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Impact of individual-, environmental-, and policy-level factors on health care utilization among US farmworkers

Author

Listed:
  • Hoerster, K.D.
  • Mayer, J.A.
  • Gabbard, S.
  • Kronick, R.G.
  • Roesch, S.C.
  • Malcarne, V.L.
  • Zuniga, M.L.

Abstract

We examined individual-, environmental-, and policy-level correlates of US farmworker health care utilization, guided by the behavioral model for vulnerable populations and the ecological model. The 2006 and 2007 administrations of the National Agricultural Workers Survey (n = 2884) provided the primary data. Geographic information systems, the 2005 Uniform Data System, and rurality and border proximity indices provided environmental variables. To identify factors associated with health care use, we performed logistic regression using weighted hierarchical linear modeling. Approximately half (55.3%) of farmworkers utilized US health care in the previous 2 years. Several factors were independently associated with use at the individual level (gender, immigration and migrant status, English proficiency, transportation access, health status, and non-US health care utilization), the environmental level (proximity to US-Mexico border), and the policy level (insurance status and workplace payment structure). County Federally Qualified Health Center resources were not independently associated. We identified farmworkers at greatest risk for poor access. We made recommendations for change to farmworker health care access at all 3 levels of influence, emphasizing Federally Qualified Health Center service delivery.

Suggested Citation

  • Hoerster, K.D. & Mayer, J.A. & Gabbard, S. & Kronick, R.G. & Roesch, S.C. & Malcarne, V.L. & Zuniga, M.L., 2011. "Impact of individual-, environmental-, and policy-level factors on health care utilization among US farmworkers," American Journal of Public Health, American Public Health Association, vol. 101(4), pages 685-692.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.190892_6
    DOI: 10.2105/AJPH.2009.190892
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    Cited by:

    1. Naomi Wolcott-MacCausland & Teresa Mares & Daniel Baker, 2020. "Health by mail: mail order medication practices of Latinx dairy worker households on the northern US border," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 37(1), pages 225-236, March.
    2. Ravensbergen, W.M. & Drewes, Y.M. & Hilderink, H.B.M. & Verschuuren, M. & Gussekloo, J. & Vonk, R.A.A., 2019. "Combined impact of future trends on healthcare utilisation of older people: A Delphi study," Health Policy, Elsevier, vol. 123(10), pages 947-954.
    3. Kari M. Bail & Jennifer Foster & Safiya George Dalmida & Ursula Kelly & Maeve Howett & Erin P. Ferranti & Judith Wold, 2012. "The Impact of Invisibility on the Health of Migrant Farmworkers in the Southeastern United States: A Case Study from Georgia," Nursing Research and Practice, Hindawi, vol. 2012, pages 1-8, July.
    4. Tianyuan Luo & Cesar L. Escalante, 2018. "Health care service utilization of documented and undocumented hired farmworkers in the U.S," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(7), pages 923-934, September.
    5. Teresa Mares & Naomi Wolcott-MacCausland & Julia Doucet & Andy Kolovos & Marek Bennett, 2020. "Using chiles and comics to address the physical and emotional wellbeing of farmworkers in Vermont’s borderlands," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 37(1), pages 197-208, March.
    6. Melissa Nursey-Bray & Boyd Blackwell & Ben Brooks & Marnie L. Campbell & Laurie Goldsworthy & Hilary Pateman & Ian Rodrigues & Melanie Roome & Jeffrey T. Wright & John Francis & Chad L. Hewitt, 2013. "Vulnerabilities and adaptation of ports to climate change," Journal of Environmental Planning and Management, Taylor & Francis Journals, vol. 56(7), pages 1021-1045, September.

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