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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Access to Health Care among Mexican Migrants and Immigrants: A Comparison across Migration Phases
Journal of health care for the poor and underserved, v 28(4), pp 1314-1326
01 Nov 2017
PMID: 29176097
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives. We examined differences in, and factors associated with, access to health services among Mexican im/migrants to the U.S. across migration phases, including predeparture, destination, interception, and return. Methods. Using data from a cross-sectional survey conducted in Tijuana, Mexico (N = 1,541), we computed descriptive statistics and staged logistic regressions to estimate health care access indicators and factors associated with access to services. Results. Im/migrants at post-migration phases had lower likelihood of receiving health care and having a usual source of care, and higher rates of forgone care, than their counterparts at pre-departure. These differences were partly explained by length of migration phase, health insurance status, transportation barriers, and detention or imprisonment. Conclusions. Mexican im/migrants face challenges in accessing health services across the migration continuum, especially at post-migration phases. Binational efforts to provide affordable insurance coverage and reduce transportation limitations and incarceration could contribute to improving health care access among Mexican im/migrants.
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Details
- Title
- Access to Health Care among Mexican Migrants and Immigrants: A Comparison across Migration Phases
- Creators
- Ana P. Martinez-Donate - Drexel Univ, Dornsife Sch Publ Hlth, Philadelphia, PA 19147 USAIfna Ejebe - Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI 53706 USAXiao Zhang - Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI 53706 USASylvia Guendelman - Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USAFelice Le-Scherban - Drexel UniversityGudelia RangelEduardo Gonzalez-Fagoaga - US Mexico Border Hlth Commiss, Mexico Sect, Mexico City, DF, MexicoMelbourne F. Hovell - San Diego State Univ, Grad Sch Publ Hlth, San Diego, CA 92182 USACatalina Amuedo-Dorantes - San Diego State Univ, Dept Econ, San Diego, CA 92182 USA
- Publication Details
- Journal of health care for the poor and underserved, v 28(4), pp 1314-1326
- Publisher
- Johns Hopkins Univ Press
- Number of pages
- 13
- Grant note
- National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA P2C HD047873 / Center for Demography and Ecology at the University of Wisconsin Madison - NIH/NICHD R01HD046886 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) R01 HD046886 / Eunice Kennedy Shriver National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) T32GM008692 / NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics; Community Health and Prevention
- Web of Science ID
- WOS:000416456900008
- Scopus ID
- 2-s2.0-85035312319
- Other Identifier
- 991019168131404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Health Policy & Services
- Public, Environmental & Occupational Health