Binational utilization and barriers to care among Mexican American border residents with diabetes
OBJECTIVE: To assess whether U.S.-Mexico border residents with diabetes 1) experience greater barriers to medical care in the United States of America versus Mexico and 2) are more likely to seek care and medication in Mexico compared to border residents without diabetes. METHODS: A stratified two-s...
Main Authors: | , , , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
2013
|
Subjects: | |
Online Access: | https://doaj.org/article/f6ccecf2bc24479ba8b27febb3a80da0 |
id |
ftdoajarticles:oai:doaj.org/article:f6ccecf2bc24479ba8b27febb3a80da0 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:f6ccecf2bc24479ba8b27febb3a80da0 2023-05-15T15:17:19+02:00 Binational utilization and barriers to care among Mexican American border residents with diabetes Hendrik D. de Heer Jennifer Salinas Lisa M. Lapeyrouse Josiah Heyman Osvaldo F. Morera Hector G. Balcazar 2013-09-01T00:00:00Z https://doaj.org/article/f6ccecf2bc24479ba8b27febb3a80da0 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013000900001&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/f6ccecf2bc24479ba8b27febb3a80da0 Revista Panamericana de Salud Pública, Vol 34, Iss 3, Pp 147-154 (2013) Hispanoamericanos americanos mexicanos diabetes mellitus áreas fronterizas salud fronteriza Texas México Estados Unidos Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2013 ftdoajarticles 2022-12-31T12:00:01Z OBJECTIVE: To assess whether U.S.-Mexico border residents with diabetes 1) experience greater barriers to medical care in the United States of America versus Mexico and 2) are more likely to seek care and medication in Mexico compared to border residents without diabetes. METHODS: A stratified two-stage randomized cross-sectional health survey was conducted in 2009 - 2010 among 1 002 Mexican American households. RESULTS: Diabetes rates were high (15.4%). Of those that had diabetes, most (86%) reported comorbidities. Compared to participants without diabetes, participants with diabetes had slightly greater difficulty paying US$ 25 (P = 0.002) or US$ 100 (P = 0.016) for medical care, and experienced greater transportation and language barriers (P = 0.011 and 0.014 respectively) to care in the United States, but were more likely to have a person/place to go for medical care and receive screenings. About one quarter of participants sought care or medications in Mexico. Younger age and having lived in Mexico were associated with seeking care in Mexico, but having diabetes was not. Multiple financial barriers were independently associated with approximately threefold-increased odds of going to Mexico for medical care or medication. Language barriers were associated with seeking care in Mexico. Being confused about arrangements for medical care and the perception of not always being treated with respect by medical care providers in the United States were both associated with seeking care and medication in Mexico (odds ratios ranging from 1.70 - 2.76). CONCLUSIONS: Reporting modifiable barriers to medical care was common among all participants and slightly more common among 1) those with diabetes and 2) those who sought care in Mexico. However, these are statistically independent phenomena; persons with diabetes were not more likely to use services in Mexico. Each set of issues (barriers facing those with diabetes, barriers related to use of services in Mexico) may occur side by side, and both present opportunities for ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Hispanoamericanos americanos mexicanos diabetes mellitus áreas fronterizas salud fronteriza Texas México Estados Unidos Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Hispanoamericanos americanos mexicanos diabetes mellitus áreas fronterizas salud fronteriza Texas México Estados Unidos Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Hendrik D. de Heer Jennifer Salinas Lisa M. Lapeyrouse Josiah Heyman Osvaldo F. Morera Hector G. Balcazar Binational utilization and barriers to care among Mexican American border residents with diabetes |
topic_facet |
Hispanoamericanos americanos mexicanos diabetes mellitus áreas fronterizas salud fronteriza Texas México Estados Unidos Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To assess whether U.S.-Mexico border residents with diabetes 1) experience greater barriers to medical care in the United States of America versus Mexico and 2) are more likely to seek care and medication in Mexico compared to border residents without diabetes. METHODS: A stratified two-stage randomized cross-sectional health survey was conducted in 2009 - 2010 among 1 002 Mexican American households. RESULTS: Diabetes rates were high (15.4%). Of those that had diabetes, most (86%) reported comorbidities. Compared to participants without diabetes, participants with diabetes had slightly greater difficulty paying US$ 25 (P = 0.002) or US$ 100 (P = 0.016) for medical care, and experienced greater transportation and language barriers (P = 0.011 and 0.014 respectively) to care in the United States, but were more likely to have a person/place to go for medical care and receive screenings. About one quarter of participants sought care or medications in Mexico. Younger age and having lived in Mexico were associated with seeking care in Mexico, but having diabetes was not. Multiple financial barriers were independently associated with approximately threefold-increased odds of going to Mexico for medical care or medication. Language barriers were associated with seeking care in Mexico. Being confused about arrangements for medical care and the perception of not always being treated with respect by medical care providers in the United States were both associated with seeking care and medication in Mexico (odds ratios ranging from 1.70 - 2.76). CONCLUSIONS: Reporting modifiable barriers to medical care was common among all participants and slightly more common among 1) those with diabetes and 2) those who sought care in Mexico. However, these are statistically independent phenomena; persons with diabetes were not more likely to use services in Mexico. Each set of issues (barriers facing those with diabetes, barriers related to use of services in Mexico) may occur side by side, and both present opportunities for ... |
format |
Article in Journal/Newspaper |
author |
Hendrik D. de Heer Jennifer Salinas Lisa M. Lapeyrouse Josiah Heyman Osvaldo F. Morera Hector G. Balcazar |
author_facet |
Hendrik D. de Heer Jennifer Salinas Lisa M. Lapeyrouse Josiah Heyman Osvaldo F. Morera Hector G. Balcazar |
author_sort |
Hendrik D. de Heer |
title |
Binational utilization and barriers to care among Mexican American border residents with diabetes |
title_short |
Binational utilization and barriers to care among Mexican American border residents with diabetes |
title_full |
Binational utilization and barriers to care among Mexican American border residents with diabetes |
title_fullStr |
Binational utilization and barriers to care among Mexican American border residents with diabetes |
title_full_unstemmed |
Binational utilization and barriers to care among Mexican American border residents with diabetes |
title_sort |
binational utilization and barriers to care among mexican american border residents with diabetes |
publisher |
Pan American Health Organization |
publishDate |
2013 |
url |
https://doaj.org/article/f6ccecf2bc24479ba8b27febb3a80da0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 34, Iss 3, Pp 147-154 (2013) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013000900001&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/f6ccecf2bc24479ba8b27febb3a80da0 |
_version_ |
1766347566025277440 |