Heading south: why Mexican immigrants in California seek health services in Mexico.
Heading south: why Mexican immigrants in California seek health services in Mexico.
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DOI：
10.1097/mlr.0b013e318190cc95
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发表时间：
2009-06
期刊：
影响因子：
3
通讯作者：
Castañeda X
中科院分区：
文献类型：
--
作者：
Wallace SP;Mendez-Luck C;Castañeda X
找出解释为什么加州的一些墨西哥移民使用墨西哥医疗服务的因素。对2001年加州健康访谈调查数据进行了分析，以了解前一年墨西哥的医疗保健、牙科保健和/或处方药购买情况。Logistic回归估计使用的需要，可用性，可访问性和可接受性来自墨西哥的移民之间的影响。在过去的一年里，估计有952,000名加州成年人在墨西哥使用医疗、牙科或处方服务，其中488,000人是墨西哥移民。长期居住的墨西哥移民的比例最高（15%），其次是短期居住的墨西哥移民（11.5%），美国-墨西哥裔美国人（5.4%）和美国-非拉丁裔白人（2.1%）。移民使用的预测因素包括需要，没有保险，延迟寻求护理，最近的移民，有限的英语和非医生提供者的使用。居住在靠近边境的地方增加了使用，尽管寻求服务的移民中有一半居住在距离边境120英里以上的地方。在美国长期停留的墨西哥移民与短期停留的墨西哥移民有着不同的预测模式。墨西哥移民最有可能在墨西哥寻求医疗，牙科和处方服务。一个很大的数字，但很小的比例，美国-非拉丁裔白人在那里购买处方药。虽然邻近有利于使用，但美国医疗保健系统的准入和可接受性障碍鼓励移民在墨西哥寻求医疗保健，这些医疗保健将得到扩大的两国医疗保险的帮助。
Identify factors that explain why some Mexican immigrants in California use health services in Mexico. California Health Interview Survey 2001 data were analyzed for medical care, dental care, and/or prescription drug purchases in Mexico in the previous year. Logistic regressions estimated the effect on use of need, availability, accessibility, and acceptability among immigrants from Mexico. An estimated 952,000 California adults used medical, dental, or prescription services in Mexico during the past year, 488,000 of whom were Mexican immigrants. Long-stay Mexican immigrants had the highest rate (15%), followed by short-stay Mexican immigrants (11.5%), U.S.-born Mexican Americans (5.4%) and U.S.-born non-Latino whites (2.1%). Predictors of use by immigrants included need, no insurance, delay seeking care, more recent immigration, limited English, and nonphysician provider use. Living closer to the border increased use, although half of immigrants seeking services lived more than 120 miles from the border. Mexican immigrants with long stays in the U.S. have a somewhat different pattern of predictors from those with short stays. Mexican immigrants are the most likely to seek medical, dental, and prescription services in Mexico. A large number, but small percentage, of U.S.-born non-Latino whites purchase prescription drugs there. While proximity facilitates use, access and acceptability barriers in the U.S. medical care system encourage immigrants to seek care in Mexico who would be helped by expanded binational health insurance.