Utilization and Purchase of Medical Care Services in Mexico by Residents in the United States of America, 1998–1999
We assessed self-reported frequency of purchase of medications and medical care services in Mexico by southern New Mexico (United States, [U.S.]) residents in relation to their medical insurance coverage.
We analyzed data obtained in 1998 and 1999 from a health interview survey of residents in a six-county region of southern New Mexico, using prevalence and logistic regression methods for complex survey data.
About 22% of southern New Mexico residents had purchased medications and 11% had sought medical care in Mexico at least once during the year preceding the survey. When we adjusted for the effects of other variables, persons able to pay for services out of pocket and those who were uninsured were more likely than persons who were fully covered to purchase medications or medical care in Mexico.
Large numbers of people residing near the border in New Mexico traveled south to Mexico to purchase medications and medical care. Lack of medical insurance was associated with higher frequencies of these purchases. There seems to be a need to establish relationships between U.S. private and public care plans and Mexican medical care providers to identify appropriate mechanisms for U.S. residents to purchase medical care in Mexico.
Available from: Christie Zunker
- "By understanding causes of disability, it is possible to determine appropriate interventions that will assist functional status and improve health outcomes (Bryant, Shetterly, Baxter, & Hamman, 2002). In addition, the health issues of this vulnerable group warrant greater attention and a need to establish bi-national public health initiatives between the U.S. and Mexico as their interdependence increases (Escobedo & Cardenas, 2006; Warner, 1991). This study used a health survey to assess self-reported health, including physical functional abilities and emotional health of a 60 and older Mexican population. "
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ABSTRACT: The Ageless Health Needs Assessment Study examined the self-reported health of the 60 and older population along the U.S.-Mexico border.
A health survey was administered in Ciudad Júarez, Chihuahua, Mexico to 507 Mexican descendents by telephone (n = 296) and in-person (n = 211). The health survey examined measures of physical and psychosocial health.
All participants were aged 60 and older and born in Mexico. Most reported achieving an elementary school education or less and many lived in poverty. Results from a MANCOVA showed significant differences between groups: men, individuals with higher education, and sufficient amounts of physical activity reported better health scores compared to women, individuals with lower education, and insufficient physical activity.
These findings suggest that higher levels of education and physical activity may be associated with better health outcomes among elderly Mexicans dwelling on the border.
Journal of cultural diversity 02/2007; 14(4):176-82.
Available from: Brian Castrucci
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ABSTRACT: Routine prenatal human immunodeficiency virus (HIV) screening provides a critical opportunity to diagnose HIV infection, begin chronic care, and prevent mother-to-child transmission. However, little is known about the prevalence of prenatal HIV testing in the US-Mexico border region. We explored the correlation between prenatal HIV testing and sociodemographic, health behavior, and health exposure characteristics.
The study sample consisted of women who delivered live infants in 2005 in hospitals with more than 100 deliveries per year and resided in Matamoros, Tamaulipas, Mexico (n = 489), or Cameron County, Texas (n = 458). We examined univariate and bivariate distributions of HIV testing in Matamoros and Cameron County and quantified the difference in odds of HIV testing by using logistic regression.
The prevalence of prenatal HIV testing varied by place of residence--57.6% in Matamoros and 94.8% in Cameron County. Women in Cameron County were significantly more likely than those in Matamoros to be tested. Marital status, education, knowledge of methods to prevent HIV transmission (adult-to-adult), discussion of HIV screening with a health care professional during prenatal care, and previous HIV testing were significantly associated with prenatal HIV testing in Matamoros, although only the latter 2 variables were significant in Cameron County.
Although national policies in both the United States and Mexico recommend prenatal testing for HIV, a greater proportion of women in Cameron County were tested, compared with women in Matamoros. Efforts between Matamoros and Cameron County to improve HIV testing during pregnancy in the border region should consider correlates for testing in each community.
Preventing chronic disease 11/2008; 5(4):A121. · 2.12 Impact Factor
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ABSTRACT: The objectives of this study were: (1) to investigate what predisposing, enabling, and need factors are related to the purchase of medicines from "tiendas" and other countries and (2) to describe who Latinos typically receive medication information from in the United States and their home countries. In the United States, Latino grocery stores are referred to as "tiendas".
Individuals were eligible to participate if they: were age 18 and over, self-identified as being Latino, and they or their children were currently taking prescription medications. Ninety-three individuals were interviewed in Spanish.
Forty-two percent of participants reported purchasing medicine in "tiendas" but only 5.4% reported that "tiendas" were their usual source of medicine. Ninety-one percent of individuals used U.S. pharmacies as their usual source of medicines. Individuals with health insurance were significantly less likely to have purchased medicine at a "tienda" (odds ratio=0.16, 95% confidence interval=0.03, 0.86). Thirty percent of individuals reported buying medicines in another country to bring back to the U.S. for their use. The most commonly purchased medicines included: antibiotics, vitamins, pain medicine, and herbal medicine. The Latinos in this sample preferred to receive verbal information about medications from their physicians (75.3%) followed by pharmacists (16.1%).
Despite the fact that the overwhelming majority of Latino patients reported using pharmacies as their usual source of medication, many participants reported having purchased medications from "tiendas" and other countries.
Providers need to make sure to ask patients from all ethnic backgrounds about all medicines they are taking, especially those purchased in "tiendas" or other countries.
Patient Education and Counseling 12/2008; 75(2):279-82. DOI:10.1016/j.pec.2008.10.002 · 2.20 Impact Factor
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