Journal Article

Hard-to-reach? Using health access status as a way to more effectively target segments of the Latino audience

Holley A. Wilkin and Sandra J. Ball-Rokeach

in Health Education Research

Volume 26, issue 2, pages 239-253
Published in print April 2011 | ISSN: 0268-1153
Published online February 2011 | e-ISSN: 1465-3648 | DOI: https://dx.doi.org/10.1093/her/cyq090
Hard-to-reach? Using health access status as a way to more effectively target segments of the Latino audience

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Health issues disproportionately affect Latinos, but variations within this ethnic group may mean that some Latinos are harder to reach with health messages than others. This paper introduces a methodology grounded in communication infrastructure theory to better target ‘hard-to-reach’ audiences. A random digit dialing telephone survey of 739 Latinos living in two Los Angeles communities was conducted. The relationships between health access difficulties and connections to an integrated storytelling network as well as individual health communication source connections were explored. Findings suggest that Latinos who are connected to an integrated storytelling network report marginally greater ease finding healthcare, despite not being any more likely to have insurance or a regular place for healthcare. Latinos who have health access problems tended to rely more upon Spanish-language television for health information. In addition, those without healthcare access problems are more likely to indicate that they use health professionals, the Internet, mainstream TV and printed materials like health pamphlets for health information. The theoretical and methodological contributions of this work, its major findings, implications, limitations and policy guidelines are discussed.

Journal Article.  7785 words. 

Subjects: Public Health and Epidemiology

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