Deported Mexican migrants: health status and access to care.

Deported Mexican migrants: health status and access to care.
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DOI:
10.1590/s0034-8910.2014048005150
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发表时间:
2014-06
影响因子:
2.8
通讯作者:
Bojorquez-Chapela I
Bojorquez-Chapela I
中科院分区:
医学4区
文献类型:
--
作者:
Fernández-Niño JA;Ramírez-Valdés CJ;Cerecero-Garcia D;Bojorquez-Chapela I

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说明通过墨西哥-美国边界被驱逐的被迫返回的墨西哥移民的健康状况和获得护理的机会,并将其与自愿返回的移民的情况进行比较。2012年墨西哥北部边境移民调查的二次数据分析。这是一项持续的调查,旨在描述墨西哥和美国之间的移民流动,采用流动人口抽样设计。我们分析了被驱逐的移民的健康和获得护理的指标,并将其与自愿返回的移民进行了比较。我们的分析样本包括2680名自愿返回的移民和6862名被驱逐出境的人。我们使用有序多元Logistic回归模型,比较研究组之间调整后的自我报告健康状况最差的几率。与自愿返回的移民相比,被驱逐出境的人在美国拥有医疗保险的可能性较小(OR=0.05;95%CI 0.04;0.06)。在回归模型中,被驱逐出境(OR=1.71,95%CI为1.52;1.92)、年龄(OR=1.03,95%CI为1.02;1.03)和受教育年限(OR=0.94 95%CI为0.93;0.95)与较差的自我感觉健康有关。根据我们的结果,与自愿返回的移民相比,被驱逐出境的人在美国获得护理的机会较少。我们的结果还显示,被驱逐出境与自我感觉健康状况较差之间存在独立且具有统计学意义的关联。为了促进从美国返回的被驱逐的墨西哥移民的健康和获得护理的机会,需要新的卫生和社会政策。
To describe the health status and access to care of forced-return Mexican migrants deported through the Mexico-United States border and to compare it with the situation of voluntary-return migrants. Secondary data analysis from the Survey on Migration in Mexico’s Northern Border from 2012. This is a continuous survey, designed to describe migration flows between Mexico and the United States, with a mobile-population sampling design. We analyzed indicators of health and access to care among deported migrants, and compare them with voluntary-return migrants. Our analysis sample included 2,680 voluntary-return migrants, and 6,862 deportees. We employ an ordinal multiple logistic regression model, to compare the adjusted odds of having worst self-reported health between the studied groups. As compared to voluntary-return migrants, deportees were less likely to have medical insurance in the United States (OR = 0.05; 95%CI 0.04;0.06). In the regression model a poorer self-perceived health was found to be associated with having been deported (OR = 1.71, 95%CI 1.52;1.92), as well as age (OR = 1.03, 95%CI 1.02;1.03) and years of education (OR = 0.94 95%CI 0.93;0.95). According to our results, deportees had less access to care while in the United States, as compared with voluntary-return migrants. Our results also showed an independent and statistically significant association between deportation and having poorer self-perceived health. To promote the health and access to care of deported Mexican migrants coming back from the United States, new health and social policies are required.
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期刊: Salud Pública de México
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