Latinos' health care access: financial and cultural barriers.

Patricia I Documét, Ravi K Sharma
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引用次数: 119

Abstract

This study aimed at investigating how income, culture, and language affect health care access. Data from a structured questionnaire administered to a random sample of 206 Latinos was analyzed using multivariate logistic regression. Qualitative data served to explain quantitative results. Point estimates for various access measures were similar to national data. In multivariate logistic regression, income and education determined having health insurance (OR 6.8 and 7.4; 95% CI 2.7-17.3 and 2.9-19.0, respectively). Time in the U.S. and health insurance determined having a regular source of care (OR 4.6 and 5.8; 95% CI 1.7-12.8 and 2.1-16.0, respectively). Having a source of care and being female determined visit to the doctor in the past year (OR 6.14 and 6.73; 95% CI 2.3-16.5 and 2.4-19.3, respectively). Language and culture showed no statistically significant effect on access measures, but qualitative data showed they were related to health care barriers.

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拉丁美洲人获得医疗保健:经济和文化障碍。
本研究旨在调查收入、文化和语言如何影响医疗保健的获取。对206名拉丁裔随机抽样的结构化问卷数据进行多变量逻辑回归分析。定性数据用来解释定量结果。各种获取措施的点估计值与国家数据相似。在多变量logistic回归中,收入和教育程度决定了是否有医疗保险(OR 6.8和7.4;95% CI分别为2.7 ~ 17.3和2.9 ~ 19.0)。在美国的时间和健康保险决定了有固定的医疗来源(OR 4.6和5.8;95% CI分别为1.7-12.8和2.1-16.0)。在过去一年内有护理来源及女性确定曾去看医生(OR分别为6.14及6.73;95% CI分别为2.3-16.5和2.4-19.3)。语言和文化对获取措施没有统计上的显著影响,但定性数据显示它们与保健障碍有关。
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