Access to preventive health care: is method of payment a barrier for immigrant Hispanic women?

Womens Health Issues. May-Jun 2002;12(3):129-37. doi: 10.1016/s1049-3867(02)00130-5.


This study describes the payment category of 397 low-income Hispanic women and the relationship to compliance with family planning visits the first year postbirth. Only one-fourth of the women returned for the one-year family planning visit, when they would have received well-woman care. Pay category was not a factor in identifying those who returned. Health system barriers, patient cultural beliefs, and life circumstance may explain why women enter and then leave apparently seamless systems of care. To increase preventive care, more study is needed of interventions that build on women's existing cultural prescriptions for health behavior by health professionals who portray postbirth checks as wellness checks.

MeSH terms

  • Adolescent
  • Adult
  • Cultural Characteristics
  • Emigration and Immigration
  • Family Planning Services / economics*
  • Family Planning Services / statistics & numerical data
  • Fee-for-Service Plans*
  • Female
  • Financing, Personal / statistics & numerical data
  • Health Services Accessibility / economics*
  • Hospitals, Public / economics
  • Hospitals, Public / statistics & numerical data
  • Hospitals, Teaching / economics
  • Hospitals, Teaching / statistics & numerical data
  • Humans
  • Insurance, Health / statistics & numerical data
  • Maternal Health Services / economics*
  • Maternal Health Services / statistics & numerical data
  • Mexican Americans / statistics & numerical data*
  • Poverty / ethnology
  • Pregnancy
  • Preventive Health Services / economics*
  • Preventive Health Services / statistics & numerical data
  • Public Assistance / statistics & numerical data
  • Texas