The purpose of this research is to examine differences in access to and sources of healthcare for working-aged adults among major Hispanic subpopulations of the United States. Nativity, duration in the United States, citizenship, and sociodemographic factors are considered as key predictors of access to and sources of care. Copyright (c) 2006 Southwestern Social Science Association.

Deep inequities continue to exist in the access to and sources of care across racial and ethnic groups in the United States. This research examines differences in the regular source of usual health care for children among Hispanic subgroups of the United States. The immigration status of the mother -- including nativity, duration in the United States, and citizenship status -- as well as sociodemographic factors are considered as significant influences on the type of regular sources of care. Using the National Health Interview Survey from 1999 to 2001, multinomial logistic regression models are estimated to compare Mexican American and other Hispanic children with non-Hispanic whites and blacks. Both Mexican Americans and other Hispanics were more likely to report the use of clinic or the emergency room over private doctor's office as their regular source of health care compared with non-Hispanic whites. Together, the impact of the mother's nativity, duration, and citizenship status explains much of the differentials in the sources of care among Mexican American and other Hispanic children compared with non-Hispanic whites.

This article examines differences in access to a regular source of health care for children of Hispanic subgroups within the United States. Particular attention is paid to the impact of the immigration status of the mother – including nativity, duration in the United States, and citizenship status – and its affect on access to health care for Hispanic children. Data are pooled from the National Health Interview Survey for 1999–2001 and logistic regression models are estimated to compare Mexican American, Puerto Rican, Cuban, and Other Hispanic children with non‐Hispanic whites and blacks. While initial disparities are recorded among the race/ethnic groups, in the final model, only Mexican American children display significantly less access to health care than non‐Hispanic whites. The combined influence of the mother's nativity, duration, and citizenship status explains much of the differentials in access to a regular source of care among children of Hispanic subgroups in comparison to non‐Hispanic whites.

Community domains were associated with HbA change and blunted TI effectiveness.

The emerging epidemic of obesity and type II diabetes in Mexico has recently propelled the nation into the public health spotlight. In the state of Yucatán, the experience of diabetes is greatly impacted by two cultural constructions of disease. In this setting, elements of Yucatec Mayan health practices as well as the biomedical model affect the approach to type II diabetes. Both frameworks offer unique understandings of the etiology of diabetes and recommend different ways to manage the condition. Based on in-depth and semi-structured interviews with both community members and clinicians, the present study seeks to understand how diabetes is understood and treated in indigenous settings in rural Yucatán. We explore the context in which community members navigate between locally available healthcare options, choose one over the other, or incorporate strategies from both into their diabetes care regimens. The tension between indigenous community members and their biomedical healthcare providers, the changing food environment of this community, and the persistence of traditional gender constructions affect the management of type II diabetes and its associated symptoms.