TY - JOUR
T1 - Healthcare access and utilization among women 40 and older at the U.S.-Mexico border
T2 - Predictors of a routine check-up
AU - Hunter, Jennifer B.
AU - De Zapien, Jill Guernsey
AU - Denman, Catalina A.
AU - Moncada, Eva
AU - Papenfuss, Mary
AU - Wallace, Danelle
AU - Giuliano, Anna R.
N1 - Funding Information:
This work was supported with funds from the Centers for Disease Control grant U48-CCU915770 and contract #0009963027, awarded to the University of Arizona and the University of Arizona Cancer Center respectively, in Tucson, Arizona. Additional support was provided by the Colegio de Sonora located in Hermosillo, Sonora, México and by the Hospital Integral de Agua Prieta, located in Agua Prieta, Sonora, México. The authors would also like to thank Chiricahua Community Health Center in Elfrida, Arizona for their participation and support of this project and Maria Lourdes Fernandez for her dedication and commitment to the health of her community.
PY - 2003/10
Y1 - 2003/10
N2 - Mexican Americans are more likely to experience barriers to access and utilization of healthcare services than any other U.S. Hispanic group. In Mexico, where the majority of the population has access to care, the pressing issue is the underutilization of preventive services among adults. This study was conducted to assess access and utilization barriers among a U.S.-Mexico border population. A cross-sectional, population-based survey was conducted during 1999-2000 in a pair of contiguous U.S.-Mexico border communities. Household surveys were administered to U.S. and Mexican women, 40 years of age and older, to assess healthcare access and utilization, participation in chronic disease screenings, orientation toward prevention and personal history of chronic disease. Analysis indicates few statistically significant differences (p < 0.05) among access and utilization variables by country. Mexican participants were more likely to have a regular source of care and to have had a blood sugar test within the past 12 months. U.S. participants more often reported having had a Pap smear and mammogram during the previous year. Factors independently positively associated with having had a routine check-up during the past 12 months included age and having a regular provider or place to go when sick. Only going to the doctor when ill was independently inversely associated with routine check-ups in the past 12 months. Findings suggest that U.S. and Mexican border populations are similar with regard to healthcare access and utilization characteristics. Efforts to increase utilization of preventive health screenings among women are needed at the U.S.-Mexico border.
AB - Mexican Americans are more likely to experience barriers to access and utilization of healthcare services than any other U.S. Hispanic group. In Mexico, where the majority of the population has access to care, the pressing issue is the underutilization of preventive services among adults. This study was conducted to assess access and utilization barriers among a U.S.-Mexico border population. A cross-sectional, population-based survey was conducted during 1999-2000 in a pair of contiguous U.S.-Mexico border communities. Household surveys were administered to U.S. and Mexican women, 40 years of age and older, to assess healthcare access and utilization, participation in chronic disease screenings, orientation toward prevention and personal history of chronic disease. Analysis indicates few statistically significant differences (p < 0.05) among access and utilization variables by country. Mexican participants were more likely to have a regular source of care and to have had a blood sugar test within the past 12 months. U.S. participants more often reported having had a Pap smear and mammogram during the previous year. Factors independently positively associated with having had a routine check-up during the past 12 months included age and having a regular provider or place to go when sick. Only going to the doctor when ill was independently inversely associated with routine check-ups in the past 12 months. Findings suggest that U.S. and Mexican border populations are similar with regard to healthcare access and utilization characteristics. Efforts to increase utilization of preventive health screenings among women are needed at the U.S.-Mexico border.
KW - Healthcare access and utilization
KW - Routine check-up
KW - U.S.-Mexico border
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U2 - 10.1023/A:1025440528845
DO - 10.1023/A:1025440528845
M3 - Review article
C2 - 14535598
AN - SCOPUS:1642496969
SN - 0094-5145
VL - 28
SP - 317
EP - 333
JO - Journal of Community Health
JF - Journal of Community Health
IS - 5
ER -