Do Elizabeth K, Matsuyama Robin K
Department of Social and Behavioral Health, Virginia Commonwealth University, P.O. Box 980149, Richmond, VA, 23298-0149, USA,
J Immigr Minor Health. 2014 Apr;16(2):189-94. doi: 10.1007/s10903-012-9729-9.
Previous studies have not examined whether documentation status has an effect on healthcare utilization among US Hispanic immigrants with diabetes. A secondary analysis was conducted using data from the Pew Hispanic Center and Robert Johnson Wood Foundation's 2007 Hispanic Healthcare Survey. Hispanic immigrants diagnosed with diabetes were included in analyses. The association between documentation status and healthcare utilization was assessed using logistic regressions. Of N = 577 Hispanic immigrants with diabetes, 80 % were documented immigrants and 81% reported having visited a healthcare provider in the last 6 months. Adjusting for confounders, those who were undocumented faced higher odds of having seen a healthcare provider more than 6 months ago or never when compared to those who were documented (OR = 1.79; 95% CI 1.01, 3.14). Unique opportunities in addressing healthcare disparities can be found in focusing on the Hispanic immigrant population living with diabetes.
以往的研究并未考察在美国患有糖尿病的西班牙裔移民中，身份文件状况是否会对医疗保健利用产生影响。利用皮尤西班牙裔中心和罗伯特·伍德·约翰逊基金会2007年西班牙裔医疗保健调查的数据进行了二次分析。被诊断患有糖尿病的西班牙裔移民被纳入分析。使用逻辑回归评估身份文件状况与医疗保健利用之间的关联。在577名患有糖尿病的西班牙裔移民中，80%是有身份文件的移民，81%报告在过去6个月内看过医疗保健提供者。在对混杂因素进行调整后，与有身份文件的移民相比，无身份文件的移民在6个月以上或从未看过医疗保健提供者的几率更高（比值比=1.79；95%置信区间1.01，3.14）。关注患有糖尿病的西班牙裔移民群体，可找到解决医疗保健差异问题的独特机会。
