Social and Behavioral Sciences Commons^™

Examining The Role Of Perceptual Biases In Health Care Utilization Among Adults, Sandra L. Oviedo Ramirez

Open Access Theses & Dissertations

A large body of literature has identified significant racial and ethnic disparities in health care and health outcomes. In an effort to gain an understanding of how to achieve health equity, it is crucial that we broaden our search for factors beyond access factors that may explain these observed disparities. The present study examined how cultural differences related to attention (context vs. focal) and attribution (internal vs. external) influence individuals' propensity to identify symptoms as potential markers of poor health, and ultimately, report less utilization of professional health care services. Using a community sample of 252 (n = 134 Latinos …

Associations Between Perceptions Of U.S. Immigration Enforcement Policies, Physical Health, Psychological Distress, And Health Care Utilization In A Hispanic Border Community, Isabel Katharina Maria Latz

Open Access Theses & Dissertations

Since the beginning of the current U.S. federal administration, immigration policies have become more restrictive and immigration enforcement has been strengthened. This cross-sectional survey study examines associations between perceptions of and experiences with current immigration enforcement policies and self-rated physical health, psychological distress, and health care utilization among Hispanic adults with different residency statuses in the U.S. Paso del Norte region. This study further investigates moderating effects of collective efficacy and engaged coping strategies on associations between policy perceptions and psychological distress.

The study sample included 211 Hispanic adult residents of the U.S. Paso del Norte Region (i.e., El Paso, …

Lacking A Connection To A Community Water System: Water Quality And Human Health Impacts In El Paso Colonias, Yolanda Jane Mcdonald

Open Access Theses & Dissertations

Water-borne disease and its symptoms, such as stomach cramps and diarrhea, are a serious concern in areas that are not connected to a public water system. To investigate the impacts of not being connected to a community water system, I surveyed households in El Paso County colonias that were not connected to a community water system (household n = 75, individual n= 293) and households that were connected to a community water system (household n = 75, individual n= 320). I conducted 150 door-to-door surveys and tested water samples from each household for free residual chlorine level, turbidity level, presence …

The Role Of Perceptual Processes In The Use Of And Willingness To Use Professional Health Care Services, Luis Omar Rivera

Open Access Theses & Dissertations

To better address ethnic health disparities, it is imperative that we understand the psychological processes that shape people's use of and willingness to use professional health care services. The current research proposes and tests a model in which people's attentional orientation toward context discourages them from seeking professional health care services because (a) attentional orientation toward context encourages people to attribute symptoms of illness to external/environmental factors and (b) attributing symptoms of illness to external/environmental factors is associated with less use of professional health care services. The results of two studies show mixed support for the proposed model. Consistent with …