Social Science and Medicine
Volume 21, Issue 1, 1985, Pages 93-102

Mexican immigrants and the utilization of U.S. health services: The case of San Diego (Article)

Chavez L.R.* , Cornelius W.A. , Williams Jones O.
  • a Centro de Estudios Fronterizos del Norte de Mexico (CEFNOMEX), Tijuana, Baja California, Mexico, Center for U.S.-Mexican Studies, United States
  • b Center for U.S.-Mexican Studies, United States
  • c Department of Genetics, School of Medicine, University of California, San Diego, CA, United States

Abstract

This paper examines survey data gathered from 2103 Mexican immigrants living or working in San Diego County, California, in order to explore four fundamental questions concerning the utilization of health services: (a) What type of health services do Mexican immigrants use? (b) When hospitals are used, do they tend to be emergency room services? (c) Do Mexican immigrants use preventive services? (d) To what extent do the utilization patterns of undocumented immigrants differ from their legally-immigrated counterparts? The socioeconomic profile of the sample is characterized through analysis of variables such as sex, age, length of residence in the U.S., occupation and income. Mexican immigrants, particularly the undocumented, are relatively young compared to the non-immigrant population, of short duration in the U.S. and earn low income. In addition, undocumented and legally-immigrated respondents are covered by medical insurance at rates far below the general population. Mexican immigrants, including the undocumented, use a variety of health services. Hospital services are not the primary source of care. However, when undocumented respondents did use hospital services, they were more likely to use emergency room care than their legally-immigrated counterparts, who were more likely to use out-patient services. Finally, undocumented respondents tended to neglect preventive services as evidenced by examination of the use of pre-natal care, general check-ups and dental services. © 1985.

Author Keywords

[No Keywords available]

Index Keywords

Short Survey immigrant hospitalization Community Health Services Preventive Health Services human economic aspect health service Health Resources social aspect geographic distribution Mexico Hispanic Americans Adolescent California female Socioeconomic Factors socioeconomics pregnancy organization and management health care utilization Support, Non-U.S. Gov't adult ethnic or racial aspects Emergency Service, Hospital Emigration and Immigration Health Services Accessibility Middle Age

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0022312008&doi=10.1016%2f0277-9536%2885%2990291-6&partnerID=40&md5=000b6f20fc381f95ae4ff2ebf8536853

DOI: 10.1016/0277-9536(85)90291-6
ISSN: 02779536
Cited by: 53
Original Language: English