Access to Preventive Services for Adults of Mexican Origin
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Immigrants arrive in the U.S. with better than average health, which declines over time. Clinical preventive services can prevent or delay some of that decline, but little research in this area focuses specifically on Mexican immigrants who are the largest contemporary immigrant group. This article finds that recent Mexican immigrants were the least likely to receive preventive care services, even after adjusting for sociodemographic differences in the population. Long-stay Mexican immigrants were more similar to U.S.-born Mexican Americans in preventive service use rates, who in turn had lower rates than U.S.-born non-Latino whites. Monolingual Spanish speaking Mexican immigrants were the least likely to have obtained preventive services. Having no usual source of care is the strongest predictor of the underuse. The persistent gap in preventive services across all subgroups of adults of Mexican origin suggests structural barriers to their preventive care.
KeywordsEmigration and immigration Hispanic Americans Health promotion Health services accessibility Preventive Services
This work was supported by the California-Mexico Health Initiative of the University of California, Office of the President and NIA Grant P30-AG21684.
- 1.Markides KS, Eschbach K. Aging, migration, and mortality: current status of research on the Hispanic paradox. J Gerontol: Psychol Sci Soc Sci 2005;60:S68–75.Google Scholar
- 3.Iannotta JG, Editors. Emerging issues in Hispanic health. Washington: National Academies Press; 2002.Google Scholar
- 5.Agency for Healthcare Research and Quality. The guide to clinical preventive services 2005, recommendations of the U.S. Preventive services task force. Rockville: Department of Health and Human Services, AHRQ; 2005.Google Scholar
- 6.Ruggles S, Sobek M, Alexander T, Fitch CA, Goeken R, Hall PK, King M, Ronnander C. U.S. Current population survey, 2004. Integrated public use microdata series: version 3.0 [machine-readable database]. Minneapolis: Minnesota Population Center; 2005.Google Scholar
- 7.Aguirre-Molina M, Molina CW, Zambrana RE, editors. Health issues in the Latino community. San Francisco: Jossey-Bass; 2001.Google Scholar
- 8.Loue S (editor). Handbook of immigrant health. New York: Plenum Press; 1998.Google Scholar
- 9.Messias DK, Rubio M. Immigration and health. Annu Rev Nurs Res 2005;22:101–34.Google Scholar
- 10.Zúñiga E, Castañada X, Averbach A, Wallace SP. Mexican and Central American immigrants in the United States: Health care access. Oakland: California-Mexico Health Initiative; 2006. http://www.healthpolicy.ucla.edu/pubs/publication.asp?pubID=196 Accessed October 23 2006.
- 14.U.S. DHHS. Oral health in America. A report of the surgeon general. Rockville: Department of Health and Human Services, National Institute of Dental and Craniofacial Research; 2000.Google Scholar
- 15.Scott G, Simile C. Access to dental care among Hispanic or Latino subgroups: United states, 2000–2003. Advance data from vital and health statistics; no 354. Hyattsville: National Center for Health Statistics; 2005.Google Scholar
- 32.Gorin SS, Heck JE. Cancer screening among Latino subgroups in the United States. Prev Med 2004;40:515–26.Google Scholar
- 36.National Center for Health Statistics. 2000 National Health Interview Survey (NHIS) public use data release. Hyattsville, MD, Centers for Disease Control, Prevention, U.S. DHHS, 2002.Google Scholar
- 37.Reyes BI. Dynamics of immigration: return migration to western Mexico. San Francisco: Public Policy Institute of California; 1997.Google Scholar
- 39.U.S. Centers for Disease Control and Prevention. The national breast and cervical cancer early detection program—reducing mortality through screening, CDC, 2004. http://www.cdc.gov/cancer/nbccedp/bccpdfs/BCC-FS2003Update.pdf. Accessed July 12 2006.
- 44.Burr JA, Mutchler JE. English language proficiency among older Hispanics in the United States. Gerontologist 2003;39:310–19.Google Scholar
- 51.Wallace SP, Enriquez-Haass V. Availability, accessibility, and acceptability in the evolving health care system for older adults in the United States of America. Revista Panamerica de Salud Publica/Pan. Am J Public Health 2001;10:18–28.Google Scholar
- 53.Institute of Medicine. Unequal treatment confronting racial and ethnic disparities in health care. Washington: National Academies Press; 2003.Google Scholar
- 54.Ortega AN, Fang H, Perez VH, Rizzo JA, Carter-Pokras O, Wallace SP, Gelberg L. Health Care Access, Use of Services, and Experiences Among Undocumented Mexicans and Other Latinos. Arch Intern Med 2007;167, in press.Google Scholar
- 55.Doescher MP, Saver BG, Fiscella K, Franks P. Racial/ethnic inequities in continuity and site of care: location, location, location. Health Serv Res 2001;36:S78–89.Google Scholar