The relationship between violence in Northern Mexico and potentially avoidable hospitalizations in the USA-Mexico border region.
Background Substantial proportions of US residents in the USA-Mexico border region cross into Mexico for health care; increases in violence in northern Mexico may have affected this access. We quantified associations between violence in Mexico and decreases in access to care for border county reside...
| Publicado en: | Journal of Public Health Vol. 38; no. 1; pp. 14 - 24 |
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| Autores principales: | , , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Mar2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113009743&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 113009743 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Mar2016 vid: 38 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 113009743 113009743 113009743 10.1093/pubmed/fdv012 113009743 ppf: 14 ppct: 10 formats: fmt: @attributes: type: P tig: atl: The relationship between violence in Northern Mexico and potentially avoidable hospitalizations in the USA-Mexico border region. aug: au: Geissler, Kimberley Stearns, Sally C. Becker, Charles Thirumurthy, Harsha Holmes, George M. affil: Lecturer, Department of Markets, Public Policy, and Law, Boston University School of Management, Boston, MA, USA sug: subj: Violence Trends Hospitalization Trends Homicide Trends Human Mexico United States Medical Tourism Mexico Health Services Accessibility Arizona California Texas Descriptive Statistics Probability Adolescence Adult Middle Age Data Analysis Software Male Female Geographic Factors Age Factors Sex Factors Hispanic Americans Race Factors P-Value T-Tests Chi Square Test Confidence Intervals Regression Odds Ratio Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background Substantial proportions of US residents in the USA-Mexico border region cross into Mexico for health care; increases in violence in northern Mexico may have affected this access. We quantified associations between violence in Mexico and decreases in access to care for border county residents. We also examined associations between bordercounty residence and access. Methods We used hospital inpatient data for Arizona, California and Texas (2005-10) to estimate associations between homicide rates and the probability of hospitalization for ambulatory care sensitive (ACS) conditions. Hospitalizations for ACS conditions were compared with homicide rates in Mexican municipalities matched by patient residence. Results A 1 SD increase in the homicide rate of the nearest Mexican municipality was associated with a 2.2 percentage point increase in the probability of being hospitalized for an ACS condition for border county patients. Residence in a bordercounty was associated with a 1.3 percentage point decrease in the probability of being hospitalized for an ACS condition. Conclusions Increased homicide rates in Mexico were associated with increased hospitalizations for ACS conditions in the USA, although residence in a bordercounty was associated with decreased probability of being hospitalized for an ACS condition. Expanding access in the border region may mitigate these effects by providing alternative sources of care. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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