Gilman S C, Bruhn J G
Med Care. 1981 Feb;19(2):223-32. doi: 10.1097/00005650-198102000-00009.
The health care utilization of urban Mexican-American and Anglo elementary school children was recorded at school and community primary-care sites over a 1-year period. No significant differences were found between the two groups with respect to visiting/nonvisiting behavior or frequency of visits. Two unobtrusive measures were used to ascertain the degree of acculturation of the Mexican-American children and their parents: return of Spanish-language questionnaire and enrollment of the child in bilingual classes. No significant differences were found in the proportion of visitors/nonvisitors in each group or the total number of visits for health services among these children. Mexican-American and Anglo children did not differ in the type of health problems presented, except that fewer Mexican-American than Anglo children had visits for emotional, behavioral or learning problems. Results indicate that when health services are available and accessible, and when the barriers of language and income are minimized, Mexican-American and Anglo children do not differ in their use of health services in the community.
在一年时间里，在学校和社区初级保健场所记录了墨西哥裔美国城市儿童和英裔美国城市小学生的医疗保健利用情况。在就诊/未就诊行为或就诊频率方面，两组之间未发现显著差异。使用了两种不显眼的措施来确定墨西哥裔美国儿童及其父母的文化适应程度：西班牙语问卷的回收率以及孩子是否参加双语课程。在每组就诊者/未就诊者的比例或这些儿童的医疗服务总就诊次数方面，未发现显著差异。墨西哥裔美国儿童和英裔美国儿童在出现的健康问题类型上没有差异，只是因情绪、行为或学习问题就诊的墨西哥裔美国儿童比英裔美国儿童少。结果表明，当医疗服务可得且可及，并且语言和收入障碍降至最低时，墨西哥裔美国儿童和英裔美国儿童在社区医疗服务利用方面没有差异。
