Background: Disparities in health care access for Latinos are well documented, but little is known about how they may impact immigrants from diverse countries of origin differently. Immigrants in nontraditional destination areas face greater disparities, allowing more robust comparison of Latino heritage groups in such regions. Method: Mexican (N = 258) and Guatemalan (N = 143) participants were recruited for a community-based participatory research (CBPR) initiative in Cincinnati, Ohio: Latinos Unidos por la Salud (LU-Salud). Community partners recruited Latino immigrants to complete a brief survey about health care difficulties. Mixed methods data analysis was employed using t tests, Fisher's exact test, and a qualitative content analysis approach to analyze group differences. Results: Although both groups reported challenges, Guatemalans reported greater difficulty navigating health care. Conversely, Mexicans more commonly used local resources like health fairs to seek health information and described fewer language barriers. Qualitatively, Guatemalans and Mexicans had different perceptions of the biggest health problem for Latinos in Cincinnati. Notably, Mexicans identified major chronic diseases as community health problems. Discussion: Mexicans and Guatemalans show different patterns of health care engagement and express distinct concerns. Future work should consider the role of health literacy in informing the heterogenous experiences and needs of Latinos from diverse countries of origin. Further, interventions should train health care providers to provide culturally sensitive services, with interpreters available in multiple languages to address heterogenous language needs. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

---

在非传统目的地地区，拉丁美洲人的医疗保健经历在文化间存在差异。

背景：拉丁美洲人在医疗保健方面的差异已有充分的文献记载，但人们对它们如何影响来自不同原籍国的移民的了解却很少。非传统目的地地区的移民面临的差距更大，这使得在这些地区中的拉丁裔遗产群体的比较更有力。方法：在俄亥俄州辛辛那提市招募墨西哥人（N = 258）和危地马拉人（N = 143）参加基于社区的参与性研究（CBPR）计划：Latinos Unidos por la Salud（LU-Salud）。社区合作伙伴招募了拉丁美洲裔移民，以完成有关医疗保健困难的简短调查。使用t检验，Fisher精确检验和定性内容分析方法进行混合方法数据分析，以分析组差异。结果：尽管两个小组都报告了挑战，危地马拉人报告在医疗保健方面存在更大的困难。相反，墨西哥人更常使用本地资源，例如健康博览会来寻找健康信息，并且描述的语言障碍更少。定性地，危地马拉人和墨西哥人对辛辛那提拉丁裔最大的健康问题有不同的看法。值得注意的是，墨西哥人将主要的慢性病确定为社区健康问题。讨论：墨西哥人和危地马拉人表现出不同的卫生保健参与模式，并表达了不同的关注。未来的工作应考虑健康素养在告知来自不同原籍国的拉丁美洲人的异类经历和需求中的作用。此外，干预措施应培训卫生保健提供者提供对文化敏感的服务，提供多种语言的口译员，以满足不同语言的需求。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。