State medicaid expansion, community interventions, and health care disparities in a united states-mexico border community

B.A. Langellier, J.G. De Zapien, C. Rosales, M. Ingram and S.C. Carvajal

American Journal of Public Health, 2014, vol. 104, issue 8, e94-e100

Abstract: Objectives. We investigated whether access to and use of health care services increased among residents of a low-income, predominantly Mexican American border community affected by the expansion of Arizona's Medicaid program in 2001 and multiple community-level programs and policies. Methods. We used data from a probability sample of 1623 adult residents of Douglas, Arizona, who participated in cross-sectional health surveys in 1998 and 2010. Response rates were 83% and 86%, respectively. Results. In 2010, participants were more likely to have a usual source of care, to have visited a provider in the previous year, and to have been screened for diabetes and hypertension and less likely to have delayed needed care or to have seen a regular provider in Mexico (P

Keywords: adult; article; community care; cross-sectional study; educational status; female; health care delivery; health care disparity; health care survey; health insurance; human; insurance; male; medicaid; Mexican American; middle aged; organization and management; socioeconomics; statistics; United States; utilization review, Adult; Arizona; Community Health Services; Cross-Sectional Studies; Educational Status; Female; Health Care Surveys; Health Services Accessibility; Healthcare Disparities; Humans; Insurance Coverage; Insurance, Health; Male; Medicaid; Mexican Americans; Middle Aged; Socioeconomic Factors; United States (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302013_2

DOI: 10.2105/AJPH.2014.302013

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