IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0233839.html
   My bibliography  Save this article

Barriers & facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrant clients: Perspectives from frontline service providers in Southeast Michigan

Author

Listed:
  • Monika Doshi
  • William D Lopez
  • Hannah Mesa
  • Richard Bryce
  • Ellen Rabinowitz
  • Raymond Rion
  • Paul J Fleming

Abstract

Immigration- and enforcement-related policies and laws have significantly and negatively impacted the health and well-being of undocumented immigrants. We examine barriers and facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrants specifically in the post 2016 US presidential election socio-political climate. By grounding our study on the perspectives of frontline providers, we explore their challenges in meeting the needs of their undocumented clients. These include client access to healthcare and social services, the barriers providers face in providing timely and effective services, and avenues to reduce or overcome factors that impede service provision to improve quality of care for this population. Data are from 28 in-depth interviews with frontline healthcare and social service providers. Based on data analysis, we found that the domains of the Three Delays Model used in obstetric care provided a good framework for organizing and framing the responses. Our findings suggest that these undocumented clients encounter three phases of delay: delay in the decision to seek care, delay in identifying and traveling to healthcare facilities, and delay in receiving adequate and appropriate care at healthcare facilities. Given the current socio-political climate for immigrants, healthcare and social services organizations that serve undocumented clients should adapt existing services or introduce new services, including those that are not site-based.

Suggested Citation

  • Monika Doshi & William D Lopez & Hannah Mesa & Richard Bryce & Ellen Rabinowitz & Raymond Rion & Paul J Fleming, 2020. "Barriers & facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrant clients: Perspectives from frontline service providers in Southeast Michigan," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-18, June.
    • Handle: RePEc:plo:pone00:0233839
    DOI: 10.1371/journal.pone.0233839
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233839
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0233839&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0233839?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Viruell-Fuentes, Edna A. & Miranda, Patricia Y. & Abdulrahim, Sawsan, 2012. "More than culture: Structural racism, intersectionality theory, and immigrant health," Social Science & Medicine, Elsevier, vol. 75(12), pages 2099-2106.
    2. White, K. & Yeager, V.A. & Menachemi, N. & Scarinci, I.C., 2014. "Impact of Alabama's immigration law on access to health care among latina immigrants and children: Implications for national reform," American Journal of Public Health, American Public Health Association, vol. 104(3), pages 397-405.
    3. Thaddeus, Sereen & Maine, Deborah, 1994. "Too far to walk: Maternal mortality in context," Social Science & Medicine, Elsevier, vol. 38(8), pages 1091-1110, April.
    4. Philbin, Morgan M. & Flake, Morgan & Hatzenbuehler, Mark L. & Hirsch, Jennifer S., 2018. "State-level immigration and immigrant-focused policies as drivers of Latino health disparities in the United States," Social Science & Medicine, Elsevier, vol. 199(C), pages 29-38.
    5. Toomey, R.B. & Umaña-Taylor, A.J. & Williams, D.R. & Harvey-Mendoza, E. & Jahromi, L.B. & Updegraff, K.A., 2014. "Impact of Arizona's SB 1070 immigration law on utilization of health care and public assistance among mexican-origin adolescent mothers and their mother figures," American Journal of Public Health, American Public Health Association, vol. 104(S1), pages 28-34.
    6. Rhodes, S.D. & Mann, L. & Simán, F.M. & Song, E. & Alonzo, J. & Downs, M. & Lawlor, E. & Martinez, O. & Sun, C.J. & O'Brien, M.C. & Reboussin, B.A. & Hall, M.A., 2015. "The impact of local immigration enforcement policies on the health of immigrant Hispanics/Latinos in the United States," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 329-337.
    7. Minkler, M. & Blackwell, A.G. & Thompson, M. & Tamir, H.B., 2003. "Community-Based Participatory Research: Implications for Public Health Funding," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1210-1213.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Benavides, Quetzabel & Doshi, Monika & Valentín-Cortés, Mislael & Militzer, Maria & Quiñones, Spring & Kraut, Ruth & Rion, Raymond & Bryce, Richard & Lopez, William D. & Fleming, Paul J., 2021. "Immigration law enforcement, social support, and health for Latino immigrant families in Southeastern Michigan," Social Science & Medicine, Elsevier, vol. 280(C).
    2. Hodges, James C. & Calvo, Rocío, 2023. "Teleservices use among Latinx immigrant families during the Covid-19 pandemic," Children and Youth Services Review, Elsevier, vol. 145(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Molly Dondero & Claire E. Altman, 2022. "State-Level Immigrant Policy Climates and Health Care Among U.S. Children of Immigrants," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(6), pages 2683-2708, December.
    2. Tianyuan Luo & Cesar L. Escalante, 2021. "Stringent immigration enforcement and the mental health and health‐risk behaviors of Hispanic adolescent students in Arizona," Health Economics, John Wiley & Sons, Ltd., vol. 30(1), pages 86-103, January.
    3. Tianyuan Luo & Genti Kostandini, 2023. "Omnibus or Ominous immigration laws? Immigration policy and mental health of the Hispanic population," Health Economics, John Wiley & Sons, Ltd., vol. 32(1), pages 90-106, January.
    4. Hatzenbuehler, Mark L. & Prins, Seth J. & Flake, Morgan & Philbin, Morgan & Frazer, M. Somjen & Hagen, Daniel & Hirsch, Jennifer, 2017. "Immigration policies and mental health morbidity among Latinos: A state-level analysis," Social Science & Medicine, Elsevier, vol. 174(C), pages 169-178.
    5. Philbin, Morgan M. & Flake, Morgan & Hatzenbuehler, Mark L. & Hirsch, Jennifer S., 2018. "State-level immigration and immigrant-focused policies as drivers of Latino health disparities in the United States," Social Science & Medicine, Elsevier, vol. 199(C), pages 29-38.
    6. Maria-Elena Trinidad Young & Gabriela León-Pérez & Christine R. Wells & Steven P. Wallace, 2018. "More Inclusive States, Less Poverty Among Immigrants? An Examination of Poverty, Citizenship Stratification, and State Immigrant Policies," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(2), pages 205-228, April.
    7. Allen, Chenoa D. & McNeely, Clea A., 2017. "Do restrictive omnibus immigration laws reduce enrollment in public health insurance by Latino citizen children? A comparative interrupted time series study," Social Science & Medicine, Elsevier, vol. 191(C), pages 19-29.
    8. Samari, Goleen & Catalano, Ralph & Alcalá, Héctor E. & Gemmill, Alison, 2020. "The Muslim Ban and preterm birth: Analysis of U.S. vital statistics data from 2009 to 2018," Social Science & Medicine, Elsevier, vol. 265(C).
    9. Chenoa A. Flippen & Rebecca A. Schut, 2022. "Migration and Contraception among Mexican Women: Assessing Selection, Disruption, and Adaptation," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(2), pages 495-520, April.
    10. Kate W. Strully & Robert Bozick & Ying Huang & Lane F. Burgette, 2020. "Employer Verification Mandates and Infant Health," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 39(6), pages 1143-1184, December.
    11. Dubal, Sam B. & Samra, Shamsher S. & Janeway, Hannah H., 2021. "Beyond border health: Infrastructural violence and the health of border abolition," Social Science & Medicine, Elsevier, vol. 279(C).
    12. Benavides, Quetzabel & Doshi, Monika & Valentín-Cortés, Mislael & Militzer, Maria & Quiñones, Spring & Kraut, Ruth & Rion, Raymond & Bryce, Richard & Lopez, William D. & Fleming, Paul J., 2021. "Immigration law enforcement, social support, and health for Latino immigrant families in Southeastern Michigan," Social Science & Medicine, Elsevier, vol. 280(C).
    13. Chaparro, M. Pia & Auchincloss, Amy H. & Argibay, Sofia & Ruggiero, Dominic A. & Purtle, Jonathan & Langellier, Brent A., 2023. "County- and state-level immigration policies are associated with Supplemental Nutrition Assistance Program (SNAP) participation among Latino households," Social Science & Medicine, Elsevier, vol. 333(C).
    14. Jeremiah B. Wills & Margaret M. Commins, 2018. "Consequences of the American States’ Legislative Action on Immigration," Journal of International Migration and Integration, Springer, vol. 19(4), pages 1137-1152, November.
    15. Van Natta, Meredith & Burke, Nancy J. & Yen, Irene H. & Fleming, Mark D. & Hanssmann, Christoph L. & Rasidjan, Maryani Palupy & Shim, Janet K., 2019. "Stratified citizenship, stratified health: Examining latinx legal status in the U.S. healthcare safety net," Social Science & Medicine, Elsevier, vol. 220(C), pages 49-55.
    16. Lopez, William D. & Castañeda, Heide, 2022. "The mixed-status community as analytic framework to understand the impacts of immigration enforcement on health," Social Science & Medicine, Elsevier, vol. 307(C).
    17. Nakphong, Michelle K. & De Trinidad Young, Maria-Elena & Morales, Brenda & Guzman-Ruiz, Iris Y. & Chen, Lei & Kietzman, Kathryn G., 2022. "Social exclusion at the intersections of immigration, employment, and healthcare policy: A qualitative study of Mexican and Chinese immigrants in California," Social Science & Medicine, Elsevier, vol. 298(C).
    18. Gayen, Kaberi & Raeside, Robert, 2007. "Social networks, normative influence and health delivery in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 65(5), pages 900-914, September.
    19. Lotte Prevo & Stef Kremers & Maria Jansen, 2020. "Small Successes Make Big Wins: A Retrospective Case Study towards Community Engagement of Low-SES Families," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    20. Daniel Demant & Oscar Oviedo-Trespalacios & Julie-Anne Carroll & Jason A. Ferris & Larissa Maier & Monica J. Barratt & Adam R. Winstock, 2018. "Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 621-630, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0233839. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.