Cross-Border Purchase of Medications and Health Care in a Sample of Residents of El Paso, Texas, and Ciudad Juarez, Mexico
Cross-Border Purchase of Medications and Health Care in a Sample of Residents of El Paso, Texas, and Ciudad Juarez, Mexico
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DOI：
10.1016/s0027-9684(15)30831-2
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发表时间：
2009-02-01
影响因子：
3.3
通讯作者：
Cardenas, Victor
中科院分区：
文献类型：
--
作者：
Rivera, Jose O.;Ortiz, Melchor;Cardenas, Victor
背景资料：我们检查了在德克萨斯州埃尔帕索和墨西哥华雷斯城的成年居民中进行的美国-墨西哥两国调查的数据，以评估跨境购买药物和使用医疗保健服务的频率。方法：我们分析了面对面的问卷数据，在边境两侧随机选择1000名成年人进行面对面访谈，使用对数二项逻辑回归评估患病率和患病率比率analysis.Results:埃尔帕索三分之一的成年居民和华雷斯城5%的成年居民报告说，他们越过边境购买药物（P <0.001）。在美国，缺乏健康保险与跨越边境购买药物有关。分别有9%和7%的美国居民前往墨西哥寻求牙科和医疗服务。墨西哥国民前往美国购买药物或医疗保健服务更有可能是无保险和受过良好教育的男子。结论：美国居民的地区沿着边境靠近墨西哥经常前往南部购买药物。其他保健核心服务也得到利用，但利用率较低。这些模式可能归因于美国医疗保健的一些障碍。
Background: We examined data from a US-Mexico binational survey conducted among adult residents of El Paso, Texas, and Ciudad Juarez, Mexico, to assess frequency of purchase of medications and use of health care services across the border.Methods: We analyzed questionnaire data from face-to-face interviews of 1000 randomly selected adults on both sides of the border to assess prevalence and prevalence ratios using log binomial logistic regression analysis.Results: One-third of adult residents of El Paso and 5% of those in Ciudad Juarez reported crossing the border to purchase medications (P < .001). Lack of health insurance in the United States was associated with crossing the border to purchase medications. Nine percent and 7% of US residents traveled to Mexico seeking dental and medical care, respectively. Mexican nationals traveling to the United States to purchase medications or health care services were more likely to be uninsured and more-educated men.Conclusion: US residents of areas along the border in close proximity to Mexico often travel south to purchase medications. Other health core services are also utilized, although at lower rates. These patterns may be attributed to a number of barriers to health care in the United States.