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Reproductive health care services ut...
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Rivera-Vazquez, Omara.
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Reproductive health care services utilization among Latina migrant and seasonal farmworkers in a midwestern state.
紀錄類型:
書目-語言資料,印刷品 : Monograph/item
正題名/作者:
Reproductive health care services utilization among Latina migrant and seasonal farmworkers in a midwestern state./
作者:
Rivera-Vazquez, Omara.
面頁冊數:
99 p.
附註:
Source: Dissertation Abstracts International, Volume: 67-10, Section: A, page: 3997.
Contained By:
Dissertation Abstracts International67-10A.
標題:
Sociology, Individual and Family Studies. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3236410
ISBN:
9780542909573
Reproductive health care services utilization among Latina migrant and seasonal farmworkers in a midwestern state.
Rivera-Vazquez, Omara.
Reproductive health care services utilization among Latina migrant and seasonal farmworkers in a midwestern state.
- 99 p.
Source: Dissertation Abstracts International, Volume: 67-10, Section: A, page: 3997.
Thesis (Ph.D.)--Michigan State University, 2006.
Latina reproductive health has rarely been studied in female migrant and/or seasonal farmworkers. The present study investigated the utilization of reproductive health care services by female migrant and seasonal farmworkers using an ecological framework and more specifically adopting the behavioral model of health services utilization (Andersen, 1968; 1995).
ISBN: 9780542909573Subjects--Topical Terms:
626655
Sociology, Individual and Family Studies.
Reproductive health care services utilization among Latina migrant and seasonal farmworkers in a midwestern state.
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Source: Dissertation Abstracts International, Volume: 67-10, Section: A, page: 3997.
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Adviser: Lillian Phenice.
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Thesis (Ph.D.)--Michigan State University, 2006.
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Latina reproductive health has rarely been studied in female migrant and/or seasonal farmworkers. The present study investigated the utilization of reproductive health care services by female migrant and seasonal farmworkers using an ecological framework and more specifically adopting the behavioral model of health services utilization (Andersen, 1968; 1995).
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Data were originally collected by the Oceana Farmworker Health Needs Assessment (Rosenbaum et. al., 2006). The sample size for this study is 183 Latina farmworkers. Predisposing variables included it the analyses were respondents' agricultural work status (migrant vs. seasonal), primary language, marital status, and highest educational level. The study includes health insurance, family income, current work status, number of years working in MI, and available community resources (use of local migrant clinic) as important enabling factors for utilization of reproductive health services. Health need factors include respondent's perceived health status, reports of any unmet treatment, diagnosed pregnancy diabetes, and physical exam results (normal/abnormal). Reproductive health care utilization measures considered in this study include ever having a PAP smear, ever having a mammogram, ever having a clinical breast exam, seeking early prenatal care, using sexual disease protection, and practicing pregnancy prevention. In addition, composite measures indicating scores for predisposing, enabling, need, and reproductive health care utilization were created.
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The analyses demonstrated that migrant and seasonal farmworker women in the sample have low to moderate use of the reproductive health care services included in the analyses. Latina migrant and seasonal farmworkers are likely to report not using any methods to protect themselves from sexually transmitted diseases or pregnancy prevention. In addition, both migrant and seasonal farmworker women have low rates of mammogram screenings.
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Seasonal farmworkers in the sample were more likely to use prenatal care and pregnancy prevention at higher rates than migrant women. The analysis demonstrated a relationship between ever having a mammogram and migrant status. Migrant farmworker women access mammogram screenings at higher rates than seasonal farmworker women. The predisposing variables age and migrant status are predictors of ever having a mammogram. The number of years working in the state is an enabling factor predictive of ever having a mammogram. In addition, higher income levels predict use of prevention methods for sexually transmitted diseases. The need factors models were not statistically significant. These results contradict prior findings of studies utilizing the Andersen model indicating that need is one of the most pressing indicators of health care utilization (Andersen, 1968; 1995). It seems that considered together both predisposing and enabling factors may, in fact be stronger predictors of reproductive health care utilization than the need for care in this specific subpopulation.
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