Social integration, health behaviors and health status among Mexican-American women in the *southwestern United States

Using the Hispanic Health and Nutrition Examination Survey (HHANES), this research examined several health behaviors and the health status of Mexican American women. This study focused on determining the relative impact of social contextual factors: age, socioeconomic status, quality of life indicators, and urban/rural residence on (a) health behaviors (smoking, obesity and alcohol use) and (b) health status (physician's assessment of health status, subject's assessment of health status and blood pressure levels). In addition, social integration was analyzed. The social integration indicators relate to an individual's degree of integration within his/her social group: marital status, level of acculturation (a continuum of traditional Mexican ways to dominant U.S. cultural ways), status congruency, and employment status. Lastly, the social contextual factors and social integration indicators were examined to identify those factors that contribute most to understanding health behaviors and health status among Mexican American women.^ The study found that the social contextual factors and social integration indicators proved to be important concepts in understanding the health behaviors. Social integration, however, did not predict health status except in the case of the subject's assessment of health status. Age and obesity were the strongest predictors of blood pressure. The social contextual factors and obesity were significant predictors of the physician's assessment of health status while acculturation, education, alcohol use and obesity were significant predictors of the subject's assessment of health status. ^

A metasynthesis of qualitative studies regarding opinions and perceptions about barriers and determinants of health services’ accessibility in economic migrants

Background: Access to health services is an important health determinant. New research in health equity is required, especially amongst economic migrants from developing countries. Studies conducted on the use of health services by migrant populations highlight existing gaps in understanding which factors affect access to these services from a qualitative perspective. We aim to describe the views of the migrants regarding barriers and determinants of access to health services in the international literature (1997–2011). Methods: A systematic review was conducted for Qualitative research papers (English/Spanish) published in 13 electronic databases. A selection of articles that accomplished the inclusion criteria and a quality evaluation of the studies were carried out. The findings of the selected studies were synthesised by means of metasynthesis using different analysis categories according to Andersen’s conceptual framework of access and use of health services and by incorporating other emergent categories. Results: We located 3,025 titles, 36 studies achieved the inclusion criteria. After quality evaluation, 28 articles were definitively synthesised. 12 studies (46.2%) were carried out in the U.S and 11 studies (42.3%) dealt with primary care services. The participating population varied depending mainly on type of host country. Barriers were described, such as the lack of communication between health services providers and migrants, due to idiomatic difficulties and cultural differences. Other barriers were linked to the economic system, the health service characteristics and the legislation in each country. This situation has consequences for the lack of health control by migrants and their social vulnerability. Conclusions: Economic migrants faced individual and structural barriers to the health services in host countries, especially those with undocumented situation and those experimented idiomatic difficulties. Strategies to improve the structures of health systems and social policies are needed.

Ethical guidelines for the delivery of health services by DHEW : report and recommendations /

Includes bibliographical references

Self-evaluation of occupational safety and health programs /

Mode of access: Internet.

[Background of the Public Health Council and the State Department of Health.

Prepared by John J. Bourke for Prof. Henry N. Ogden. Cf. letter inserted.

Departments of Labor, and Health, Education, and Welfare appropriations for fiscal year 1971. Hearings before the subcommittee of the Committee on Appropriations, United States Senate, Ninety-first Congress, second session, on H.R. 18515 ...

On spine: Labor-HEW appropriations, 1971.

Annual report of the U.S. Department of Health and Human Services to the Congress of the United States on services provided to handicapped children in Project Head Start.

Title from cover.

Depression, manic-depressive illness, and biological rhythms /

Includes bibliographical references (p. 46-47).

Scorpions, spiders, and other arthropods of minor public health importance and their controls

Bibliography: p.23-26.

Ticks of public health importance and their control

Bibliography: p. 39-42.

Household and stored-food insects of public health importance and their control /

"May 1963"--T.p. verso.

Physician and patient.

A monthly journal of health and hygiene.

Flies of public health importance and their control /

Mode of access: Internet.

Mites of public health importance and their control /

Mode of access: Internet.

Ticks of public health importance and their control /

Mode of access: Internet.