Geissler Kimberley H, Becker Charles, Stearns Sally C, Thirumurthy Harsha, Holmes George M
Department of Markets, Public Policy, and Law, Boston University School of Management, Boston, MA, USA,
J Immigr Minor Health. 2015 Aug;17(4):1214-24. doi: 10.1007/s10903-014-0053-4.
Many legal residents in the United States (US)-Mexico border region cross from the US into Mexico for medical treatment and pharmaceuticals. We analyzed whether recent increases in homicides in Mexico are associated with reduced healthcare access for US border residents. We used data on healthcare access, legal entries to the US from Mexico, and Mexican homicide rates (2002-2010). Poisson regression models estimated associations between homicide rates and total legal US entries. Multivariate difference-in-difference linear probability models evaluated associations between Mexican homicide rates and self-reported measures of healthcare access for US residents. Increased homicide rates were associated with decreased legal entries to the US from Mexico. Contrary to expectations, homicides did not have significant associations with healthcare access measures for legal residents in US border counties. Despite a decrease in border crossings, increased violence in Mexico did not appear to negatively affect healthcare access for US border residents.
许多居住在美国与墨西哥边境地区的合法居民会从美国前往墨西哥接受治疗和购买药品。我们分析了墨西哥近期凶杀案的增加是否与美国边境居民获得医疗服务的机会减少有关。我们使用了关于医疗服务可及性、从墨西哥合法进入美国的人数以及墨西哥凶杀案发生率（2002 - 2010年）的数据。泊松回归模型估计了凶杀案发生率与合法进入美国的总人数之间的关联。多变量差分线性概率模型评估了墨西哥凶杀案发生率与美国居民自我报告的医疗服务可及性指标之间的关联。凶杀案发生率的上升与从墨西哥合法进入美国的人数减少有关。与预期相反，凶杀案与美国边境县合法居民的医疗服务可及性指标没有显著关联。尽管边境过境人数有所减少，但墨西哥暴力事件的增加似乎并未对美国边境居民获得医疗服务产生负面影响。
