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首页> 外文期刊>Journal of health care for the poor and underserved >Factors Influencing Health Care Access Perceptions and Care-seeking Behaviors of Immigrant Latino Sexual Minority Men and Transgender Individuals: Baseline Findings from the HOLA Intervention Study
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Factors Influencing Health Care Access Perceptions and Care-seeking Behaviors of Immigrant Latino Sexual Minority Men and Transgender Individuals: Baseline Findings from the HOLA Intervention Study

机译：影响拉丁裔性少数男子和变性人的健康护理可及性和寻求护理行为的因素：HOLA干预研究的基线发现

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摘要

Little is known about immigrant Latino sexual minorities' health seeking behaviors. This study examined factors associated with perceptions of access and actual care behaviors among this population in North Carolina. Methods. A community-based participatory research partnership recruited 180 Latino sexual minority men and transgender individuals within preexisting social networks to participate in a sexual health intervention. Mixed-effects logistic regression models and GIS mapping examined factors influencing health care access perceptions and use of services (HIV testing and routine check-ups). Results. Results indicate that perceptions of access and actual care behaviors are low and affected by individual and structural factors, including: years living in NC, reported poor general health, perceptions of discrimination, micro-, meso-, and macro-level barriers, and residence in a Medically Underserved Area. Discussion. To improve Latino sexual minority health, focus must be placed on multiple levels, including: individual characteristics (e.g., demographics), clinic factors (e.g., provider competence and clinic environment), and structural factors (e.g., discrimination).
机译：对于移民拉丁美洲裔性少数群体的寻求健康行为知之甚少。这项研究调查了与北卡罗来纳州该人群中获得医疗服务的感知和实际护理行为相关的因素。方法。一个基于社区的参与性研究合作伙伴关系在现有的社交网络中招募了180名拉丁裔性少数男人和变性人，以参与性健康干预。混合效应逻辑回归模型和GIS映射检查了影响卫生保健获取观念和服务使用（艾滋病毒检测和例行检查）的因素。结果。结果表明，获得医疗服务和实际护理行为的认知较低，并受个人和结构因素的影响，包括：在NC中居住的年限，报告的总体健康状况不佳，对歧视的认知，微观，中观和宏观层面的障碍以及居住在医疗不足的地区。讨论。为了改善拉丁裔少数族裔的健康，必须将重点放在多个层次上，包括：个人特征（例如人口统计学），临床因素（例如提供者的能力和临床环境）和结构性因素（例如歧视）。

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