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dc.creatorMartinez-Donate, Ana P.
dc.creatorDsouza, Nishita
dc.creatorCuellar, Sierra
dc.creatorConnor, Gabrielle
dc.creatorZumaeta-Castillo, Claudia
dc.creatorLazo-Elizondo, Mariana
dc.creatorYamasaki, Yoshiaki
dc.creatorPerez, Cristina
dc.creatorCarroll-Scott, Amy
dc.creatorMartinez, Omar
dc.creatorMcGhee Hassrick, Elizabeth
dc.date.accessioned2023-01-06T17:20:50Z
dc.date.available2023-01-06T17:20:50Z
dc.date.issued2022-08-30
dc.identifier.citationMartinez-Donate, A.P., Dsouza, N., Cuellar, S. et al. Provider perceptions of availability, accessibility, and adequacy of health and behavioral services for Latino immigrants in Philadelphia: a qualitative study. BMC Public Health 22, 1645 (2022). https://doi.org/10.1186/s12889-022-14066-z
dc.identifier.issn1471-2458
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/8227
dc.identifier.urihttp://hdl.handle.net/20.500.12613/8256
dc.description.abstractObjective: Latino populations in the United States are disproportionately affected by substance use, HIV/AIDS, violence, and mental health issues (SAVAME). A growing body of evidence demonstrates the syndemic nature of SAVAME and the need for integrated strategies to reduce their impact. This study sought to understand the network of SAVAME services for Latino immigrants in Philadelphia to inform future interventions for SAVAME prevention and mitigation. Methodology: Key informant interviews (N = 30) were conducted with providers working in Latino-serving organizations providing SAVAME services. Interviews were analyzed using thematic coding and grounded theory. Results: Latino-serving providers perceived a large need for, and important limitations in the availability, accessibility, and adequacy of SAVAME services for Latino immigrants. Gaps were seen as especially acute for mental health and substance use services, partly because of insufficient funding for these services. Latino immigrants’ lack of health insurance, immigration status, limited English proficiency (LEP), stigma surrounding SAVAME issues, and limited knowledge of available services were identified as significant barriers preventing access to services. Providers noted that scarcity of well-trained, culturally competent, and ethnically concordant providers reduced the adequacy of SAVAME services for Latino immigrant clients. The small size, low levels of infrastructure, and limited capacity were reported as additional factors limiting the ability of many Latino-serving organizations to adopt a syndemic approach in the prevention and treatment of SAVAME services. Conclusions: The results call for changes in the structure of funding streams and communitywide strategies to foster collaboration across SAVAME providers working with Latino immigrant clients.
dc.format.extent15 pages
dc.languageEnglish
dc.language.isoeng
dc.relation.ispartofFaculty/Researcher Works
dc.relation.haspartBMC Public Health, Vol. 22
dc.relation.isreferencedbyBMC
dc.rightsAttribution CC BY
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectLatino immigrants
dc.subjectSyndemic
dc.subjectAccess
dc.subjectAvailability
dc.subjectQuality
dc.subjectHealth and behavioral services
dc.titleProvider perceptions of availability, accessibility, and adequacy of health and behavioral services for Latino immigrants in Philadelphia: a qualitative study
dc.typeText
dc.type.genreJournal article
dc.description.departmentSocial Work
dc.relation.doihttps://doi.org/10.1186/s12889-022-14066-z
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.schoolcollegeTemple University. College of Public Health
dc.description.schoolcollegeTemple University. School of Social Work
dc.temple.creatorMartinez, Omar
refterms.dateFOA2023-01-06T17:20:50Z


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