南南移民使用初级保健服务的意向。

Consuelo Cruz-Riveros, Alfonso Urzúa, Carolina Lagos, Evelyn Parada
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引用次数: 0

摘要

(1) 背景:评估一个基于健康权方法的模型,考虑相关因素对智利国际移民未来使用初级保健服务的影响。(2)方法:采用横断面设计对 499 名居住在智利的南美移民进行调查。使用临时问卷评估他们在健康权、感知歧视、收入、教育、居住时间、年龄、婚姻状况、性别、移民身份等方面的经历。进行了相关性分析,然后对重要变量进行路径分析,以评估两个模型的匹配性。(3) 结果:在路径分析中确定了 10 个重要变量。在两个评估模型中,最终模型确定了六个具有显著直接和间接影响的变量。其中,医疗服务的可用性、可及性、可接受性和质量与未来使用医疗服务的意愿呈正相关。此外,感知到的种族和民族歧视也对使用医疗服务的意愿产生了积极影响,这表明可能存在对逆境的适应性反应,表现出可接受的拟合优度指数(χ2 =241,492;P < 0.001;CFI = 0.913;TLI = 0.82;RMSEA = 0.062;SRMR = 0.05)。(4) 结论:虽然初始模型提供了有价值的见解,但有必要扩大分析范围,纳入影响国际移民具体情况的其他因素。
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Intention to Use Primary Healthcare Services among South-South Migrants.

(1) Background: To evaluate a model based on the right-to-health approach, considering the impact of associated factors on the future utilization of primary healthcare services among international migrants in Chile. (2) Methods: A cross-sectional design was employed to survey 499 South American migrants residing in Chile. Ad-hoc questionnaires were used to assess their experiences related to the right to health, perceived discrimination, income, education, length of residence, age, marital status, gender, migration status, among others. Correlation analyses were conducted, followed by path analysis with significant variables to assess the fit of two models. (3) Results: Ten variables were identified as significant for path analysis. Among the two evaluated models, the final model identified six variables with significant direct and indirect effects. Among them, the availability, accessibility, acceptability, and quality of healthcare services were positively associated with the future intention to use them. Additionally, perceived racial and ethnic discrimination also had a positive effect on the intention to use healthcare services, suggesting a possible adaptive response to adversity, exhibiting acceptable goodness-of-fit indices (χ2 =241,492; p < 0.001; CFI = 0.913; TLI = 0.82; RMSEA = 0.062; SRMR = 0.05). (4) Conclusions: While the initial model provides valuable insights, it is essential to broaden the analysis to include other factors influencing the specific context of international migrants.

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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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A Cross-Border Biorisk Toolkit for Healthcare Professionals. Wastewater-Based Surveillance Reveals the Effectiveness of the First COVID-19 Vaccination Campaigns in Assisted Living Facilities. Further Evidence on Online Video-Feedback Intervention: Enhancing Parent-Child Interactions and Reducing Disordered Eating in Children. Housing Initiatives to Address Strep A Infections and Reduce RHD Risks in Remote Indigenous Communities in Australia. Intention to Use Primary Healthcare Services among South-South Migrants.
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