sector screening program where health promoters used door-to-door outreach to recruit women aged 30–49 years to attend educational sessions about HPV screening. A subgroup of these participants was chosen randomly and questioned about demographic factors, healthcare utilization, previous cervical cancer screening, and HPV knowledge. Women then scheduled screening appointments at their public health clinics. Screening participants were adherent if they attended their scheduled appointment or rescheduled and were screened within 6 months. The association between non-adherence and demographic variables, medical history, history of cancer, sexual history, birth control methods, and screening barriers was assessed using Chi-square tests of significance and logistic regression. Results All women (n = 409) enrolled in the study scheduled HPV screening appointments, and 88 % attended. Non-adherence was associated with a higher number of lifetime partners and being under-screened—defined as not having participated in cervical cancer screening within the previous 3 years (p = 0.03 and p = 0.04, respectively); 22.8 % of participants in this study were under-screened. Conclusions Adherence to cervical cancer screening after educational sessions was higher than expected, in part due to interactions with the community-based health promoters as well as the educational session itself. More effective recruitment methods targeted toward under-screened women are required.
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Affiliation(s)
- Karla M Alfaro
- Basic Health International, Colonia las Mercedes, Avenida los Espliegos #5, San Salvador, El Salvador.
| | - Julia C Gage
- Division of Cancer Epidemiology and Genetic, National Cancer Institute, 9609 Medical Center Drive, Rockville, MD, 20850, USA.
| | - Alan J Rosenbaum
- Department of Obstetrics and Gynecology, University of Pittsburgh School of Medicine, 300 Halket Street, Pittsburgh, PA, 15213, USA. .,Fulbright U.S. Student Program, U.S. Department of State, 1400 K Street NW, Suite 700, Washington, DC, 20005, USA. .,Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, 395 W. 12th Ave., Columbus, OH, 43210, USA.
| | - Lauren R Ditzian
- Basic Health International, Colonia las Mercedes, Avenida los Espliegos #5, San Salvador, El Salvador.
| | - Mauricio Maza
- Basic Health International, Colonia las Mercedes, Avenida los Espliegos #5, San Salvador, El Salvador.
| | - Isabel C Scarinci
- Division of Preventive Medicine, University of Alabama at Birmingham, Medical Towers 621, 1717 11th Avenue South, Birmingham, AL, 35205, USA.
| | - Esmeralda Miranda
- Ministry of Health of El Salvador, Calle Arce, 827, San Salvador, El Salvador.
| | - Sofia Villalta
- Ministry of Health of El Salvador, Calle Arce, 827, San Salvador, El Salvador.
| | - Juan C Felix
- Department of Pathology, University of Southern California, 2011 Zonal Ave., Los Angeles, CA, 90033, USA.
| | - Philip E Castle
- Global Cancer Initiative, 100 Radcliffe Drive, Chestertown, MD, 21620, USA.
| | - Miriam L Cremer
- OB/GYN & Women's Health Institute, Cleveland Clinic 9500 Euclid Ave., Cleveland, OH, 44195, USA.
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White K, Scarinci IC. Comparison of Self-Rated Health Among Latina Immigrants in a Southern U.S. City and a National Sample. Am J Med Sci 2015; 350:290-5. [PMID: 26263236 PMCID: PMC4586406 DOI: 10.1097/maj.0000000000000554] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND In the United States, Latinos often report fair/poor self-rated health, which is an indicator for increased morbidity and mortality. Foreign-born Latinos in new immigrant destinations, such as the south, may rate their health more poorly than their counterparts elsewhere in the United States, because of the factors associated with migration and settlement in these communities. METHODS The authors assessed foreign-born Latinas' self-rated health in Birmingham, Alabama (n = 765), and compared it with that of foreign-born Latinas in the National Health Interview Survey (NHIS; n = 8,746). Birmingham participants were matched to Latinas in the NHIS using propensity scores. The authors examined factors associated with reporting worse health using ordered logistic regression and inverse probability of treatment weights. RESULTS After propensity score matching, 47.6% of foreign-born Latinas in the Birmingham study reported their health as fair/poor compared with 17.9% of foreign-born Latinas in the NHIS (P < 0.001). The association between being Mexican born versus from other countries with poorer health was stronger in the Birmingham study (odds ratio: 4.46 [95% CI: 1.91-10.4]) than in the NHIS (odds ratio: 1.09 [95% CI: 1.08-1.09]). Shorter durations of U.S. residence were associated with better health for Latinas in the NHIS but not those in Birmingham. CONCLUSIONS In this study of Latina immigrants in a new settlement community in the south, women reported worse health than foreign-born Latinas in other U.S. regions, suggesting they may be at increased risk of adverse health outcomes. Future studies are needed to better understand the factors associated with these differences to reduce morbidity and mortality burdens.
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Affiliation(s)
- Kari White
- Health Care Organization & Policy (KW), University of Alabama at Birmingham, Birmingham, Alabama; and Division of Preventive Medicine (ICS), University of Alabama at Birmingham, Birmingham, Alabama
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Wells KJ, Lima DS, Meade CD, Muñoz-Antonia T, Scarinci I, McGuire A, Gwede CK, Pledger WJ, Partridge E, Lipscomb J, Matthews R, Matta J, Flores I, Weiner R, Turner T, Miele L, Wiese TE, Fouad M, Moreno CS, Lacey M, Christie DW, Price-Haywood EG, Quinn GP, Coppola D, Sodeke SO, Green BL, Lichtveld MY. Assessing needs and assets for building a regional network infrastructure to reduce cancer related health disparities. EVALUATION AND PROGRAM PLANNING 2014; 44:14-25. [PMID: 24486917 PMCID: PMC4360072 DOI: 10.1016/j.evalprogplan.2013.12.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2013] [Revised: 10/12/2013] [Accepted: 12/19/2013] [Indexed: 05/09/2023]
Abstract
Significant cancer health disparities exist in the United States and Puerto Rico. While numerous initiatives have been implemented to reduce cancer disparities, regional coordination of these efforts between institutions is often limited. To address cancer health disparities nation-wide, a series of regional transdisciplinary networks through the Geographic Management Program (GMaP) and the Minority Biospecimen/Biobanking Geographic Management Program (BMaP) were established in six regions across the country. This paper describes the development of the Region 3 GMaP/BMaP network composed of over 100 investigators from nine institutions in five Southeastern states and Puerto Rico to develop a state-of-the-art network for cancer health disparities research and training. We describe a series of partnership activities that led to the formation of the infrastructure for this network, recount the participatory processes utilized to develop and implement a needs and assets assessment and implementation plan, and describe our approach to data collection. Completion, by all nine institutions, of the needs and assets assessment resulted in several beneficial outcomes for Region 3 GMaP/BMaP. This network entails ongoing commitment from the institutions and institutional leaders, continuous participatory and engagement activities, and effective coordination and communication centered on team science goals.
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Affiliation(s)
- Kristen J Wells
- University of South Florida, 4202 East Fowler Avenue, Tampa, FL 33620, USA
| | - Diana S Lima
- H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USA.
| | - Cathy D Meade
- H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USA
| | - Teresita Muñoz-Antonia
- H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USA
| | - Isabel Scarinci
- University of Alabama at Birmingham Comprehensive Cancer Center, 1824 6th Avenue South, Birmingham, AL 35210, USA
| | - Allison McGuire
- University of Alabama at Birmingham Comprehensive Cancer Center, 1824 6th Avenue South, Birmingham, AL 35210, USA
| | - Clement K Gwede
- H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USA
| | - W Jack Pledger
- H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USA
| | - Edward Partridge
- University of Alabama at Birmingham Comprehensive Cancer Center, 1824 6th Avenue South, Birmingham, AL 35210, USA
| | - Joseph Lipscomb
- Emory University, 615 Michael Street, Atlanta, GA 30322, USA
| | - Roland Matthews
- Morehouse School of Medicine, 720 Westview Drive Southwest, Atlanta, GA 30310, USA
| | - Jaime Matta
- Ponce School of Medicine, 388 Zona Ind Reparada 2, Ponce, PR 00716-2347, USA
| | - Idhaliz Flores
- Ponce School of Medicine, 388 Zona Ind Reparada 2, Ponce, PR 00716-2347, USA
| | - Roy Weiner
- Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA
| | - Timothy Turner
- Tuskegee University, 1200 West Montgomery Road, Tuskegee Institute, AL 36088, USA
| | - Lucio Miele
- University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA
| | - Thomas E Wiese
- Xavier University of Louisiana College of Pharmacy, 1 Drexel Drive, New Orleans, LA 70125, USA
| | - Mona Fouad
- University of Alabama at Birmingham Comprehensive Cancer Center, 1824 6th Avenue South, Birmingham, AL 35210, USA
| | - Carlos S Moreno
- Emory University, 615 Michael Street, Atlanta, GA 30322, USA
| | - Michelle Lacey
- Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA
| | - Debra W Christie
- University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA
| | - Eboni G Price-Haywood
- Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA
| | - Gwendolyn P Quinn
- H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USA
| | - Domenico Coppola
- H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USA
| | - Stephen O Sodeke
- Tuskegee University, 1200 West Montgomery Road, Tuskegee Institute, AL 36088, USA
| | - B Lee Green
- H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USA
| | - Maureen Y Lichtveld
- Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA
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White K, Yeager VA, Menachemi N, Scarinci IC. Impact of Alabama's immigration law on access to health care among Latina immigrants and children: implications for national reform. Am J Public Health 2014; 104:397-405. [PMID: 24432880 DOI: 10.2105/ajph.2013.301560] [Citation(s) in RCA: 54] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
We conducted in-depth interviews in May to July 2012 to evaluate the effect of Alabama's 2011 omnibus immigration law on Latina immigrants and their US- and foreign-born children's access to and use of health services. The predominant effect of the law on access was a reduction in service availability. Affordability and acceptability of care were adversely affected because of economic insecurity and women's increased sense of discrimination. Nonpregnant women and foreign-born children experienced the greatest barriers, but pregnant women and mothers of US-born children also had concerns about accessing care. The implications of restricting access to health services and the potential impact this has on public health should be considered in local and national immigration reform discussions.
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Affiliation(s)
- Kari White
- Kari White and Nir Menachemi are with the Department of Health Care Organization and Policy, and Isabel C. Scarinci is with the Division of Preventive Medicine, University of Alabama, Birmingham. Valerie A. Yeager is with the Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
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Parmet WE, Jacobson PD. The courts and public health: caught in a pincer movement. Am J Public Health 2014; 104:392-7. [PMID: 24432949 DOI: 10.2105/ajph.2013.301738] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Public health practitioners are familiar with the general outlines of legal authority and with judicial standards for reviewing public health regulations. What may not be as familiar are 3 emerging judicial doctrines that pose considerable risks to public health initiatives. We explain the contentious series of judicial rulings that now place health departments' broad grant of authority in jeopardy. One doctrine invokes the First Amendment to limit regulatory authority. The second involves the Supreme Court's reinterpretation of federalism to limit both federal and state public health interventions. The third redefines the standard of evidence required to support regulations. Together, these judicial trends create a pincer movement that places substantial new burdens on the ability of health departments to protect health.
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Affiliation(s)
- Wendy E Parmet
- Wendy E. Parmet is with the Northeastern University School of Law, Boston, MA. Peter D. Jacobson is with the Center for Law, Ethics, and Health, University of Michigan School of Public Health, Ann Arbor
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