Journal of Immigrant and Minority Health

, Volume 16, Issue 4, pp 706–711 | Cite as

Fear of Deportation is not Associated with Medical or Dental Care Use Among Mexican-Origin Farmworkers Served by a Federally-Qualified Health Center—Faith-Based Partnership: An Exploratory Study

  • Daniel F. López-CevallosEmail author
  • Junghee Lee
  • William Donlan
Original Paper


Migrant and seasonal farmworkers face many health risks with limited access to health care and promotion services. This study explored whether fear of deportation (as a barrier), and church attendance (as an enabling factor), were associated with medical and dental care use among Mexican-origin farmworkers. Interviews were conducted with 179 farmworkers who attended mobile services provided by a local federally-qualified health center (FQHC) in partnership with area churches, during the 2007 agricultural season. The majority of respondents (87 %) were afraid of being deported, and many (74 %) attended church. Although about half of participants reported poor/fair physical (49 %) and dental (58 %) health, only 37 % of farmworkers used medical care and 20 % used dental care during the previous year. Fear of deportation was not associated with use of medical or dental care; while church attendance was associated with use of dental care. Findings suggest that despite high prevalence of fear of deportation, support by FQHCs and churches may enable farmworkers to access health care services.


Fear of deportation Church attendance Health care use Health centers Faith-based organizations Farmworkers 



We thank the farmworkers who participated in this study for taking time from work to help us; and the support of Virginia Garcia Memorial Health Center and local churches. This research was supported by a grant from the Oregon Community Foundation. The content does not necessarily represent the views or policies of this organization.


  1. 1.
    Larson A: Migrant and seasonal farmworker enumeration profiles study: oregon. In. Vashon Island, WA: Larson Assistance Services; 2002: 39p.Google Scholar
  2. 2.
    Villarejo D. The health of US hired farm workers. Annu Rev Public Health. 2003;24(1):175–93.PubMedCrossRefGoogle Scholar
  3. 3.
    Arcury TA, Quandt SA. Delivery of health services to migrant and seasonal farmworkers. Annu Rev Public Health. 2007;28(1):345–63.PubMedCrossRefGoogle Scholar
  4. 4.
    Derose KP, Escarce JJ, Lurie N. Immigrants and health care: sources of vulnerability. Health Aff. 2007;26(5):1258–68.CrossRefGoogle Scholar
  5. 5.
    Hansen E, Donohoe M. Health issues of migrant and seasonal farmworkers. J Health Care Poor Underserved. 2003;14(2):153–64.PubMedCrossRefGoogle Scholar
  6. 6.
    Feldman SR, Vallejos QM, Quandt SA, Fleischer AB, Schulz MR, Verma A, Arcury TA. Health care utilization among migrant latino farmworkers: the case of skin disease. J Rural Health. 2009;25(1):98–103.PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Finlayson TL, Gansky SA, Shain SG, Weintraub JA. Dental utilization among Hispanic adults in agricultural worker families in California’s Central Valley. J Public Health Dentistry. 2010;70(4):292–9.CrossRefGoogle Scholar
  8. 8.
    Hoerster KD, Mayer JA, Gabbard S, Kronick RG, Roesch SC, Malcarne VL, Zuniga ML. Impact of individual-, environmental-, and policy-level factors on health care utilization among US farmworkers. Am J Public Health. 2011;101(4):685–92.PubMedCentralPubMedCrossRefGoogle Scholar
  9. 9.
    Lopez-Cevallos D, Garside L, Vazquez L, Polanco K. Use of health services among vineyard and winery workers in the north willamette valley, oregon. J Community Health. 2012;37(1):119–22.PubMedCrossRefGoogle Scholar
  10. 10.
    Villarejo D, McCurdy SA, Bade B, Samuels S, Lighthall D, Williams D. The health of California’s immigrant hired farmworkers. Am J Ind Med. 2010;53(4):387–97.PubMedCrossRefGoogle Scholar
  11. 11.
    Galarneau C. Still missing: undocumented immigrants in health care reform. J Health Care Poor Underserved. 2011;22(2):422–8.PubMedCrossRefGoogle Scholar
  12. 12.
    Pérez-Escamilla R, Garcia J, Song D. Health care access among hispanic immigrants: ¿Alguien Está Escuchando?[Is Anybody Listening?]. NAPA Bull. 2010;34(1):47–67.PubMedCentralPubMedCrossRefGoogle Scholar
  13. 13.
    Berk M, Schur C. The effect of fear on access to care among undocumented latino immigrants. J Immigr Health. 2001;3(3):151–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Cavazos-Rehg PA, Zayas LH, Spitznagel EL. Legal status, emotional well-being and subjective health status of Latino immigrants. J Natl Med Assoc. 2007;99:1126–31.PubMedCentralPubMedGoogle Scholar
  15. 15.
    Ash S, Leake B, Gelberg L. Does fear of immigration authorities deter tuberculosis patients from seeking care? West J Med. 1994;161(4):373–6.Google Scholar
  16. 16.
    Shi L, Tsai J, Higgins PC, Lebrun LA. Racial/ethnic and socioeconomic disparities in access to care and quality of care for US health center patients compared with non-health center patients. J Ambul Care Manag. 2009;32(4):342–50.CrossRefGoogle Scholar
  17. 17.
    Marrow HB. The power of local autonomy: expanding health care to unauthorized immigrants in San Francisco. Ethn Racial Stud. 2011;35(1):72–87.CrossRefGoogle Scholar
  18. 18.
    Aaron K, Levine D, Burstin H. African American church participation and health care practices. J Gen Intern Med. 2003;18(11):908–13.PubMedCentralCrossRefGoogle Scholar
  19. 19.
    Benjamins M, Ellison C, Krause N, Marcum J. Religion and preventive service use: do congregational support and religious beliefs explain the relationship between attendance and utilization? J Behav Med. 2011;34(6):462–76.PubMedCrossRefGoogle Scholar
  20. 20.
    Ransford E, Carrillo F, Rivera Y. Health care-seeking among latino immigrants: blocked access, use of traditional medicine, and the role of religion. J Health Care Poor Underserved. 2010;21(3):862–78.PubMedCrossRefGoogle Scholar
  21. 21.
    Patel KK, Frausto KA, Staunton AD, Souffront J, Derose KP. Exploring community health center and faith-based partnerships: community residents’ perspectives. J Health Care Poor Underserved. 2013;24(1):262–74.PubMedCrossRefGoogle Scholar
  22. 22.
    Bopp M, Fallon EA, Marquez DX. A faith-based physical activity intervention for latinos: outcomes and lessons. Am J Health Promot. 2010;25(3):168–71.CrossRefGoogle Scholar
  23. 23.
    Martinez SM, Arredondo EM, Roesch SC Physical activity promotion among churchgoing Latinas in San Diego, California: does neighborhood cohesion matter? J Health Psychol 2012: doi: 10.1177/135910531246243.
  24. 24.
    Nahouraii H, Wasserman M, Bender DE, Rozier RG. Social support and dental utilization among children of Latina immigrants. J Health Care Poor Underserved. 2008;19(2):428–41.PubMedCrossRefGoogle Scholar
  25. 25.
    Novo CM. Who defines indigenous? identities, development, intellectuals, and the state in Northern Mexico. New Brunswick, NJ: Rutgers University Press; 2006.Google Scholar
  26. 26.
    Gelberg L, Andersen RM, Leake BD. The behavioral model for vulnerable populations: application to medical care use and outcomes for homeless people. Health Serv Res. 2000;34(6):1273–302.PubMedCentralPubMedGoogle Scholar
  27. 27.
    Gabbard S, Kissam E, Glasnapp J, Nakamoto J, Saltz R, Carroll DJ Identifying indigenous Mexican and central American immigrants in surveys. In: Annual meeting of the American Association for Public Opinion Research. New Orleans, LA; 2008.Google Scholar
  28. 28.
    Heyman JM, Núñez GG, Talavera V. Healthcare access and barriers for unauthorized immigrants in El Paso County, Texas. Fam Community Health. 2009;32(1):4–21.PubMedCrossRefGoogle Scholar
  29. 29.
    Carrion IV, Castañeda H, Martinez-Tyson D, Kline N. Barriers impeding access to primary oral health care among farmworker families in central Florida. Soc Work Health Care. 2011;50(10):828–44.PubMedCrossRefGoogle Scholar
  30. 30.
    Ley D. The immigrant church as an urban service hub. Urban Stud. 2008;45(10):2057–74.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Daniel F. López-Cevallos
    • 1
    • 2
    • 3
    Email author
  • Junghee Lee
    • 4
  • William Donlan
    • 5
  1. 1.Center for Latino/a Studies and EngagementOregon State UniversityCorvallisUSA
  2. 2.Ethnic StudiesOregon State UniversityCorvallisUSA
  3. 3.International Health ProgramOregon State UniversityCorvallisUSA
  4. 4.Regional Research Institute for Human Services, School of Social WorkPortland State UniversityPortlandUSA
  5. 5.School of Social WorkPortland State UniversityPortlandUSA

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