Health Care Experiences and Perceived Barriers to Health Care Access: A Qualitative Study Among African Migrants in Guangzhou, Guangdong Province, China

Lavinia Lin*, Katherine B. Brown, Fan Yu, Jingqi Yang, Jason Wang, Joshua M. Schrock, Adams B. Bodomo, Ligang Yang, Bin Yang, Eric J. Nehl, Joseph D. Tucker, Frank Y. Wong

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

Guangzhou, one of China’s largest cities and a main trading port in South China, has attracted many African businessmen and traders migrating to the city for financial gains. Previous research has explored the cultural and economic roles of this newly emerging population; however, little is known about their health care experiences while in China. Semi-structured interviews and focus groups were used to assess health care experiences and perceived barriers to health care access among African migrants in Guangzhou, China. Overall, African migrants experienced various barriers to accessing health care and were dissatisfied with local health services. The principal barriers to care reported included affordability, legal issues, language barriers, and cultural differences. Facing multiple barriers, African migrants have limited access to care in Guangzhou. Local health settings are not accustomed to the African migrant population, suggesting that providing linguistically and culturally appropriate services may improve access to care for the migrants.

Original languageEnglish (US)
Pages (from-to)1509-1517
Number of pages9
JournalJournal of Immigrant and Minority Health
Volume17
Issue number5
DOIs
StatePublished - Oct 13 2015

Funding

The authors would like to thank the Guangzhou African community leaders, Ojukwu Emma and Sultane Barry, for organizing community events. The authors would also like to thank the African migrants in Guangzhou for their time and effort. Preparation of this article was supported in part by grants from the NIH FIC (1K01TW008200-01A3) and Emory Center for AIDS Research (P30 AI050409; Wong and Nehl).

Keywords

  • African
  • China
  • Health care access
  • Health care experiences
  • Immigrants/migrants

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

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