The relationship between violence in Northern Mexico and potentially avoidable hospitalizations in the USA-Mexico border region.
The relationship between violence in Northern Mexico and potentially avoidable hospitalizations in the USA-Mexico border region.
复制标题
墨西哥北部的暴力事件与美墨边境地区可能可以避免的住院治疗之间的关系。
DOI：
10.1093/pubmed/fdv012
复制
发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Holmes,GeorgeM
中科院分区：
文献类型：
--
作者：
Geissler,Kimberley;Stearns,SallyC;Becker,Charles;Thirumurthy,Harsha;Holmes,GeorgeM
背景美国-墨西哥边境地区有相当比例的美国居民进入墨西哥寻求医疗保健；墨西哥北部暴力事件的增加可能影响了这一机会。我们量化了墨西哥暴力与边境县居民获得护理机会减少之间的联系。方法我们使用亚利桑那州、加利福尼亚州和得克萨斯州(2005-10)的住院数据来估计凶杀率和因非卧床护理敏感(ACS)情况住院的可能性之间的关联。结果最近的墨西哥城市的凶杀率每增加1个SD，边境县患者因急性冠脉综合征而住院的概率就增加2.2个百分点。居住在边境县与因急性冠脉综合征住院的概率降低1.3个百分点相关。结论墨西哥凶杀率的增加与美国因急性冠脉综合征住院的增加有关，尽管居住在边境县与因急性冠脉综合征住院的可能性降低相关。扩大边境地区的准入可能会通过提供替代护理来源来缓解这些影响。
BackgroundSubstantial proportions of US residents in the USA–Mexico border region cross into Mexico for health care; increases in violence in northern Mexico may have affected this access. We quantified associations between violence in Mexico and decreases in access to care for border county residents. We also examined associations between border county residence and access.MethodsWe used hospital inpatient data for Arizona, California and Texas (2005–10) to estimate associations between homicide rates and the probability of hospitalization for ambulatory care sensitive (ACS) conditions. Hospitalizations for ACS conditions were compared with homicide rates in Mexican municipalities matched by patient residence.ResultsA 1 SD increase in the homicide rate of the nearest Mexican municipality was associated with a 2.2 percentage point increase in the probability of being hospitalized for an ACS condition for border county patients. Residence in a border county was associated with a 1.3 percentage point decrease in the probability of being hospitalized for an ACS condition.ConclusionsIncreased homicide rates in Mexico were associated with increased hospitalizations for ACS conditions in the USA, although residence in a border county was associated with decreased probability of being hospitalized for an ACS condition. Expanding access in the border region may mitigate these effects by providing alternative sources of care.