Chesney A P, Chavira J A, Hall R P, Gary H E
Med Care. 1982 Sep;20(9):883-91. doi: 10.1097/00005650-198209000-00002.
Literature on medical care utilization by Mexican-Americans suggests that patterns of utilization can be explained, in part, by acculturation, social class and social isolation. The relative importance of these variables is explored in a survey of a rural Mexican-American community in Southern Texas. Data on 152 families are analyzed using a logit analysis, with utilization as the outcome variable. The results suggest that acculturation has a direct effect, while social class and social isolation interact to have a weak effect independent of acculturation. These results confirm the importance of understanding all three variables in planning and implementing medical care programs in Mexican-American communities.
关于墨西哥裔美国人医疗服务利用情况的文献表明，利用模式在一定程度上可以通过文化适应、社会阶层和社会隔离来解释。在对德克萨斯州南部一个墨西哥裔美国农村社区的调查中，探讨了这些变量的相对重要性。使用逻辑回归分析对152个家庭的数据进行分析，将医疗服务利用作为结果变量。结果表明，文化适应有直接影响，而社会阶层和社会隔离相互作用，产生了一个独立于文化适应的微弱影响。这些结果证实了在规划和实施墨西哥裔美国社区医疗保健项目时理解所有这三个变量的重要性。
