141st APHA Annual Meeting

In This section

275738
Latina immigrants' perceptions of access to family planning in a new settlement state

Wednesday, November 6, 2013 : 10:30 AM - 10:45 AM

M. Gabriela Alcalde, MPH, DrPH , Independent Research, Louisville, KY
Background: Reproductive health is an integral part of women's self-determination and overall health and wellbeing. Public policies can strengthen or undermine reproductive health. Immigration and welfare policies have significant and often unexplored public health implications. Objective: This study looked at how foreign-born Latina immigrants' perceptions of access to and experiences with family planning in an urban center in Kentucky can inform community-based policy initiatives to improve the reproductive health of Latinas. Methods: Twenty in-depth key informant interviews were conducted from June to August 2011. Nine foreign-born, Latina informal community leaders and 11 social and health service providers, and policy professionals were interviewed in Spanish and English, respectively. Qualitative analysis using an emergent theme approach was conducted using qualitative analysis software. Results: Findings were categorized into 6 areas: social, political, and cultural context of Kentucky; scope and meaning of family planning; instrumental and perceived barriers; instrumental and perceived facilitators; role of policies in access to family planning; and potential impact of the Affordable Care Act on foreign-born Latinas' access to family planning. Both participant populations made the connection between non-health policies (especially immigration, transportation, and language-access) and family planning access. This study's findings suggest that Latina immigrants' perception of access is affected by immigration and transportation policies at the state and federal level, by local attitudes towards immigration, and language access practices at service agencies. Findings also provide insights into culturally- and linguistically-appropriate approaches to increase knowledge and understanding of family planning among foreign-born Latina immigrants.

Learning Areas:
Advocacy for health and health education
Diversity and culture
Public health or related public policy

Learning Objectives:
Discuss how foreign-born Latina immigrantsí perceptions of access to and experiences with family planning in an urban center in Kentucky can inform community-based policy initiatives to improve the reproductive health of Latinas Explain how Latina immigrantsí perception of access is affected by immigration and transportation policies at the state and federal level, by local attitudes towards immigration, and language access practices at service agencies 3) Formulate policy-, organizational-, and programmatic-level interventions to improve access to family planning information and services for Latina immigrants

Keywords: Access Immigration, Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am presenting results of a research project that I conducted myself as part of a doctoral dissertation at UNC Chapel Hill. It was conducted as an individual researcher and did not receive funding or have any existing conflicts of interest. The research went through the UNC Chapel Hill IRB process and was approved.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.