Effective access to health care in Mexico

Gutiérrez, Juan Pablo; García-Saisó, Sebastián; Dolci, Germán Fajardo; Ávila, Mauricio Hernández

doi:10.1186/1472-6963-14-186

Cited by 51 publications

(44 citation statements)

References 7 publications

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“…For example, across migration phases, the estimated rates of health care receipt in the U.S. (47.4–60.1%) were substantially below rates found in other studies among U.S. adults (74%)(19) and Mexican adults (78%). (20) These differences persisted even when we restricted our analysis to im/migrants who spent the entire last 12-month observation period in the key context (i.e., U.S. for Southbound and Deported and Mexico for Northbound im/migrants; data not shown).…”

Section: Discussionmentioning

confidence: 96%

Access to Health Care among Mexican Migrants and Immigrants: A Comparison across Migration Phases

Martínez-Donate¹,

Ejebe²,

Xiao³

et al. 2017

Journal of Health Care for the Poor and Underserved

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Objectives We examined differences in, and factors associated with, access to health services among Mexican im/migrants to the U.S. across migration phases, including pre-departure, destination, interception, and return. Methods Using data from a cross-sectional survey conducted in Tijuana, Mexico (N=1,541), we computed descriptive statistics and staged logistic regressions to estimate health care access indicators and factors associated with access to services. Results Im/migrants at post-migration phases had lower likelihood of receiving health care and having a usual source of care, and higher rates of forgone care, than their counterparts at pre-departure. These differences were partly explained by length of migration phase, health insurance status, transportation barriers, and detention or imprisonment. Conclusions Mexican im/migrants face challenges in accessing health services across the migration continuum, especially at post-migration phases. Binational efforts to provide affordable insurance coverage and reduce transportation limitations and incarceration could contribute to improving health care access among Mexican im/migrants.

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Section: Discussionmentioning

confidence: 96%

Access to Health Care among Mexican Migrants and Immigrants: A Comparison across Migration Phases

Martínez-Donate¹,

Ejebe²,

Xiao³

et al. 2017

Journal of Health Care for the Poor and Underserved

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“…However, in the 1990s the poorest regions of Mexico had fewer than five physicians per 10,000 people and 1 hospital bed per 10,000 people, whereas the wealthiest regions of Mexico had an estimated 20 physicians per 10,000 people and 15 hospital beds per 10,000 people (Lozano et al, 2001). The substantial health care reform in Mexico has begun to reduce these disparities, but nearly 50% of the Mexican population in 2012 had no effective access to health care services (Gutierrez, Garcia-Saiso, Dolci, & Hernandez Avila, 2014). The limited access to health care in Mexico, especially in poor regions of Mexico, may contribute to an underreporting of health conditions because older adults with an underlying health condition who have not seen a physician in several years will not have received a diagnosis even though they may have the disease.…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Health and Functional Characteristics of Mexican and Mexican American Adults Aged 80 and Over

et al. 2016

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Objective To examine the health and functional characteristics of Mexican and Mexican American adults aged ≥80. Method Data came from Wave I (2001) and Wave III (2012) of the Mexican Health and Aging Study (MHAS), and Wave IV (2000–2001) and Wave VII (2010–2011) of the Hispanic Established Populations for Epidemiologic Studies of the Elderly (HEPESE). Results In 2000–2001, diabetes, arthritis, hypertension, and stroke were higher in the HEPESE than in the MHAS. In the HEPESE, activities of daily living (ADL) difficulties and all health conditions, except heart attack, were greater in 2010–2011 than in 2000–2001. In the MHAS, hypertension and ADL difficulties were greater, and arthritis was lower in 2012 compared with 2001. In 2010–2011, all self-reported health conditions were higher in the HEPESE compared with the 2012 observation of the MHAS. Discussion The observed differences may reflect worse health for Mexican Americans, health care access, reporting bias, and more selective survival to very old age in Mexico.

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“…(9) Yet, 48.5% of the Mexican population may lack effective access to health services. (10) These estimates are likely higher for key populations who face additional stigma and discrimination. (11–13)…”

Section: Introductionmentioning

confidence: 99%

Engagement in the HIV Care Continuum among Key Populations in Tijuana, Mexico

et al. 2015

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In Tijuana, Mexico, HIV is concentrated in sub-epidemics of key populations: persons who inject drugs (PWID), sex workers (SW), and men who have sex with men (MSM). To date, data on engagement in the HIV care continuum among these key populations, particularly in resource-constrained settings, are sparse. We pooled available epidemiological data from six studies (N=3,368) to examine HIV testing and treatment uptake in these key populations; finding an overall HIV prevalence of 5.7%. Of the 191 identified HIV-positive persons, only 11.5% knew their HIV-positive status and 3.7% were on ART. Observed differences between these HIV-positive key populations suggest PWID (vs. non-PWID) were least likely to have previously tested or initiate HIV care. MSM (vs. non-MSM) were more likely to have previously tested but not more likely to know their HIV-positive status. Of persons aware of their HIV-positive status, SW (vs. non-SW) were more likely to initiate HIV care. Findings suggest engagement of key populations in HIV treatment is far below estimates observed for similarly resource-constrained generalized epidemics in sub-Saharan Africa. These data provide one of the first empirical-snapshots highlighting the extent of HIV treatment disparities in key populations.

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Effective access to health care in Mexico

Cited by 51 publications

References 7 publications

Access to Health Care among Mexican Migrants and Immigrants: A Comparison across Migration Phases

Access to Health Care among Mexican Migrants and Immigrants: A Comparison across Migration Phases

Self-Reported Health and Functional Characteristics of Mexican and Mexican American Adults Aged 80 and Over

Engagement in the HIV Care Continuum among Key Populations in Tijuana, Mexico

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