Barriers to Health Care for Latino Youths During Community Reentry After Incarceration: Los Angeles County, California, 2016-2018

To examine barriers to health care for Latino youths during reentry after incarceration. For this in-depth qualitative study, we conducted 69 semistructured interviews with 22 Latino youths and their parents at 1, 3, and 6 months after incarceration. We performed thematic analysis of interview trans...

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Bibliographic Details
Published in:American journal of public health (1971) 2020-01, Vol.110 (S1), p.S63-S70
Main Authors: Barnert, Elizabeth S, Lopez, Nathalie, Chung, Paul J
Format: Article
Language:English
Subjects:
Access
Adolescent Health
Adverse childhood experiences
AJPH Open-Themed Research
Barriers
Caregivers
Deportation
Ethnicity
Families & family life
Health care
Health care access
Health disparities
Health services
Hispanic Americans
Immigration
Immigration policy
Imprisonment
Inequality
Interviews
Mental health
Minority Children
Model testing
Neighborhoods
Other Child and Adolescent Health
Parents & parenting
Poverty
Public health
Qualitative research
Religiosity
Trajectory analysis
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Summary:To examine barriers to health care for Latino youths during reentry after incarceration. For this in-depth qualitative study, we conducted 69 semistructured interviews with 22 Latino youths and their parents at 1, 3, and 6 months after incarceration. We performed thematic analysis of interview transcripts, from which a preliminary conceptual model emerged describing barriers to care for Latino youths. We then conducted trajectory analyses of dyadic youth-caregiver pairs to test the conceptual model. We collected longitudinal interviews in Los Angeles County, California, from November 2016 to March 2018. Beyond recognized stressors experienced by youths during reentry, most of which families related to poverty and neighborhood environment, Latino youths also experienced cultural barriers to care (i.e., self-reliance and pride, religiosity and reproductive care as taboo, preference for home remedies, language) as well as barriers to care because of undocumented status (i.e., fear of deportation, job insecurity). Reentry is challenging, and Latino youths face additional barriers to care during reentry related to culture and legal status, but have cultural strengths. Increased access to culturally sensitive, safety-net health care, regardless of immigration status, may reduce health inequalities for Latino youths undergoing reentry.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2019.305374