Journal of Immigrant and Minority Health

, Volume 17, Issue 4, pp 1185–1191 | Cite as

Exploring the Providers Perspective of Health and Social Service Availability for Immigrants and Refugees in a Southern Urban Community

Original Paper
  • 616 Downloads

Abstract

As the foreign-born population continues to grow and increasingly expand into inland U.S. cities, they experience insufficient resources and facilities to support their unique health and social needs. The purpose of this study was to describe provider perspectives on health and social services for immigrants and refugees in a southern metropolitan city with a rapidly increasing foreign-born population. Ten health and social service providers participated in an ethnographic study using surveys, in-depth interviews, participant observation, and document review methods. Providers identified the greatest need for immigrants and refugees was access to urgent health services and management of chronic illnesses. Barriers and facilitators to service were related to accessibility, availability, affordability, and acceptability factors. Findings indicate that despite the establishment of population specific service organizations, immigrants and refugees continue to experience unmet health and social needs associated with sociocultural, economic, and political contextual factors.

Keywords

Immigrants Refugees Availability Access Health and social services 

References

  1. 1.
    U.S. Bureau of the Census. Native and foreign-born populations by selected characteristics: 2007. Washington, DC: United States Department of Commerce; 2008.Google Scholar
  2. 2.
    U.S. Census Bureau. Current population survey. Annual social and economic supplement. 2004. Retrieved from http://www.census.gov/population/socdemo/foreign/ppl-176/tab02-12.pdf.
  3. 3.
    U.S. Census Bureau. Educational attainment in the United States. 2007a. Retrieved from http://blueprod.ssd.census.gov/prod/2009pubs/p20-560.pdf.
  4. 4.
    U.S. Census Bureau. Income, poverty, and health insurance coverage in the United States. 2007b. Retrieved from http://www.census.gov/prod/2008pubcs/p60-235.pdf.
  5. 5.
    Chen J, Vargas-Bustamante A. Estimating the effects of immigration status on mental health care utilizations in the United States. J Immigr Minor Health. 2011;13(4):671–80. doi:10.1007/s10903-011-9445-x.PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    Derose KP, Escarce JJ, Lurie N. Immigrants and health care: sources of vulnerability. Health Aff. 2007;26(5):1258–68. doi:10.1377/hlthaff.26.5.1258.CrossRefGoogle Scholar
  7. 7.
    Capps R, Fortuny K, Zimmermann W, Bullock W, Henderson E. A profile of the foreign-born in the Louisville metropolitan area. Washington, DC: The Urban Institute; 2006.Google Scholar
  8. 8.
    Reitmanova S, Gustafson D. Primary mental health care information and services for St. John’s visible minority immigrants: gaps and opportunities. Issues Mental Health Nurs. 2009;30:615–23.CrossRefGoogle Scholar
  9. 9.
    Migration Policy Institute. Kentucky factsheet on the foreign born: demographic and social characteristics. 2007. Retrieved from www.migrationinformation.org/datahub/state/cfm/ID=KY.
  10. 10.
    Feldman R. Primary healthcare for refugees and asylum seekers: a review of the literature and a framework for services. Public Health. 2006;120:809–16.PubMedCrossRefGoogle Scholar
  11. 11.
    Stewart MJ, Neufeld A, Harrison MJ, Spitzer D, Hughes K, Makwarimba E. Immigrant women family caregivers in Canada: implications for policies and programs in health and social sectors. Health Soc Care Community. 2006;14(4):329–40.PubMedCrossRefGoogle Scholar
  12. 12.
    Donnelly TT, McKellin W. Keeping healthy! Whose responsibility is it anyway? Vietnamese Canadian women and their healthcare providers’ perspectives. Nurs Inq. 2007;14(1):2–12.PubMedCrossRefGoogle Scholar
  13. 13.
    Lawrence J, Kearns R. Exploring the “fit” between people and providers: refugee health needs and health care services in Mt Roskill, Auckland, New Zealand. Health Soc Care Community. 2005;13(5):451–61.PubMedCrossRefGoogle Scholar
  14. 14.
    Spradley JP. The ethnographic interview. New York, NY: Holt, Rinehart & Winston; 1979.Google Scholar
  15. 15.
    Patton MQ. Qualitative research and evaluation methods. 3rd ed. Thousand Oaks, CA: Sage; 2002.Google Scholar
  16. 16.
    Richards L, Morse JM. Users guide for qualitative methods. 2nd ed. Thousand Oaks, CA: Sage; 2007.Google Scholar
  17. 17.
    Boyle J. Style of ethnography. In: Morse JM, editor. Critical issues in qualitative research. Thousand Oaks, CA: Sage; 1994. p. 159–85.Google Scholar
  18. 18.
    Fennelly K. Listening to the experts: provider recommendations on the health needs of immigrants and refugees. J Cult Divers. 2006;13(4):190–200.PubMedGoogle Scholar
  19. 19.
    Jacobs B, Ir P, Bigdeli M, Annear PL, Van Damme W. Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries. Health Policy Plan. 2011. doi:10.1093/heapol/czr038.PubMedGoogle Scholar
  20. 20.
    Alcalde G. Cross cultural community conversations: Beginning the dialogue to understand the strengths and unmet needs of the Hispanic/Latino community in Louisville Metro. 2005. Retrieved from http://www.louisvilleky.gov/OFW/Publications/Reports.htm.
  21. 21.
    Friedrich JM. Systemic barriers for Latina women accessing healthcare services in Louisville, Kentucky: an assessment of social indicators in order to disclose social injustices. 2009. (Doctoral Dissertation). Retrieved from ProQuest Dissertations and Theses.Google Scholar
  22. 22.
    Messias DH, Rubio M. Immigration and health, chapter 6. Annu Rev Nurs Res. 2004;22:101–33.PubMedGoogle Scholar
  23. 23.
    Sonfield A. The impact of anti-immigration policy on publicly subsidized reproductive health care. Guttmacher Policy Rev. 2007;10(1):1–5.Google Scholar
  24. 24.
    Siddiqi A, Zuberi D, Nguyen QC. The role of health insurance in explaining immigrant versus non-immigrant disparities in access to health care: comparing the United State to Canada. Soc Sci Med. 2009;69:1452–9. doi:10.1016/j.socscimed.2009.08.030.PubMedCrossRefGoogle Scholar
  25. 25.
    Pub. Law No. 111-148. Patient protection and affordable care act. 2010. Retrieved from http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf.
  26. 26.
    O’Mahony J, Donelly T. A postcolonial feminist perspective inquiry into immigrant women’s mental health care experiences. Issues Mental Health Nurs. 2010;31:440–9.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.College of Nursing and Health SciencesUniversity of Massachusetts BostonBostonUSA
  2. 2.Office of Health Disparities and Community Engagement, School of NursingUniversity of LouisvilleLouisvilleUSA

Personalised recommendations