Title |
Variations in Healthcare Access and Utilization Among Mexican Immigrants: The Role of Documentation Status
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Published in |
Journal of Immigrant and Minority Health, October 2010
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DOI | 10.1007/s10903-010-9406-9 |
Pubmed ID | |
Authors |
Arturo Vargas Bustamante, Hai Fang, Jeremiah Garza, Olivia Carter-Pokras, Steven P. Wallace, John A. Rizzo, Alexander N. Ortega |
Abstract |
The objective of this study is to identify differences in healthcare access and utilization among Mexican immigrants by documentation status. Cross-sectional survey data are analyzed to identify differences in healthcare access and utilization across Mexican immigrant categories. Multivariable logistic regression and the Blinder-Oaxaca decomposition are used to parse out differences into observed and unobserved components. Mexican immigrants ages 18 and above who are immigrants of California households and responded to the 2007 California Health Interview Survey (2,600 documented and 1,038 undocumented immigrants). Undocumented immigrants from Mexico are 27% less likely to have a doctor visit in the previous year and 35% less likely to have a usual source of care compared to documented Mexican immigrants after controlling for confounding variables. Approximately 88% of these disparities can be attributed to predisposing, enabling and need determinants in our model. The remaining disparities are attributed to unobserved heterogeneity. This study shows that undocumented immigrants from Mexico are much less likely to have a physician visit in the previous year and a usual source of care compared to documented immigrants from Mexico. The recently approved Patient Protection and Affordable Care Act will not reduce these disparities unless undocumented immigrants are granted some form of legal status. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 6 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 6 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 8 | 3% |
United Kingdom | 1 | <1% |
Unknown | 288 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 59 | 20% |
Student > Ph. D. Student | 46 | 15% |
Student > Doctoral Student | 31 | 10% |
Student > Bachelor | 28 | 9% |
Researcher | 27 | 9% |
Other | 54 | 18% |
Unknown | 52 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 90 | 30% |
Medicine and Dentistry | 47 | 16% |
Nursing and Health Professions | 29 | 10% |
Agricultural and Biological Sciences | 10 | 3% |
Economics, Econometrics and Finance | 10 | 3% |
Other | 45 | 15% |
Unknown | 66 | 22% |