视线之外与无保险：墨西哥的美国出生未成年人的医疗保健获取。
Out of Sight and Uninsured: Access to Healthcare Among US-Born Minors in Mexico.
机构信息
Office of Population Research, Princeton University, Princeton, NJ, USA.
出版信息
J Immigr Minor Health. 2020 Jun;22(3):448-455. doi: 10.1007/s10903-020-00997-5.
To examine health insurance coverage among the 550,000 U.S.-born minors living in Mexico. Representative data from Mexico's 2018 National Survey of Demographic Dynamics was used to describe health coverage among persons aged 0-17 living in Mexico (N = 78,370). Multinomial logistic regression models were estimated to identify the association between birthplace (Mexico versus the United States) and health insurance coverage in Mexico. 39% of U.S-born minors living in Mexico in 2018 lacked health insurance compared to just 13% of Mexican-born minors. Logistic regression found that, net of potential confounders, being born in the United States was associated with 87% lower odds of being insured among minors in Mexico. U.S.-born minors disproportionately rely on private insurance programs and are particularly likely to be uninsured in the first year back from the United States. Special attention is needed to ensure access to care among U.S.-born minors in Mexico.
为了调查居住在墨西哥的 55 万名美国出生未成年的医疗保险覆盖情况。本研究使用了墨西哥 2018 年人口动态全国调查的代表性数据，以描述居住在墨西哥的 0-17 岁人群（N=78370 人）的医疗保险覆盖情况。采用多项逻辑回归模型来确定出生地（墨西哥与美国）与墨西哥医疗保险覆盖情况之间的关系。2018 年，39%的居住在墨西哥的美国出生未成年没有医疗保险，而只有 13%的墨西哥出生未成年没有医疗保险。逻辑回归发现，在排除潜在混杂因素后，与出生在墨西哥的未成年相比，出生在美国的未成年的医疗保险覆盖概率低 87%。美国出生的未成年过度依赖私人保险计划，从美国返回的第一年尤其可能没有保险。需要特别关注确保居住在墨西哥的美国出生未成年能够获得医疗服务。
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