Access to health care for nonmetro and metro Latinos of Mexican origin in the United States
Access to health care for nonmetro and metro Latinos of Mexican origin in the United States
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DOI：
10.1097/mlr.0b013e3180536734
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发表时间：
2007-07-01
期刊：
影响因子：
3
通讯作者：
Torres Stone, Rosalie A.
中科院分区：
文献类型：
--
作者：
Berdahl, Terceira A.;Kirby, James B.;Torres Stone, Rosalie A.
背景资料：越来越多的拉美裔人正在向非都会地区迁移，但很少有研究探讨这种趋势可能会如何影响拉美裔人在获得healthcare.Objective的劣势：我们调查非拉美裔白人和墨西哥裔拉美裔人之间的医疗保健获得差异，以及这种差异是否在都会和非都会地区之间存在差异。一系列逻辑回归模型提供了关于个人是否有通常的护理来源以及他们在过去一年中是否有任何医生访问的见解。我们的分析集中在墨西哥血统和nonmetro residence.Subjects之间的相互作用：从2002-2003年的医疗支出面板调查的全国代表性数据进行了分析。样本包括18-64岁的工作年龄的成年人，产生的样本量为29,875。结果：墨西哥的劣势，在有一个通常的护理来源是在非大都市居民比那些生活在大都市地区。墨西哥人在一年中至少有一次看医生的可能性方面的劣势在不同地区没有差异。虽然一般和特定种族的预测解释的劣势，墨西哥人在有一个通常的来源的照顾，他们不解释被墨西哥和生活在nonmetro areas.Conclusions的额外的劣势：这项研究确定了一个新的挑战，以消除在美国的医疗保健差距的目标。生活在非都市地区的拉丁裔人口正在增长，我们的研究结果表明，非都市地区的拉丁裔面临的障碍比其他地区的拉丁裔面临的障碍更大。
Background: A growing number of Latinos are moving to non-metro areas, but little research has examined how this trend might affect the Latino-disadvantage in access to healthcare.Objective: We investigate health care access disparities between non-Latino whites and Latinos of Mexican origin, and whether the disparities differ between metro and nonmetro areas.Methods: A series of logistic regression models provide insight on whether individuals have a usual source of care and whether they have had any physician visits in the past year. Our analyses focus on the interaction between Mexican origin descent and nonmetro residence.Subjects: Nationally representative data from the 2002-2003 Medical Expenditure Panel Survey are analyzed. The sample consists of working-aged adults age 18-64, yielding a sample size of 29,875.Results: The Mexican disadvantage in having a usual source of care is much greater among nonmetro residents than among those living in metro areas. The Mexican disadvantage in the likelihood of seeing a physician at least I time during the year does not differ across locations. Although general and ethnicity-specific predictors explain the disadvantage of Mexicans in having a usual source of care, they do not explain the added disadvantage of being Mexican and living in nonmetro areas.Conclusions: This study identifies a new challenge to the goal of eliminating health care disparities in the United States. The Latino population living in nonmetro areas is growing, and our findings suggest that Latinos in nonmetro areas face barriers to having a usual source of care that are greater than those faced by Latinos in other areas.