Variations in healthcare access and utilization among Mexican immigrants: the role of documentation status.
Variations in healthcare access and utilization among Mexican immigrants: the role of documentation status.
复制标题
DOI：
10.1007/s10903-010-9406-9
复制
发表时间：
2012-02
影响因子：
1.9
通讯作者：
Ortega, Alexander N.
中科院分区：
文献类型：
--
作者：
Bustamante, Arturo Vargas;Fang, Hai;Garza, Jeremiah;Carter-Pokras, Olivia;Wallace, Steven P.;Rizzo, John A.;Ortega, Alexander N.
关键词：
本研究的目的是确定医疗保健的获取和利用墨西哥移民的文件状态之间的差异。横断面调查数据进行分析，以确定在医疗保健的获取和利用跨墨西哥移民类别的差异。多变量逻辑回归和Blinder-Oaxaca分解用于将差异解析为观察到的和未观察到的成分。18岁及以上的墨西哥移民，他们是加州家庭的移民，并回答了2007年加州健康访谈调查（2,600名有证件的移民和1,038名无证件的移民）。来自墨西哥的无证移民在前一年看医生的可能性降低了27%，在控制了混杂变量后，与有证墨西哥移民相比，获得常规护理的可能性降低了35%。在我们的模型中，大约88%的这些差异可以归因于易感性，使能性和需求决定因素。其余差异归因于未观察到的异质性。这项研究表明，与来自墨西哥的有证移民相比，来自墨西哥的无证移民在前一年不太可能去看医生，也不太可能去看医生。最近批准的《病人保护和平价医疗法》不会减少这些差距，除非无证移民获得某种形式的法律的地位。
The objective of this study is to identify differences in healthcare access and utilization among Mexican immigrants by documentation status. Cross-sectional survey data are analyzed to identify differences in healthcare access and utilization across Mexican immigrant categories. Multivariable logistic regression and the Blinder-Oaxaca decomposition are used to parse out differences into observed and unobserved components. Mexican immigrants ages 18 and above who are immigrants of California households and responded to the 2007 California Health Interview Survey (2,600 documented and 1,038 undocumented immigrants). Undocumented immigrants from Mexico are 27% less likely to have a doctor visit in the previous year and 35% less likely to have a usual source of care compared to documented Mexican immigrants after controlling for confounding variables. Approximately 88% of these disparities can be attributed to predisposing, enabling and need determinants in our model. The remaining disparities are attributed to unobserved heterogeneity. This study shows that undocumented immigrants from Mexico are much less likely to have a physician visit in the previous year and a usual source of care compared to documented immigrants from Mexico. The recently approved Patient Protection and Affordable Care Act will not reduce these disparities unless undocumented immigrants are granted some form of legal status.
登录
查看更多内容
影响因子：
9.7
作者：
Goldman, Dana P.;Smith, James P.;Sood, Neeraj
通讯作者：
Sood, Neeraj
影响因子：
9.7
作者：
Goldman, DP;Smith, JP;Sood, N
通讯作者：
Sood, N
影响因子：
9.7
作者：
Berk, ML;Schur, CL;Frankel, M
通讯作者：
Frankel, M
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM
影响因子：
3
作者：
Berdahl, Terceira A.;Kirby, James B.;Torres Stone, Rosalie A.
通讯作者：
Torres Stone, Rosalie A.