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限制性政策对墨西哥移民父母及其子女获得医疗保健的影响。

The Impact of Restrictive Policies on Mexican Immigrant Parents and Their Children's Access to Health Care.

作者信息

Aragones Abraham, Zamore Carolina, Moya Eva M, Cordero Jacquelin I, Gany Francesca, Bruno Denise M

机构信息

Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.

Department of Social Work, College of Health Sciences, The University of Texas at El Paso, El Paso, Texas, USA.

出版信息

Health Equity. 2021 Sep 14;5(1):612-618. doi: 10.1089/heq.2020.0111. eCollection 2021.

Abstract

This study assessed whether policies that limit Mexican immigrants' access to care affects their children's access to a regular source of care, health insurance, and timely preventive health visits. This was a cross-sectional study among Mexican immigrant parents who attended a health promotion program in Texas, Nevada, New York, and Illinois. A sociodemographic survey, including parental and child variables, was administered. Children of parents without health insurance were almost four times more likely to be uninsured and eight times more likely to lack a regular source of care. Children of parents without a regular source of care were less than half as likely to have their own regular source of care than children whose parents had a regular source of care. Findings suggest when parents are uninsured/lack a regular source of care, a child's health disparity is created. Reducing disparities in health care coverage, affecting foreign-born parents, positively impacts their children's access to care. Clinical Trial Registration number: NCT03209713.

摘要

本研究评估了限制墨西哥移民获得医疗服务的政策是否会影响其子女获得常规医疗服务来源、医疗保险以及及时进行预防性健康检查的机会。这是一项针对在得克萨斯州、内华达州、纽约州和伊利诺伊州参加健康促进项目的墨西哥移民父母开展的横断面研究。进行了一项社会人口学调查,包括父母和子女的变量。没有医疗保险的父母的子女未参保的可能性几乎是其他人的四倍,缺乏常规医疗服务来源的可能性则是八倍。没有常规医疗服务来源的父母的子女拥有自己常规医疗服务来源的可能性不到父母有常规医疗服务来源的子女的一半。研究结果表明,当父母未参保/缺乏常规医疗服务来源时,就会造成儿童的健康差距。减少影响外国出生父母的医疗保健覆盖差距,会对其子女获得医疗服务的机会产生积极影响。临床试验注册号:NCT03209713。

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