{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:15:29Z","timestamp":1759335329513},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2008,4,8]],"date-time":"2008-04-08T00:00:00Z","timestamp":1207612800000},"content-version":"vor","delay-in-days":1590,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2003,12]]},"abstract":"<jats:p><jats:bold>Abstract: <\/jats:bold> Latinos represent nearly 13% of the U. S. population, surpassing African\u2010Americans as the nation's largest racial\/ethnic group. Many rural midwestern communities are seeing unprecedented growth in their Latino populations, creating new challenges and pressures for health and social service providers. This study is based on four focus groups conducted in three rural communities to examine concerns with health care services and access to care. Focus group analysis found several key barriers to health care access, including cost of health care services and frustration with the complexity of the U. S. health care system, as well as language and cultural issues that adversely affect patient\u2010provider relationships. In addition, a number of impediments related to employer\u2010sponsored health coverage were identified, including prohibitive premium costs as well as concerns about occupational injuries and access to care during work hours. The growth of the Latino population in the rural Midwest will require changes in existing health and social service systems to serve as a bridge to new systems in this country. We recommend several policy options including premium subsidies for lowwage jobs, community\u2010based enrollment specialists for public programs, and continued research and data collection to monitor change and progress.<\/jats:p>","DOI":"10.1111\/j.1748-0361.2003.tb00539.x","type":"journal-article","created":{"date-parts":[[2008,4,8]],"date-time":"2008-04-08T07:51:02Z","timestamp":1207641062000},"page":"33-41","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Health Care Needs of the Growing Latino Population in Rural America: Focus Group Findings in One Midwestern State"],"prefix":"10.1111","volume":"19","author":[{"given":"Lynn A.","family":"Blewett","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally A.","family":"Smaida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Fuentes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellie Ulrich","family":"Zuehlke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,4,8]]},"reference":[{"key":"e_1_2_1_2_2","unstructured":"Guzm\u00e1nB.Census2000 brief: the Hispanic population (Census Bureau publication C2KBR\/01\u20133);May 2001."},{"key":"e_1_2_1_3_2","volume-title":"Census 2000 summary file 1","author":"U S Census Bureau","year":"2001"},{"issue":"5","key":"e_1_2_1_4_2","first-page":"534","article-title":"Improving access to health care in Latino communities","volume":"108","author":"Valdez RB","year":"1993","journal-title":"Public Health Rep"},{"key":"e_1_2_1_5_2","volume-title":"Racial and ethnic disparities: Key findings from the National Survey of America's Families","author":"Staveteig S.","year":"2000"},{"key":"e_1_2_1_6_2","volume-title":"Working without benefits: The health insurance crisis confronting Hispanic\u2010Americans","author":"Quin K.","year":"2000"},{"key":"e_1_2_1_7_2","first-page":"57","volume-title":"Health issues in the Latino community","author":"Carrillo J.","year":"2001"},{"key":"e_1_2_1_8_2","first-page":"65","article-title":"Where have all the packing plants gone? The new meat geography in rural America","author":"Drabenstott M.","year":"1999","journal-title":"Fed Reserve Bank Kansas City Econ Rev"},{"key":"e_1_2_1_9_2","volume-title":"Latino immigrants, meatpacking, and rural communities: a case study of Lexington, Nebraska JSRI Research Report 26 East Lansing","author":"Gouveia L.","year":"1997"},{"key":"e_1_2_1_10_2","first-page":"334","volume-title":"Health issues in the Latino community Occupational Health Among Latino Workers in the","author":"Moure\u2010Eraso R.","year":"2001"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15327655jchn1501_5"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(00)90043-X"},{"key":"e_1_2_1_13_2","volume-title":"Latino health in the U S: A growing challenge","author":"Giachello A.","year":"1994"},{"key":"e_1_2_1_14_2","volume-title":"Barriers to health care for Hispanic workers: Focus group findings","author":"Perry M.","year":"2000"},{"key":"e_1_2_1_15_2","volume-title":"Racial and ethnic differences in health, 1996 (MEPS Chartbook No 2)","author":"Kass B.","year":"1999"},{"issue":"3","key":"e_1_2_1_16_2","first-page":"196","article-title":"Barriers to health care access for Latino children: A review","volume":"30","author":"Flores G.","year":"1998","journal-title":"Fam Med"},{"key":"e_1_2_1_17_2","volume-title":"1990 Census summary tape file 1","author":"U S Census Bureau","year":"1991"},{"key":"e_1_2_1_18_2","unstructured":"Minnesota Department of Trade and Economic DevelopmentMinnesota community and property profiles: community profile reportsAvailable at:http:www mnpro comAccessedNovember 25 2002."}],"container-title":["The Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1748-0361.2003.tb00539.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1748-0361.2003.tb00539.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T02:24:03Z","timestamp":1700274243000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1748-0361.2003.tb00539.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,12]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2003,12]]}},"alternative-id":["10.1111\/j.1748-0361.2003.tb00539.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1748-0361.2003.tb00539.x","archive":["Portico"],"relation":{},"ISSN":["0890-765X","1748-0361"],"issn-type":[{"value":"0890-765X","type":"print"},{"value":"1748-0361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,12]]},"assertion":[{"value":"2008-04-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}