Exploring Barriers To Sexual and Reproductive Healthcare for Latina Women in South Carolina.

Migrant and minority women in the United States face a high likelihood of experiencing poor reproductive health outcomes. Hispanic/Latina women are an especially high-risk population. Comprehensive and high-quality sexual and reproductive healthcare (SRHC) is desperately needed among this population, yet many Latina women face substantial barriers in accessing care. This study builds upon the three-delays model to better understand why Latina women experience delays in accessing quality SRHC in the state of South Carolina. Data for this study were drawn from semi-structed interviews with 14 adult women identifying as either Hispanic or Latina. Findings reveal that structural factors, including long distances to facilities, high costs of care, and difficulties navigating local healthcare and insurance systems, served as barriers to accessing quality SRHC. Socio-cultural factors, such as communication challenges and low cultural competency among healthcare providers, further inhibited access to care, even among women who spoke fluent English. These findings indicate a need for SRHC education and services to be more culturally-centered, by accounting for cultural knowledge and historical dynamics, and by giving patients more agency with respect to their care. Regarding the three-delays model, future applications should seek to better incorporate preventive services and consider that perceptions of quality SRHC are both individually- and contextually-mediated. This will be an important step toward developing policies and programs that are appropriately tailored to specific populations' cultural backgrounds and contextual needs.