Tapping Healthcare Resource by Older Mexicans with Diabetes: How Migration to the United States Facilitates Access

Salinas, Jennifer J.

doi:10.1007/s10823-008-9076-4

Cited by 8 publications

(11 citation statements)

References 15 publications

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“…19 Insurance coverage is an established predictor to preventive health screening utilization, explaining race/ethnic health disparities in the United States and socioeconomic health inequality in Mexico; 20-23 out of pocket costs being a major factor. 6 Therefore, the protection against health risk aspect of the Mexican government's health initiative was intended to alleviate barriers to universal preventive healthcare utilization through improved epidemiological surveillance, health promotion, disease prevention and risk mitigation. 9 Actions taken through this dimension of the health initiative included the formation of a new public health organization, providing patients with a new health card based on guidelines on age and gender based preventive care recommendations, and increased funding to community health service programs.…”

Section: Preventive Healthcarementioning

confidence: 99%

Preventive health screening utilization in older Mexicans before and after healthcare reform

Salinas¹

2015

Salud Publica Mex

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Section: Preventive Healthcarementioning

confidence: 99%

Preventive health screening utilization in older Mexicans before and after healthcare reform

Salinas¹

2015

Salud Publica Mex

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“…Since the poor, rural and uninsured households of Mexico incur the most out‐of‐pocket catastrophic health care expenditures, 13,14 they may be deterred from obtaining timely outpatient treatment, leading to a greater utilization of inpatient care for the same conditions. In a study of a rural migrant community in Michoacán, subjects reported local public health clinics as usually crowded, understaffed, and often out of medications and medical supplies 16 . These participants also reported that at times they would not go to the clinic to forgo the bother.…”

Section: Discussionmentioning

confidence: 99%

“…In a study of a rural migrant community in Michoacán, subjects reported local public health clinics as usually crowded, understaffed, and often out of medications and medical supplies. 16 These participants also reported that at times they would not go to the clinic to forgo the bother. Further, people with limited economic resources viewed paying for health care as a lower priority than food and shelter for their families.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, since rural older Mexicans are less likely to be covered by work‐based health care programs, this population incurs much greater out‐of‐pocket expenses than their urban counterparts 13,14 . Paying out of pocket for health care forces older rural Mexicans to choose between receiving necessary health care and paying for food or electricity 15,16 …”

Section: Health Care Access In Mexicomentioning

confidence: 99%

“…13,14 Paying out of pocket for health care forces older rural Mexicans to choose between receiving necessary health care and paying for food or electricity. 15,16 Health care services in rural areas are often very basic, lacking adequately equipped hospitals or health clinics. 17 In the United States, access to health care in the rural setting often alleviates overuse of emergency rooms for nonemergent health needs, and distance from the hospital may determine whether a patient survives a heart attack.…”

Section: Health Care Access In Mexicomentioning

confidence: 99%

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The Rural-Urban Divide: Health Services Utilization Among Older Mexicans in Mexico

Salinas

snih

Markides

et al. 2010

The Journal of Rural Health

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Context-MexicoPurpose-Using the health care service utilization model as a framework, this paper will analyze the differences in health care service use among older Mexicans living in urban and rural areas in Mexico. Methods-TheMexican Health and Aging Survey (MHAS) data were used to test the applicability of Andersen's "model of health services" of predisposing (ie, age, sex, etc.), enabling (education, insurance coverage, etc.) and need factors (diabetes, hypertension, etc.) to predict ever being in the hospital and physician visits in the past year by place of residence (urban, rural, semirural). Findings-Resultsshowed that older Mexicans living in the most rural areas (populations of 2500 or fewer) were significantly less likely to have been hospitalized in the previous year and visited the physician less often (P < .0001) than their urban counterparts. The significant difference in hospitalization between rural and urban residing older Mexicans was largely accounted for by having health care coverage. Certain need factors such as diabetes, previous heart attack, hypertension, depression, and functional limitations predicted frequency of physician visits and hospitalization, but they did not explain variations between rural and urban older Mexicans.Conclusions-Not having insurance coverage was associated with a lower likelihood of spending an overnight visit in the hospital and visiting a physician for older Mexicans. This lower utilization may be due to barriers to access rather than better health. Keywordshospitalization; insurance; Mexico; rural; urbanThe epidemiological transition has progressed through much of Mexico and, as a result, the population in Mexico is aging quickly.1 Mexico has now reached the juncture where health and quality of life in older age are a public health focus, yet little effort has been made to Health Care Access in MexicoIn Mexico, the health care system is work-based.9 Mexicans in the formal labor market access health care programs associated with the sector in which they are employed. Study FrameworkIn this study, we use Andersen's "Behavioral Model of Health Services Use" as a framework to demonstrate the disparity in health care utilization between rural and urban older Mexicans living in Mexico.22 Andersen initially developed the model in the late 1960s, grouping contributing factors into predisposing, enabling, and need as a way of illustrating patterns of health care utilization by families. Over the years, Andersen has revised the model to account for the growing complexities associated with medical care, shifting focus to the individual.Andersen's model has been used in a number of studies to characterize health care utilization in Hispanic populations.23 -25 Al Snih et al determined that need factors had the most predictive power in determining doctor visits and overnight hospitalization in older Mexican Americans, yet, in Mexico, Tamez-González et al found that enabling factors, particularly education, proved to be the most important in predicting prenatal...

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The reasons older immigrants in the United States of America report for returning to Mexico

Vega

Hirschman

2017

Ageing and Society

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Mexicans are the largest immigrant group in the United States of America (USA) and are ageing rapidly. Few studies investigate whether older immigrants return to Mexico for different reasons than younger immigrants. Using the Mexican Health and Aging Study (N = 952), we examine whether Mexican immigrants in the USA who returned to Mexico at age 50 and older report different reasons for returning than those who returned at younger ages. Few immigrants (regardless of age) returned for economic reasons. The most commonly reported reason for returning for both groups was missing family. However, the odds of selecting missing family over illness as their main reason for returning were lower for older immigrants than younger immigrants after controlling for the duration of their stay in the USA and other socio-demographic factors (odds ratio (OR) = 0.27; 95% confidence interval (CI) = 0.11, 0.68). Results indicate that older immigrants were just as likely to report returning due to economic reasons and migration problems as they were to report returning because of illness (OR = 0.57, 95% CI = 0.15, 2.21; OR = 0.41, 95% CI = 0.12, 1.43). While existing research shows that older immigrants in the USA typically experience fewer migration problems and are often more economically stable than younger immigrants, our research suggests this may be entirely due to the duration of their stay in the USA.

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Tapping Healthcare Resource by Older Mexicans with Diabetes: How Migration to the United States Facilitates Access

Cited by 8 publications

References 15 publications

Preventive health screening utilization in older Mexicans before and after healthcare reform

Preventive health screening utilization in older Mexicans before and after healthcare reform

The Rural-Urban Divide: Health Services Utilization Among Older Mexicans in Mexico

The reasons older immigrants in the United States of America report for returning to Mexico

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