Health competence as predictor of access to care among latinos in Baltimore

Fannie Fonseca-Becker, Maria J. Perez-Patron, Beatriz Munoz, Michael O'Leary, Evelyn Rosario, Sheila K. West

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


The goal of this study is to identify the underlying structure of Health Competence and its value as a predictor of access to care among the Latino population in Baltimore, Maryland. Data on a cross-sectional urban probability sample were collected from 330 foreign-born Latino men and women aged 21-75 years residing in Baltimore at the time of the survey. Principal components analysis yielded a two-component solution: the first component comprised "factors enabling" access to care; the second, "perceived barriers". When testing the predictive power of the Health Competence construct using model building and the log likelihood criteria the "enabling factors" added significantly (P < .005) to the power of the socio-demographic variables to predict access to care, making it an important tool for programs aiming to improve US Latinos' health.

Original languageEnglish (US)
Pages (from-to)354-360
Number of pages7
JournalJournal of Immigrant and Minority Health
Issue number3
StatePublished - Jun 2010


  • Access to care
  • Health competence
  • Health seeking behavior
  • Hispanics
  • Latinos

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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