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Immigrant Health in Rural Maryland: A Qualitative Study of Major Barriers to Health Care Access

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Abstract

Immigration to rural areas in new receiving communities like Maryland’s Eastern Shore is growing. Despite a rapid rise in immigration and diminishing health system resources, little attention has been focused on barriers to health care access in this region for immigrants. A total of 33 in-depth key informant interviews with providers and immigrants were conducted. Qualitative analysis employing a constant comparison approach was used to explore emergent themes related to barriers to health care access for a growing immigrant population. Participants perceived limited health care resources, lack of health insurance coverage, high health expenditures, language barriers, and non-citizenship status as barriers to immigrants’ access of health care. Findings imply that immigrants living and working on the rural Eastern Shore face serious barriers to health care access. Additional work on immigrant health in rural areas and the impacts of immigration to rural health systems are needed.

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Acknowledgments

We would like to express our deepest gratitude and appreciation for the men and women who participated in this research and shared their perspectives and experiences with us. We also thank the anonymous reviewers for their constructive feedback, which led to considerable improvements in this paper. This work was supported by the College of Behavioral and Social Sciences Dean’s Research Initiative and the Department of Anthropology at the University of Maryland College Park.

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  1. Department of Anthropology, University of Maryland, 1111 Woods Hall, 4302 Chapel Lane, College Park, MD, 20742, USA

    Thurka Sangaramoorthy & Emilia M. Guevara

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  1. Thurka Sangaramoorthy
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  2. Emilia M. Guevara
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Correspondence to Thurka Sangaramoorthy.

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Sangaramoorthy, T., Guevara, E.M. Immigrant Health in Rural Maryland: A Qualitative Study of Major Barriers to Health Care Access. J Immigrant Minority Health 19, 939–946 (2017). https://doi.org/10.1007/s10903-016-0417-z

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