Awareness of the public charge, confidence in knowledge, and the use of public healthcare programs among Mexican-origin Oregon Latino/as.

Awareness of the public charge, confidence in knowledge, and the use of public healthcare programs among Mexican-origin Oregon Latino/as.
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墨西哥裔俄勒冈州拉丁美洲人对公共负担的认识、对知识的信心以及公共医疗保健计划的使用。

DOI:
10.1186/s12939-023-02027-w
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发表时间:
2023-10-10
影响因子:
4.8
通讯作者:
Darney, Blair G.
Darney, Blair G.
中科院分区:
医学2区
文献类型:
--
作者:
Wolwowicz-Lopez, Edlyn;Boniface, Emily;Diaz-Anaya, Sara;Cornejo-Torres, Yareli;Darney, Blair G.

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我们描述了俄勒冈州墨西哥裔拉丁裔/a人口对修改后的“公共负担”规则的认识,以及对该规则的担忧是否影响了不属于公共负担的国家资助项目的退学。我们对居住在俄勒冈州的墨西哥领事馆招募的成年人(18-59岁)进行了横断面调查。我们的结果是意识(对公共负担、知识来源和对公共负担知识的信心)和由于担心该规则而使自己或家庭成员退出国家资助的公共医疗保健计划。我们描述了结果,并使用逻辑回归和计算调整概率来确定与公共负担意识相关的因素。在498名拉美裔受访者中,48%的人表示意识到公共负担。在了解公共负担的受访者中,14.6%的人曾将自己或家人从公共医疗保健计划中退出,12.1%的人因担心公共负担而犹豫不决。较年轻的受访者对公共负担意识的调整概率较低(18-24岁:15.6% (95% CI 3.1-28.2);30 ~ 39岁54.9% (95% CI 47.7 ~ 62.0)。高等教育与较高的公共负担意识调整概率相关;说英语的能力与公众负担意识无关。我们的研究表明,墨西哥裔俄勒冈拉丁裔对公共负担的认识有限。外展和宣传是必不可少的,以确保拉丁裔/了解他们的权利获得可用的国家资助的医疗保健计划。
We describe awareness about the modified “public charge” rule among Oregon’s Mexican-origin Latino/a population and whether concerns about the rule influenced disenrollment from state-funded programs, which do not fall under the public charge. We conducted a cross-sectional survey of adults (ages 18–59) recruited at the Mexican consulate and living in the state of Oregon. Our outcomes were awareness (of the public charge, source of knowledge, and confidence in knowledge of the public charge) and disenrolling self or family members from state-funded public healthcare programs due to concerns about the rule. We described outcomes and used logistic regression and calculated adjusted probabilities to identify factors associated with awareness of the public charge. Of 498 Latino/a respondents, 48% reported awareness of the public charge. Among those who knew about the public charge, 14.6% had disenrolled themselves or family members from public healthcare programs and 12.1% were hesitant to seek care due to concerns about the public charge. Younger respondents had a lower adjusted probability of awareness of the public charge (18–24 years: 15.6% (95% CI 3.1–28.2); 30–39 years 54.9% (95% CI 47.7–62.0). Higher education was associated with a higher adjusted probability of awareness of the public charge; ability to speak English was not associated with awareness of the public charge. Our study reveals limited awareness about the public charge among Mexican-origin Oregon Latino/as. Outreach and advocacy are essential to ensure Latino/as know their rights to access available state-funded healthcare programs.
DOI: 10.1016/j.socscimed.2017.03.010
发表时间: 2018-02-01
影响因子: 5.4
作者:
Asad, Asad L.;Clair, Matthew
通讯作者: Clair, Matthew
DOI: 10.1377/hlthaff.2020.00763
发表时间: 2020-10-01
期刊: HEALTH AFFAIRS
影响因子: 9.7
作者:
Barofsky, Jeremy;Vargas, Ariadna;Barrows, Anthony
通讯作者: Barrows, Anthony
DOI: 10.1089/heq.2020.0111
发表时间: 2021
期刊: Health equity
影响因子: 2.7
作者:
Aragones A;Zamore C;Moya EM;Cordero JI;Gany F;Bruno DM
通讯作者: Bruno DM
DOI: 10.2307/2669316
发表时间: 2000-04-01
影响因子: 4.2
作者:
King, G;Tomz, M;Wittenberg, J
通讯作者: Wittenberg, J