Suchergebnisse

Using data collected in the 1991 Los Angeles (CA) Community Survey, the effects of social relations & social-class composition on Salvadorean & Pilipino (ie, Salvadoran & Filipino) immigrants' employment status & earnings are explored. Interviews with 574 Salvadorean & Pilipino workers measured employment status, earnings, social relations, individual skills, & demographic information. Findings indicate that strong social relations significantly affect employment status & earnings in both ethnic groups. Whereas male workers received higher wages when working with relatives, female workers with high earnings were more likely to not have coresident relatives. Moreover, the analysis demonstrates limited support for the contention that social relations have more effect in working-class Salvadorean families than in Pilipino families. 4 Tables, 33 References. Adapted from the source document.

Public debate about health care reform often focuses on the need for health insurance coverage, but in Latino communities many other barriers also inhibit access to medical care. In addition, basic public health services often go underfunded or ignored. Thus, health care reform efforts, nationally and in each State, must embrace a broader view of the issues if the needs of Latino communities are to be served. This report reviews and summarizes information about the mounting problems Latino communities face in gaining access to medical care. Access to appropriate medical care is reduced by numerous financial, structural, and institutional barriers. Financial barriers include the lack of health insurance coverage and low family incomes common in Latino communities. More than 7 million Latinos (39 percent) go without health insurance coverage. Latinos without health insurance receive about half as much medical care as those who are insured. Structurally, the delivery system organization rarely reflects the cultural or social concerns of the communities where they are located. Therefore, providers and patients fail to communicate their concerns adequately. These communication problems are exacerbated by the extreme shortage of Latino health care professionals and other resources available. Institutional barriers often reflect the failure to consider what it means to provide good service as well as high-quality medical care. Reducing these barriers to medical care requires modifying governmental and institutional policies, expanding the supply of competent providers, restructuring delivery system incentives to ensure primary care and public health services, and enhancing service and satisfaction with care.