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Journal article
State Medicaid Expansion, Community Interventions, and Health Care Disparities in a United States-Mexico Border Community
American journal of public health (1971), v 104(8), pp E94-E100
01 Aug 2014
PMID: 24922148
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives. We investigated whether access to and use of health care services increased among residents of a low-income, predominantly Mexican American border community affected by the expansion of Arizona's Medicaid program in 2001 and multiple community-level programs and policies.
Methods. We used data from a probability sample of 1623 adult residents of Douglas, Arizona, who participated in cross-sectional health surveys in 1998 and 2010. Response rates were 83% and 86%, respectively.
Results. In 2010, participants were more likely to have a usual source of care, to have visited a provider in the previous year, and to have been screened for diabetes and hypertension and less likely to have delayed needed care or to have seen a regular provider in Mexico (P < .001 for all outcomes). Improvements in access to and use of health care were most pronounced among residents with less than a high school education, which reduced or eliminated educational disparities in health care.
Conclusions. Expansion of public insurance programs can effectively reduce health care disparities when paired with other community-level policies and programs that target medically underserved populations.
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Details
- Title
- State Medicaid Expansion, Community Interventions, and Health Care Disparities in a United States-Mexico Border Community
- Creators
- Brent A. Langellier - University of ArizonaJill Guernsey de Zapien - Public Health AgencyCecilia Rosales - Community, Environment and PolicyMaia Ingram - Nutrition Sciences (Belgium)Scott C. Carvajal - Nutrition Sciences (Belgium)
- Publication Details
- American journal of public health (1971), v 104(8), pp E94-E100
- Publisher
- Amer Public Health Assoc Inc
- Number of pages
- 7
- Grant note
- 5U48DP001925-24 / National Center for Chronic Disease Prevention and Health Promotion; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA U48DP001925 / NATIONAL CENTER FOR CHRONIC DISEASE PREV AND HEALTH PROMO; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Health Management and Policy
- Web of Science ID
- WOS:000341811000018
- Scopus ID
- 2-s2.0-84904322944
- Other Identifier
- 991020100058004721
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- Web of Science research areas
- Public, Environmental & Occupational Health