ArticlePloS one2021
Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Stakeholders' perceptions and experiences of factors influencing the commissioning, delivery, and uptake of general health checks: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2025Pooled it
- Evaluating the Cultural Adaptation of Evidence-Based HIV Prevention Interventions for African Immigrant Women: Exploratory Pilot Mixed-Methods Study.Journal of immigrant and minority health · 2026Trial
- Integrating Critical Racial Literacy to Advance Health Equity Among African, Caribbean, and Black Populations in High-Income Countries: Protocol for a Scoping Review.JMIR research protocols · 2026Article
- Barriers and Facilitators to Accessing Preventive Services for Chronic Diseases Among People From Bangladeshi and Nepalese Backgrounds Living in Sydney.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Harambee! 3.0: Addressing HIV-Stigma and Increasing HIV-Testing in Three African Immigrant Communities in King County.Progress in community health partnerships : research, education, and action · 2026Article
- Associations between english proficiency and HPV vaccine uptake among foreign-born men and women in the United States: a cross-sectional study using data from the National Health Interview Survey.BMC public health · 2025Article
- Barriers and facilitators of preventive healthcare access among immigrants in rural America: a scoping review.International journal for equity in health · 2025Article
- African Immigrants and the End of the HIV Epidemic in the United States: Actionable Recommendations to Enhance Equity.American journal of public health · 2025Article
- Addressing COVID-19 Vaccine Hesitancy and Uptake Among African Immigrants: Lessons from a Community-Based Outreach Program.Journal of racial and ethnic health disparities · 2025Article
- Disparities in the Use of Annual Heart Health Screenings Among Latino, Black, and Asian Immigrants: Evidence from the 2011 to 2018 National Health Interview Survey.Journal of the American Heart Association · 2024Article
- The challenges of integrating an immigrant population with chronic hepatitis B into long-term hepatology care: Lessons learned from a Bronx West African screening program.IJID regions · 2024Article
- Inequities in routine preventive care utilization among persons with overweight/obesity in the United States: An analysis of nativity, racial and ethnic identity, and socioeconomic status.Dialogues in health · 2023Article
- Early Pandemic Access to COVID-19 Testing in the Somali Community in King County, Washington, USA: a Mixed-Methods Evaluation.Journal of racial and ethnic health disparities · 2023Article
- Social support and cervical cancer screening among sub-Saharan African immigrant (SAI) women.Cancer causes & control : CCC · 2022Article
- Acculturation and Cardiovascular Risk Screening among African Immigrants: The African Immigrant Health Study.International journal of environmental research and public health · 2022Article
- "They Wait until the Disease Has Taking over You and the Doctors Cannot Do Anything about It": Qualitative Insights from Harambee! 2.0.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
Studies of African immigrant health in the U.S. have traditionally focused on infectious diseases. However, the rising burden of non-communicable diseases (NCDs) indicates the increasing importance of general preventive health care. As part of a series of community health events designed for African-born individuals in King County, Washington, we administered key informant interviews (KIIs) with 16 health event participants, medical professionals, and community leaders to identify barriers and facilitators to use of preventive health care among African-born individuals. We used descriptive thematic analysis to organize barriers according to the socio-ecological model. Within the individual domain, KII participants identified lack of knowledge and awareness of preventive health benefits as barriers to engagement in care. Within the interpersonal domain, language and cultural differences frequently complicated relationships with health care providers. Within the societal and policy domains, healthcare costs, lack of insurance, and structural racism were also reported as major barriers. Participants identified community outreach with culturally competent and respectful providers as key elements of interventions to improve uptake. In conclusion, African immigrant communities face several barriers, ranging from individual to policy levels, to accessing health services, resulting in substantial unmet need for chronic disease prevention and treatment. Community-centered and -led care may help facilitate uptake and engagement in care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.