Access to and Use of Health Services Among Undocumented Mexican Immigrants in a US Urban Area
Access to and Use of Health Services Among Undocumented Mexican Immigrants in a US Urban Area
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DOI：
10.2105/ajph.2006.096222
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发表时间：
2008-11-01
影响因子：
12.7
通讯作者：
Ompad, Danielle C.
中科院分区：
文献类型：
--
作者：
Nandi, Arijit;Galea, Sandro;Ompad, Danielle C.
目标.我们评估了2004年居住在纽约市的墨西哥出生的无证移民获得和使用卫生服务的情况。我们使用基于场地的抽样，从无证移民可能聚集的地点招募参与者。参与者年龄在18岁或以上，出生在墨西哥，目前居住在纽约市。主要的结果指标是健康保险覆盖率，获得定期医疗保健提供者，急诊科护理。在多变量模型中，居住在其他成年人较少的住所，语言文化适应，较高的正式收入水平，较高的社会支持水平和健康状况不佳与医疗保险覆盖率相关。女性、较少的子女、1997年之前到达、较高的正式收入水平、健康保险覆盖率、较大的社会支持和不报告歧视与获得常规医疗保健提供者相关。较高的教育水平、较高的正式收入水平和健康状况差与急诊科护理相关。如果没有大规模的政治解决方案来应对无证移民的挑战，解决限制获得医疗服务的因素的政策可能会改善这一不断增长的人口的健康状况。(Am J公共卫生。2008年; 98：2011 - 2020年。doi：10.2105/AJPH.2006.096222）
Objectives. We assessed access to and use of health services among Mexican-born undocumented immigrants living in New York City in 2004.Methods. We used venue-based sampling to recruit participants from locations where undocumented immigrants were likely to congregate. Participants were 18 years or older, born in Mexico, and current residents of New York City. The main outcome measures were health insurance coverage, access to a regular health care provider, and emergency department care.Results. In multivariable models, living in a residence with fewer other adults, linguistic acculturation, higher levels of formal income, higher levels of social support, and poor health were associated with health insurance coverage. Female gender, fewer children, arrival before 1997, higher levels of formal income, health insurance coverage, greater social support, and not reporting discrimination were associated with access to a regular health care provider, Higher levels of education, higher levels of formal income, and poor health were associated with emergency department care.Conclusions. Absent large-scale political solutions to the challenges of undocumented immigrants, policies that address factors shown to limit access to care may improve health among this growing population. (Am J Public Health. 2008;98:2011-2020. doi:10.2105/AJPH.2006.096222)