Thomas A Arcury1,2, Anna Jensen3, Mackenzie Mann3, Joanne C Sandberg1,2, Melinda F Wiggins4, Jennifer W Talton5, Mark A Hall6,7, Sara A Quandt2,8. 1. a Department of Family and Community Medicine , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA. 2. b Center for Worker Health , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA. 3. c North Carolina Farmworkers' Project , Benson , North Carolina , USA. 4. d Student Action with Farmworkers , Durham , North Carolina , USA. 5. e Department of Biostatistical Sciences, Division of Public Health Sciences , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA. 6. f Department of Social Science and Health Policy, Division of Public Health Sciences , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA. 7. g Health Law and Policy Program , School of Law, Wake Forest University , Winston-Salem , North Carolina , USA. 8. h Department of Epidemiology and Prevention, Division of Public Health Sciences , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA.
Abstract
OBJECTIVE: Providing health program information to vulnerable communities, such as Latino farmworkers, is difficult. This analysis describes the manner in which farmworkers receive information about the Affordable Care Act, comparing farmworkers with other Latinos. METHODS: Interviews were conducted with 100 Latino farmworkers and 100 urban Latino North Carolina residents in 2015. RESULTS: Most farmworkers had received health information from a community organization. Trusted sources for health information were health care providers and community organizations. Sources that would influence decisions to enroll were Latino nurses and doctors, religious leaders, and family members. Traditional media, including oral presentation and printed material at the doctor's office, were preferred by the majority of farmworkers and non-farmworkers. Farmworkers used traditional electronic media: radio, television, and telephone. More non-farmworkers used current electronic media: e-mail and Internet. CONCLUSIONS: Latino farmworkers and non-farmworkers prefer traditional media in the context of a health care setting. They are willing to try contemporary electronic media for this information.
OBJECTIVE: Providing health program information to vulnerable communities, such as Latino farmworkers, is difficult. This analysis describes the manner in which farmworkers receive information about the Affordable Care Act, comparing farmworkers with other Latinos. METHODS: Interviews were conducted with 100 Latino farmworkers and 100 urban Latino North Carolina residents in 2015. RESULTS: Most farmworkers had received health information from a community organization. Trusted sources for health information were health care providers and community organizations. Sources that would influence decisions to enroll were Latino nurses and doctors, religious leaders, and family members. Traditional media, including oral presentation and printed material at the doctor's office, were preferred by the majority of farmworkers and non-farmworkers. Farmworkers used traditional electronic media: radio, television, and telephone. More non-farmworkers used current electronic media: e-mail and Internet. CONCLUSIONS: Latino farmworkers and non-farmworkers prefer traditional media in the context of a health care setting. They are willing to try contemporary electronic media for this information.
Entities:
Keywords:
Farmworkers; health care access; health services; immigrant health; rural health
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