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Unequal Access and Use of Health Care Services among Settled Immigrants, Recent Immigrants, and Locals: A Comparative Analysis of a Nationally Representative Survey in Chile

Author

Listed:
  • Marcela Oyarte

    (Unidad de Estudios, Instituto de Salud Pública de Chile, Santiago 7780050, Chile)

  • Baltica Cabieses

    (Programa de Estudios Sociales en Salud ICIM, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago 7610315, Chile)

  • Isabel Rada

    (Programa de Estudios Sociales en Salud ICIM, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago 7610315, Chile)

  • Alice Blukacz

    (Programa de Estudios Sociales en Salud ICIM, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago 7610315, Chile)

  • Manuel Espinoza

    (ETESA UC, Departamento de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 8331150, Chile)

  • Edward Mezones-Holguin

    (Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Universidad San Ignacio de Loyola, Lima 15024, Peru)

Abstract

Globally, and particularly in the Latin American region, international migration continues to grow. Access and use of health care services by migrants vary according to their country of origin and residence time. We aimed to compare the access and use of health care services between international migrants (including settled migrants from Peru, Argentina, Bolivia, Ecuador; Emerging migrants from Venezuela, Dominican Republic, Colombia, Haiti; and migrants from other countries) and the Chilean population. After performing a secondary data analysis of population-based nationally representative surveys (CASEN 2011–2017), access and use patterns (insurance, complementary insurance, non-consultation, and non-treatment coverage) were described and compared among settled immigrants, recent emerging immigrants, others, and locals. Immigrants had a significantly higher uninsured population compared to locals. Specifically, in CASEN 2017, 19.27% of emerging (95% CI: 15.3–24.1%), 11.79% of settled (95% CI: 10.1–13.7%), and 2.25% of locals (95% CI: 2.1–2.4%) were uninsured. After 2013, settled and recent emerging migrants showed higher percentages of non-consultation. Collaborative and interculturally relevant strategies from human rights and equity perspectives are needed. Initiatives with a particular focus on recent immigrants can contribute to reducing the existing disparities in health care access and use with locals due to lack of insurance and treatment coverage.

Suggested Citation

  • Marcela Oyarte & Baltica Cabieses & Isabel Rada & Alice Blukacz & Manuel Espinoza & Edward Mezones-Holguin, 2022. "Unequal Access and Use of Health Care Services among Settled Immigrants, Recent Immigrants, and Locals: A Comparative Analysis of a Nationally Representative Survey in Chile," IJERPH, MDPI, vol. 20(1), pages 1-20, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:741-:d:1021208
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    References listed on IDEAS

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    1. Araya, R. & Rojas, G. & Fritsch, R. & Frank, R. & Lewis, G., 2006. "Inequities in mental health care after health care system reform in Chile," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 109-113.
    2. Philip Q. Yang & Shann Hwa Hwang, 2016. "Explaining Immigrant Health Service Utilization," SAGE Open, , vol. 6(2), pages 21582440166, May.
    3. 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.
    4. Lu, Yao & Denier, Nicole & Wang, Julia Shu-Huah & Kaushal, Neeraj, 2017. "Unhealthy assimilation or persistent health advantage? A longitudinal analysis of immigrant health in the United States," Social Science & Medicine, Elsevier, vol. 195(C), pages 105-114.
    5. Tao Xu, 2022. "The Effect of Health Change on Long-Term Settlement Intentions of International Immigrants in New Destination Countries: Evidence from Yiwu City in China," IJERPH, MDPI, vol. 19(13), pages 1-18, June.
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    Cited by:

    1. Consuelo Cruz-Riveros & Alfonso Urzúa & Carolina Lagos & Evelyn Parada, 2024. "Intention to Use Primary Healthcare Services among South–South Migrants," IJERPH, MDPI, vol. 21(9), pages 1-12, September.
    2. Niraula, Ashika & Ratti, Nicole & Colley, Michele & Rosenberg, Mark & Ghassemi, Effat & Wilson, Kathi, 2023. "Negotiating precarity: Recent immigrants’ perceptions of waiting for public healthcare in Ontario, Canada," Health Policy, Elsevier, vol. 133(C).

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