Access to health care among Latinos of Mexican descent in Colonias in two Texas counties
Access to health care among Latinos of Mexican descent in Colonias in two Texas counties
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DOI：
10.1111/j.1748-0361.2004.tb00035.x
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发表时间：
2004-06-01
影响因子：
4.9
通讯作者：
Cornelius, LJ
中科院分区：
文献类型：
--
作者：
Ortiz, L;Arizmendi, L;Cornelius, LJ
背景：解决拉丁美洲人之间的健康差距问题的关键是审查种族亚群的需求。本文重点讨论了一个种族亚群--生活在殖民地的墨西哥裔拉丁美洲人所面临的独特挑战。研究结果重申了民族亚群内寻找了解健康的复杂性disparity.Purpose：本文报告收集的数据测量获得医疗保健的墨西哥裔拉丁美洲人生活在几个colonias在德克萨斯州南部的两个country.Method：观察的基础上收集的数据从非概率样本通过面对面的问卷调查，重点是医疗保健的访问。居住在美国边境附近的两个德克萨斯州县的人被纳入该样本，人口统计数据与县，州和国家统计数据进行比较，以检查样本与类似人群的可比性。来自这个雪球样本的调查结果，N=271，表明与全国拉丁裔人口相比，健康保险覆盖率较低，血压，糖尿病，胆固醇，癌症（即乳腺癌，宫颈癌和前列腺癌），并定期获得医疗保健在墨西哥略多于一半的sample.Conclusions：寻求医疗保健在墨西哥可能是一个可行的解决方案，许多墨西哥裔的穷人生活在地理位置接近边境，因为它克服了政治，文化，语言或经济障碍，在美国的医疗保健服务。尽管如此，对于这一群体的护理质量和健康和保健，还有一些长期的问题。
Context: Critical to resolving the problem of health disparities among Latinos is examining the needs within ethnic subpopulations. This paper focused on the unique challenges encountered by one ethnic subpopulation-Latinos of Mexican descent living in colonias. Findings reaffirm the importance of looking within ethnic subpopulations to understand the complexities of health disparities.Purpose: This paper reports on data collected measuring access to health care among Latinos of Mexican descent living in several colonias in two southern Texas counties.Method: Observations are based on data gathered from a non-probability sample obtained through a face to face questionnaire focusing on health care access. Persons living in two Texas counties near the US border were included in this sample, and demographic data were compared to county, state and national statistics to examine the comparability of the sample to similar populations.Findings: Findings from this snowball sample, N=271, suggested lower rates of health insurance coverage compared to the Latino population nationwide, decreased patterns of preventive screenings for blood pressure, diabetes, cholesterol, cancers (ie, breast, cervical, and prostate), and regular access to health care in Mexico by slightly more than half the sample.Conclusions: Seeking care in Mexico may be a viable solution for many indigent people of Mexican descent living in close geographic proximity to the border because it surmounts the political, cultural, linguistic, or economic barriers to health care services in the United States. Nonetheless, there are longer term questions regarding quality of care and health and wellness for this group of people.