Unequal Access and Use of Health Care Services among Settled Immigrants, Recent Immigrants, and Locals: A Comparative Analysis of a Nationally Representative Survey in Chile

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dc.contributor.authorOyarte, Marcela
dc.contributor.authorCabieses, Baltica
dc.contributor.authorRada, Isabel
dc.contributor.authorBlukacz, Alice
dc.contributor.authorEspinoza, Manuel
dc.contributor.authorMezones-Holguin, Edward
dc.date.accessioned2025-01-20T20:19:29Z
dc.date.available2025-01-20T20:19:29Z
dc.date.issued2023
dc.description.abstractGlobally, and particularly in the Latin American region, international migration continues to grow. Access and use of health care services by migrants vary according to their country of origin and residence time. We aimed to compare the access and use of health care services between international migrants (including settled migrants from Peru, Argentina, Bolivia, Ecuador; Emerging migrants from Venezuela, Dominican Republic, Colombia, Haiti; and migrants from other countries) and the Chilean population. After performing a secondary data analysis of population-based nationally representative surveys (CASEN 2011-2017), access and use patterns (insurance, complementary insurance, non-consultation, and non-treatment coverage) were described and compared among settled immigrants, recent emerging immigrants, others, and locals. Immigrants had a significantly higher uninsured population compared to locals. Specifically, in CASEN 2017, 19.27% of emerging (95% CI: 15.3-24.1%), 11.79% of settled (95% CI: 10.1-13.7%), and 2.25% of locals (95% CI: 2.1-2.4%) were uninsured. After 2013, settled and recent emerging migrants showed higher percentages of non-consultation. Collaborative and interculturally relevant strategies from human rights and equity perspectives are needed. Initiatives with a particular focus on recent immigrants can contribute to reducing the existing disparities in health care access and use with locals due to lack of insurance and treatment coverage.
dc.fuente.origenWOS
dc.identifier.doi10.3390/ijerph20010741
dc.identifier.eissn1660-4601
dc.identifier.urihttps://doi.org/10.3390/ijerph20010741
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/92526
dc.identifier.wosidWOS:000910012500001
dc.issue.numero1
dc.language.isoen
dc.revistaInternational journal of environmental research and public health
dc.rightsacceso restringido
dc.subjecthealth systems
dc.subjectaccessibility
dc.subjectmigration
dc.subjecthealth inequalities
dc.subjectLatin America
dc.subjectChile
dc.subject.ods03 Good Health and Well-being
dc.subject.ods10 Reduced Inequality
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa10 Reducción de las desigualdades
dc.titleUnequal Access and Use of Health Care Services among Settled Immigrants, Recent Immigrants, and Locals: A Comparative Analysis of a Nationally Representative Survey in Chile
dc.typeartículo
dc.volumen20
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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