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Contributors to Health Inequities in Rural Latinas of Childbearing Age: An Integrative Review Using an Ecological Framework

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  • Donna L. Schminkey
  • Xiaoyue Liu
  • Sandra Annan
  • Erika Metzler Sawin

Abstract

This integrative review uses an ecological framework to examine research describing multilevel contributors to health inequities among Latina childbearing women in rural U.S. communities. Rurality exacerbates existing structural issues and makes the accumulation of both social capital and cultural competence in accessing and utilizing the health care system difficult. Four electronic databases were searched—Ovid/Medline, Web of Science, Google Scholar, and CINAHL—over the period of 2006 to 2018. Twenty-nine full-text articles met inclusion criteria. Findings were that a convoluted immigration policy, health care delivery and payment systems, geographic and economic barriers, discrimination, gender roles, and reproductive coercion all contribute to decreased utilization of health care, which in turn contributes to health inequities. More attention is required to situate Latina health inequities in rural communities within the context of other health-relevant aspects of discrimination and reproductive coercion, and to understand the contribution that the health care system itself has on these health inequities. Use of the ecological framework for this integrative review integrates well with inclusive vulnerable population research approaches such as community-based participatory research, because of its multilevel focus.

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  • Donna L. Schminkey & Xiaoyue Liu & Sandra Annan & Erika Metzler Sawin, 2019. "Contributors to Health Inequities in Rural Latinas of Childbearing Age: An Integrative Review Using an Ecological Framework," SAGE Open, , vol. 9(1), pages 21582440188, January.
    • Handle: RePEc:sae:sagope:v:9:y:2019:i:1:p:2158244018823077
    DOI: 10.1177/2158244018823077
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    References listed on IDEAS

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    4. Kandel, William, 2005. "Rural Hispanics At A Glance," Economic Information Bulletin 59402, United States Department of Agriculture, Economic Research Service.
    5. Lise Nelson & Laurie Trautman & Peter B. Nelson, 2015. "Latino Immigrants and Rural Gentrification: Race, “Illegality,” and Precarious Labor Regimes in the United States," Annals of the American Association of Geographers, Taylor & Francis Journals, vol. 105(4), pages 841-858, July.
    6. Nancy L. Winterbauer & Betty Bekemeier & Lisa VanRaemdonck & Anna G. Hoover, 2016. "Applying Community-Based Participatory Research Partnership Principles to Public Health Practice-Based Research Networks," SAGE Open, , vol. 6(4), pages 21582440166, November.
    7. Caldwell, J.T. & Ford, C.L. & Wallace, S.P. & Wang, M.C. & Takahashi, L.M., 2016. "Intersection of living in a rural versus urban area and race/ethnicity in explaining access to health care in the United States," American Journal of Public Health, American Public Health Association, vol. 106(8), pages 1463-1469.
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    1. Janeth Juarez Padilla & Chelsea R. Singleton & Cort A. Pedersen & Sandraluz Lara-Cinisomo, 2022. "Associations between Self-Rated Health and Perinatal Depressive and Anxiety Symptoms among Latina Women," IJERPH, MDPI, vol. 19(19), pages 1-13, September.
    2. Aneela Sultana & Mahwish Zeeshan & Sohima Anzak, 2022. "A Phenomenological Analysis of Rural Women’s Childbirth Preferences," SAGE Open, , vol. 12(1), pages 21582440221, March.

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