Abstract
Compared to U.S. born Latinos, Mexican immigrants (MAs) have diminished health care access and face substantial barriers to accessing needed dental health services. However, little research has examined how MAs social networks shape their use of dental health services. Using data from 332 Mexican immigrants to the Midwest, this research examines the significance of individual and egocentric network characteristics on two measures of dental health service utilization. Findings reveal that network size, network dental service utilization, and the frequency with which MAs discuss acute problems with network ties, positively correspond to use of oral health services. Conversely, embeddedness in networks where ties hassle egos about dental issues and have low levels of dental health knowledge correspond to lower odds of using these services. This research is among the first to use ego network data and methods to examine the ways network characteristics shape oral health behaviors among this underserved population.
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References
Brown A, Stepler R. Statistical portrait of the foreign-born population in the United States. Pew Research Center Hispanic Trends. 2015. Available at: http://www.pewhispanic.org/files/2015/09/Statistical-Portrait-of-the-Foreign-Born-2013_09-2015.pdf\.
Krogstad JM, Lopez MH. Hispanic nativity shift: U.S. births drive population growth as immigration stalls. 2014. Available at: http://www.pewhispanic.org/2014/04/29/hispanic-nativity-shift/.
Bustamante AV, et al. Variations in healthcare access and utilization among Mexican immigrants: the role of documentation status. J Immigrant Minority. Health (London). 2012;14(1):146–55.
Wallace SP, et al. Heading south: why Mexican immigrants in California seek health services in Mexico. Med Care. 2009;47(6):662–9.
Bergmark R, et al. ices. J Immigr Minor Health. 2010;12(4):610–4.
U.S. Department of Health and Human Services. Oral health in America: a report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000.
Andersen RM. Behavioral Model of Families’ Use of Health Services. Research Series No. 25. Chicago: Center for Health Administration Studies; 1968.
Finlayson TL, et al. Dental utilization among Hispanic adults in agricultural worker families in California’s Central Valley. J Public Health Dent. 2010;70(4):292–9.
Brown A, Patten E. Statistical portrait of Hispanics in the United States, 2012. Pew Research Center Hispanic Trends. 2014 April. Available at: http://www.pewhispanic.org/2014/04/29/statistical-portrait-of-hispanics-in-the-united-states-2012/.
Arcury TA, Quandt SA. Delivery of health services to migrant and seasonal farmworkers. Annu Rev Public Health. 2007;28:345–63.
Butani Y, et al. Oral health-related cultural beliefs for four racial/ethnic groups: assessment of the literature. BMC Oral Health. 2008;8:26.
Ramos-Gomez FJ, et al. Assessment of early childhood caries and dietary habits in a population of migrant Hispanic children in Stockton, California. ASDC J Dent Child. 1999;66(6):395–403.
Documét PI, Sharma RK. Latinos’ health care access: financial and cultural barriers. J Immigr Health. 2004;6(1):5–13.
Patrick DL, et al. Reducing oral health disparities: a focus on social and cultural determinants. BMC Oral Health. 2006;6(S1):S4.
Perez-Escamilla R, et al. Health care access among Hispanic immigrants: ¿Alguien está escuchando? NAPA Bull. 2010;34(1):47–67.
Castañeda H, et al. False hope: effects of social class and health policy on oral health inequalities for migrant farmworker families. Soc Sci Med. 2010;71(11):2028–37.
Willems S, et al. The independent impact of household and neighborhood-based social determinants on early childhood caries: a cross-sectional study of inner-city children. Family Community Health (Lond). 2005;28:168–75.
Pescosolido B. Beyond rational choice—the social dynamics of how people seek help. Am J Sociol. 1992;97(4):1096–138.
Friedson E. Professional dominance. Chicago: Aldine; 1970.
Gallo LC, et al. Resiliency in the face of disadvantage: Do Hispanic cultural characteristics protect health outcomes? J Pers. 2009;77(6):1707–46.
Finlayson TL, et al. Reliability and validity of brief measures of oral health-related knowledge, fatalism, and self-efficacy in mother of African American children. Pediatr Dent. 2005;27(5):422–8.
Woolfolk MP, et al. Self-reported health behavior and dental knowledge of a migrant worker population. Community Dent Oral Epidemiol. 1985;13(3):140–2.
Watson MR, et al. Caries conditions among 2-5-year old immigrant Latino children related to parents’ oral health knowledge, opinions and practices. Community Dent Oral Epidemiol. 1999;27(1):8–15.
Arredondo EM, et al. Is church attendance associated with Latinas’ health practices and self-reported health?. Am J Health Behav. 2005;29:502–511.
Otero-Sabogal R, et al. Access and attitudinal factors related to breast and cervical cancer screening: why are Latinas still underscreened? Health Educ and Behav. 2003;30:337–359.
Derose KP. Networks of care: how Latina immigrants find their way to and through a county hospital. J Immigr Health. 2000;2(2):79–87.
Batra M, et al. Social capital and oral health. J Clin Diagn Res 2014;8(9):ZE10–ZE11.
Olafsdottir S, Pescosolido BA. Drawing the line: the cultural cartography of utilization recommendation for mental health problem. J Health Soc Behav. 2009;50(2):228–44.
Hagan JM. Social networks, gender, and immigrant incorporation: resources and constraints. Am Sociol Rev. 1998;63(1):55–67.
Andersson F, et al. Do as the neighbors do: the impact of social networks on immigrant employment. Discussion Paper Series: Institute for the Study of Labor (IZA). Bonn, Germany: No. 4423, 2009.
Poros M. Migrant social networks: vehicles for migration, integration, and development. Migration Information Source: the Online Journal of the Migration Policy Institute. 2011. Available at: http://www.migrationpolicy.org/article/migrant-social-networks-vehicles-migration-integration-and-development.
Kangovi S, et al. Understanding why patients of low socioeconomic status prefer hospitals over ambulatory care. Health Aff. 2013;32(7):1196–203.
Suarez L, et al. Social networks and cancer screening in four U.S. Hispanic groups. Am J Prev Med. 2000;19(1):47–52.
Nahouraii H, et al. Social support and dental utilization among children of Latina immigrants. J Health Care Poor Underserved. 2008;19(2):428–41.
Wu B, et al. Comparison of utilization of dental care services among Chinese- and Russian-speaking immigrant elders. J Public Health Dent. 2005;65(2):97–103.
Burr JA, Lee HJ. Social relationships and dental care service utilization among older adults. J Aging Health. 2013;25(2):191–220.
Pescosolido BA, et al. Social networks and patterns of use among poor with mental health problems in Puerto Rico. Med Care;36(7):1057–72.
Borgatti SP. E-network software for ego-network analysis. Lexington: Analytic Technologies; 2006.
Finlayson TL, et al Dental utilization by children in Hispanic agricultural worker families in California. J Dent Oral Carniofacial Epidermiol. 2014;2(1–2):15–24.
Perry BL, Pescosolido BA. Social network activation: the role of health discussion partners in recovery from mental illness. Soc Sci Med. 2015;125:116–28.
Pescosolido BA, et al. Social networks and patterns of use among the poor with mental health problems in Puerto Rico. Med Care. 1998;36(7):1057–72.
Devillanova C. Social networks, information and health care utilization: Evidence from undocumented immigrants in Milan. J Health Econ. 2008;27(2):265–86.
Vogel DL, et al. Seeking help from a mental health professional: the influence of one’s social network. J Clin Psychol. 2007;63(3):233–45.
Pullen E, et al. African American women’s preventative care usage: the role of social support and racial experiences and attitudes. Sociol Health Illn. 2014;36(7):1037–53.
Thoits P. Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav. 2011;52(2):145–61.
Thoits P. Perceived social support and the voluntary, mixed, and pressured use of mental health services. Soc Ment. Health (Lond). 2011;1(1):4–19.
Derose KP, et al. Immigrants and health care: sources of vulnerability. Health Aff. 2007;26(2):1258–68.
Villazor RC. What is a sanctuary. SMU Law Rev. 2008;61:133–56.
Barrios-Paoli L. Improving immigrant access to health care in New York City: A report from the mayor’s task force on immigrant health care access. 2016. Available at: http://www1.nyc.gov/assets/home/downloads/pdf/reports/2015/immigrant-health-task-force-report.pdf.
New York State Department of Health (NYS DOH). Basic health contingency plan, 2016. Available at: https://www.health.ny.gov/health_care/managed_care/essential/2016_contingency_plan.htm.
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This research was funded by NIDCR grant DE022096-01A1, and by Project Development Team studies UL1TR001108 and RR025761 from the Indiana Clinical and Translational Sciences Institute.
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All procedures performed involving human participants were in accordance with the ethical standards of the institutional review committee and with the 1964 Helsinki declaration and its later amendments.
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Informed consent was obtained from all individual participants included in the study. Additionally, participants in this study were protected by a Federal Certificate of Confidentiality obtained by the Principal Investigator.
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Pullen, E., Perry, B.L. & Maupome, G. “Does this Look Infected to You?” Social Network Predictors of Dental Help-Seeking Among Mexican Immigrants. J Immigrant Minority Health 20, 399–409 (2018). https://doi.org/10.1007/s10903-017-0572-x
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DOI: https://doi.org/10.1007/s10903-017-0572-x