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Health Status, Health Care Access, Literacy and Numeracy among Members of Immigrant Communities: The Relationship of Perceptions, Awareness and Concerns Regarding the Health Care Act

Yunusa Vakkai, Roseline Jindori
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1439308175

Abstract Details

2015, PhD, University of Cincinnati, Education, Criminal Justice, and Human Services: Health Education.
For this dissertation two studies were conducted. The first part of the abstract addresses the manuscript from the first study and the second part addresses the second manuscript from the second study. Manuscript one aimed to explore the relationship between demographic variables, literacy, numeracy, general health status, health care access factors and marketplace utilization among citizens and immigrants in the United States. Manuscript two examined and compared the relationships between immigrants’ and citizens’ awareness, perceptions, concerns in relation to the Affordable Health Care Act and Marketplace utilization. Manuscript One Abstract Introduction: This study aimed to explore the relationship between demographic variables, literacy, numeracy, general health status, health care access factors and marketplace utilization among citizens and immigrants in the United States. Method: This study was carried out as a secondary data analysis of an internet based survey of U.S. residents who responded to the 2014 fourth quarter Urban Institute’s Health Reform Monitoring Survey (HRMS). A subsample of immigrants who participated in the HRMS was selected for secondary data analysis (n= 369). Twenty-one outcomes of interest were selected including demographic characteristics, literacy, numeracy, health status, health care access, and Marketplace utilization. Results: Regression analyses indicated that numeracy and age were predictors of general health status among immigrants. Chi square analyses indicated that age is associated with health care access among this sample of immigrants. A minority of immigrants report utilizing the Marketplace to purchase their health insurance coverage. Discussion: Further research is needed to explore these relationships with a more representative sample of immigrants. Manuscript Two Abstract Introduction: This study examined and compared the relationships between immigrants’ and citizens’ awareness, perceptions, concerns in relation to the Affordable Health Care Act and Marketplace utilization. Method: A secondary data analysis of participants who self-identified as citizens and non-U.S. citizens was carried out. The entire fourth quarter 2014 survey sample made up of citizens and immigrants was used. Specific questions that were utilized in this study included demographic items such as gender, age, ethnicity/race, employment status, marital status, education, perceptions regarding the Affordable Healthcare Act (ACA), awareness of the Marketplace and concern. Results: Analyses indicated that citizens have less favorable opinions about the ACA than do immigrants. Awareness was higher among immigrants and immigrants were more likely to report having used the marketplace than citizens. Results further indicated that citizens were less likely than immigrants to report knowing someone with concerns that Immigrants, Health Status, Access, and the ACA affect utilization of the Marketplace. Discussion: Findings can be utilized to further research these variables with a more comprehensive survey and more representative sample.
Liliana Guyler, Ph.D. (Committee Chair)
Amy Bernard, Ph.D. (Committee Member)
Laura Nabors, Ph.D. (Committee Member)
76 p.
Health Education
immigrant; health status; health care access; health care act; perception; awareness

Recommended Citations

Citations

  • Yunusa Vakkai, R. J. (2015). Health Status, Health Care Access, Literacy and Numeracy among Members of Immigrant Communities: The Relationship of Perceptions, Awareness and Concerns Regarding the Health Care Act [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1439308175

    APA Style (7th edition)

  • Yunusa Vakkai, Roseline Jindori. Health Status, Health Care Access, Literacy and Numeracy among Members of Immigrant Communities: The Relationship of Perceptions, Awareness and Concerns Regarding the Health Care Act. 2015. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1439308175.

    MLA Style (8th edition)

  • Yunusa Vakkai, Roseline Jindori. "Health Status, Health Care Access, Literacy and Numeracy among Members of Immigrant Communities: The Relationship of Perceptions, Awareness and Concerns Regarding the Health Care Act." Doctoral dissertation, University of Cincinnati, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1439308175

    Chicago Manual of Style (17th edition)

ucin1439308175
552
© 2015, some rights reserved.Creative Commons License Health Status, Health Care Access, Literacy and Numeracy among Members of Immigrant Communities: The Relationship of Perceptions, Awareness and Concerns Regarding the Health Care Act by Roseline Jindori Yunusa Vakkai is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. Based on a work at etd.ohiolink.edu.
This open access ETD is published by University of Cincinnati and OhioLINK.