de la Torre A, Friis R, Hunter H R, Garcia L
Health Care Administration Program, College of Health and Human Services, California State University, Long Beach, CA 90840, USA.
Am J Public Health. 1996 Apr;86(4):533-7. doi: 10.2105/ajph.86.4.533.
This research studied the correlates of health insurance status among three major subpopulations (Mexican, Puerto Rican, and Cuban) of adult (ages of 20 to 64) Latino women.
Data from the Hispanic Health and Nutrition Examination Survey (HHANES), 1982-1984, were examined to determine the percentages of health insurance coverage among the sample populations and to assess the relationship between access to coverage and selected sociodemographic employment/income, ancestry, and acculturation variables.
Variations in health insurance coverage existed by Latina subpopulation. While Puerto Rican women had the highest percentage of any health insurance coverage, Mexican-origin women (particularly those 50 to 64 years old) had the lowest. For all three Latina groups, health insurance coverage was greater among those who reported a family income above the poverty level than among those whose income fell below the poverty level; employment location, acculturation variables, and ancestry were also related to coverage.
Eligibility requirements, particularly for Mexican-and Cuban-origin women, need to be streamlined, and innovative health insurance programs need to be developed to increase access of Latinas to health insurance.
本研究探讨了20至64岁成年拉丁裔女性的三个主要亚群体(墨西哥裔、波多黎各裔和古巴裔)的健康保险状况的相关因素。
研究分析了1982 - 1984年西班牙裔健康与营养检查调查(HHANES)的数据,以确定样本人群中健康保险覆盖的百分比,并评估获得保险覆盖与选定的社会人口学就业/收入、血统和文化适应变量之间的关系。
拉丁裔亚群体的健康保险覆盖情况存在差异。虽然波多黎各裔女性的任何健康保险覆盖百分比最高,但墨西哥裔女性(尤其是50至64岁的女性)的比例最低。对于所有三个拉丁裔群体,家庭收入高于贫困线的女性的健康保险覆盖率高于收入低于贫困线的女性;就业地点、文化适应变量和血统也与保险覆盖有关。
需要简化资格要求,特别是针对墨西哥裔和古巴裔女性的要求,并开发创新的健康保险计划,以增加拉丁裔女性获得健康保险的机会。