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Intention to Use Primary Healthcare Services among South–South Migrants

Author

Listed:
  • Consuelo Cruz-Riveros

    (Escuela de Enfermería, Universidad Santo Tomás, Concepción 3349001, Chile)

  • Alfonso Urzúa

    (Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1270709, Chile)

  • Carolina Lagos

    (Escuela de Enfermería, Universidad Santo Tomás, Santiago 8370003, Chile)

  • Evelyn Parada

    (Escuela de Enfermería, Universidad Santo Tomás, Concepción 3349001, Chile)

Abstract

(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 (χ 2 =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.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:9:p:1258-:d:1483538
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    References listed on IDEAS

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    1. Alfonso Urzúa & Alejandra Caqueo-Urízar & Diego Henríquez & David R. Williams, 2021. "Discrimination and Health: The Mediating Effect of Acculturative Stress," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    2. Krieger, Nancy & Smith, Kevin & Naishadham, Deepa & Hartman, Cathy & Barbeau, Elizabeth M., 2005. "Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health," Social Science & Medicine, Elsevier, vol. 61(7), pages 1576-1596, October.
    3. 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.
    4. Alejandro Gil-Salmerón & Konstantinos Katsas & Elena Riza & Pania Karnaki & Athena Linos, 2021. "Access to Healthcare for Migrant Patients in Europe: Healthcare Discrimination and Translation Services," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
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