Proximal and Distal Determinants of Access to Health Care among Hispanics in El Paso County, Texas
| Autor: | James VanDerslice, Jon Law |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Epidemiology Race and health Health Services Accessibility Insurance Coverage Behavioral Risk Factor Surveillance System Young Adult Sex Factors Environmental health Mexican Americans Health care Humans Medicine Social determinants of health Health policy Aged Insurance Health business.industry Public health Age Factors Public Health Environmental and Occupational Health Middle Aged Texas Health equity Health promotion Socioeconomic Factors Female Health care reform business |
| Zdroj: | Journal of Immigrant and Minority Health. 13:379-384 |
| ISSN: | 1557-1920 1557-1912 |
| DOI: | 10.1007/s10903-010-9327-7 |
| Popis: | In the United States, having health insurance is an important determinant of health care access and individual health outcomes. Nationwide, a significant proportion of the population does not have health insurance. Hispanics, in particular, are less likely than non-Hispanics to have insurance. A framework was established to examine the relationships between the determinants of insurance coverage and health care affordability in El Paso County, Texas. Data from the 2005 Behavioral Risk Factor Surveillance System were used to examine the relationships described by this framework. The sample included 653 adults, of those 477 self-identified as Hispanic or Latino. In El Paso County, almost half of adult Hispanics lack any type of health insurance coverage, three times the rate of non-Hispanics. Among Hispanics, the lack of health insurance was strongly associated with reduced affordability of health care. Employment status, income, and age were found to have significant associations with insurance coverage and health care affordability. Sex and education level were relevant, yet distal determinants of these outcomes. Ongoing conversations about health care reform should take into account the patterns of coverage within the Hispanic population. Knowing how economic and social factors affect coverage is necessary to inform policy that can effectively alleviate disparities experienced by Hispanics. |
| Databáze: | OpenAIRE |
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