The Relationship Between Educational Attainment and Health Care Access and Use Among Mexicans, Mexican Americans, and U.S.–Mexico Migrants

Langellier, Brent A.; Martínez-Donate, Ana P.; González-Fagoaga, Jesús Eduardo; Rangel, Gudelia

doi:10.1007/s10903-019-00902-9

Cited by 11 publications

(10 citation statements)

References 33 publications

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“…Participants with higher levels of education were more likely to prefer hospice care. A previous study investigating the relationship between educational attainment and health care access and use found that people with higher levels of education were more likely to be insured [ 50 ], which was also a significant predictor of accepting hospice care in our study. Moreover, participants with higher educational levels may have a greater knowledge about the cost-effectiveness of hospice [ 51 , 52 ], as well as other benefits and limitations [ 33 ]; thus, they were more likely to be receptive toward hospice care.…”

Section: Discussionsupporting

confidence: 63%

Hospice Care Preferences and Its Associated Factors among Community-Dwelling Residents in China

Lin

et al. 2022

IJERPH

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Hospice care is a comprehensive approach addressing patients’ physical, psychosocial, and spiritual needs at the end of life (EoL). Despite the recognition of its effectiveness in improving the quality of EoL care, little is known about hospice care in mainland China. In this study, we aimed to examine the preferences for hospice care and its related factors among community-dwelling residents in mainland China. Participants were recruited using a convenience sampling method, and 992 community-dwelling residents responded to an online survey from June 2018 to August 2019. The majority (66.7%) of the participants were female, and the mean age was 48.4 years. Approximately 28% of the participants had heard of hospice care, and 91.2% preferred to receive hospice care if diagnosed with a terminal illness. Participants who had heard of hospice care, and with higher levels of education (bachelor’s degree or above) and health insurance coverage were more likely to accept hospice care than their counterparts. Community-based education on hospice care is imperative to improve public knowledge and the acceptance of hospice care. Meanwhile, there is a need to develop policies to integrate and expand hospice care into clinical settings.

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Section: Discussionsupporting

confidence: 63%

Hospice Care Preferences and Its Associated Factors among Community-Dwelling Residents in China

Lin

et al. 2022

IJERPH

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“…Two of these studies analyzed the impact of immigration enforcement policies on the profile, experiences, and migration plans of deported Mexican migrants ( 62 , 63 ), showing that a widespread versus a prioritized enforcement strategy results in greater numbers of law-abiding individuals experiencing fear of deportation, reduced inter-state mobility, and detention and subsequently deportation as a result of minor offenses, such as traffic infractions. Other ancillary studies have shed light on health selection processes ( 67 , 68 ) and educational gradients in health care access among Mexican migrants ( 69 ). The next two surveys will shed much needed light on the prevalence of, and factors associated with, NCD, mental health, and substance abuse among migrant flows traveling through the Mexico – U.S. border region.…”

Section: Discussionmentioning

confidence: 99%

The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. border

Martínez-Donate

Rangel²,

Correa

et al. 2023

Front. Public Health

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BackgroundMexican migrants traveling across the Mexico-United States (U.S.) border region represent a large, highly mobile, and socially vulnerable subset of Mexican nationals. Population-level health data for this group is hard to obtain given their geographic dispersion, mobility, and largely unauthorized status in the U.S. Over the last 14 years, the Migrante Project has implemented a unique migration framework and novel methodological approach to generate population-level estimates of disease burden and healthcare access for migrants traversing the Mexico-U.S. border. This paper describes the rationale and history of the Migrante Project and the protocol for the next phases of the project.Methods/designIn the next phases, two probability, face-to-face surveys of Mexican migrant flows will be conducted at key crossing points in Tijuana, Ciudad Juarez, and Matamoros (N = 1,200 each). Both survey waves will obtain data on demographics, migration history, health status, health care access, COVID-19 history, and from biometric tests. In addition, the first survey will focus on non-communicable disease (NCD), while the second will dive deeper into mental health and substance use. The project will also pilot test the feasibility of a longitudinal dimension with 90 survey respondents that will be re-interviewed by phone 6 months after completing the face-to-face baseline survey.DiscussionInterview and biometric data from the Migrante project will help to characterize health care access and health status and identify variations in NCD-related outcomes, mental health, and substance use across migration phases. The results will also set the basis for a future longitudinal extension of this migrant health observatory. Analyses of previous Migrante data, paired with data from these upcoming phases, can shed light on the impact of health care and immigration policies on migrants’ health and inform policy and programmatic responses to improve migrant health in sending, transit, and receiving communities.

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“…In California and elsewhere, public health programs are engaging with community groups especially those focused on healthcare and representing affected communities but more information is needed about the demographics, healthcare utilization and potential barriers to care of populations that experience risk for TB [12][13][14]. Recent studies have highlighted disparities in healthcare utilization among minority groups but have not focused on non-U.S.-born persons who experience risk for TB [15,16]. Understanding healthcare utilization of populations that experience risk is important for the planning of TB prevention activities.…”

Section: Introductionmentioning

confidence: 99%

Health insurance, healthcare utilization and language use among populations who experience risk for tuberculosis, California 2014–2017

2022

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Background California tuberculosis (TB) prevention goals include testing more than ten million at-risk Californians and treating two million infected with tuberculosis. Adequate health insurance and robust healthcare utilization are crucial to meeting these goals, but information on these factors for populations that experience risk for TB is limited. Methods We used data from the 2014–2017 California Health Interview Survey (n = 82,758), a population-based dual-frame telephone survey to calculate survey proportions and 95% confidence intervals (CI) stratified by country of birth, focusing on persons from countries of birth with the highest number of TB cases in California. Survey proportions for recent doctor’s visit, overall health, smoking, and diabetes were age-adjusted. Results Among 18–64 year-olds, 27% (CI: 25–30) of persons born in Mexico reported being uninsured in contrast with 3% (CI: 1–5) of persons born in India. Report of recent doctor’s visit was highest among persons born in the Philippines, 84% (CI: 80–89) and lowest among Chinese-born persons, 70% (CI: 63–76). Persons born in Mexico were more likely to report community clinics as their usual source of care than persons born in China, Vietnam, or the Philippines. Poverty was highest among Mexican-born persons, 56% (CI: 54–58) and lowest among Indian-born persons, 9% (CI: 5–13). Of adults with a medical visit in a non-English language, 96% (CI: 96–97) were non-U.S.-born, but only 42% (CI: 40–44) of non-U.S.-born persons had a visit in a non-English language. Discussion Many, though not all, of the populations that experience risk for TB had health insurance and used healthcare. We found key differences in usual source of care and language use by country of birth which should be considered when planning outreach to specific providers, clinic systems, insurers and communities for TB prevention and case-finding.

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The Relationship Between Educational Attainment and Health Care Access and Use Among Mexicans, Mexican Americans, and U.S.–Mexico Migrants

Cited by 11 publications

References 33 publications

Hospice Care Preferences and Its Associated Factors among Community-Dwelling Residents in China

Hospice Care Preferences and Its Associated Factors among Community-Dwelling Residents in China

The next phases of the Migrante Project: Study protocol to expand an observatory of migrant health on the Mexico—U.S. border

Health insurance, healthcare utilization and language use among populations who experience risk for tuberculosis, California 2014–2017

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