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Health Care Satisfaction: Effects of Immigration, Acculturation, Language
Russell K Schutt1,2, Camila Mejía3
1Department of Sociology, University of Massachusetts Boston, 100 Morrissey Blvd., Boston, MA, 02125-3393, USA. Russell.schutt@umb.edu.
Journal of Immigrant and Minority Health
|March 31, 2016
Summary
First-generation Hispanic immigrants report higher healthcare satisfaction than white Americans, while second-generation immigrants report lower satisfaction. This "healthy migrant effect" varies by language group and generation, highlighting cultural influences on healthcare experiences.
Area of Science:
- Public Health
- Sociology
- Health Services Research
Background:
- Healthcare satisfaction influences health utilization and outcomes.
- Little is known about healthcare satisfaction variations related to immigration status.
- The
- healthy migrant effect
- is a documented phenomenon in immigrant health research.
Purpose of the Study:
- To analyze variations in healthcare satisfaction among immigrant groups.
- To investigate the impact of immigration generation and language on healthcare satisfaction.
- To explore the applicability of segmented assimilation theory to immigrant healthcare experiences.
Main Methods:
- Analysis of survey data from state public health program patients.
- Comparison of healthcare satisfaction levels across different immigrant generations and ethnic groups (Hispanic, Portuguese-speaking, Spanish-speaking) against white Americans.
- Statistical examination of factors such as self-reported health, communication ability, and acculturation.
Main Results:
- Overall healthcare satisfaction is higher for first-generation Hispanic immigrants and lower for second-generation immigrants compared to white Americans.
- This pattern is more pronounced in Portuguese-speaking immigrants and is not explained by health, communication, or acculturation.
- Satisfaction with specific healthcare aspects varies, influenced by cultural differences and healthcare experiences.
Conclusions:
- Healthcare satisfaction patterns differ significantly across immigrant generations and ethnic groups.
- Distinguishing between language groups (e.g., Portuguese vs. Spanish speakers) is crucial for understanding healthcare satisfaction.
- Culturally-based orientations and healthcare experiences significantly influence immigrant satisfaction with care, necessitating culturally sensitive approaches.
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