Evidence map›Paper›PMID 19619247›Full record

ArticleHealth services research2009

Community demographics and access to health care among U.S. Hispanics.

Carole Roan Gresenz, Jeannette Rogowski, José J Escarce

Abstract read
In one paragraph

Article in Health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Gastric cancer incidence among Hispanics in California: patterns by time, nativity, and neighborhood characteristics.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012
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  19. Social network characteristics associated with health promoting behaviors among Latinos.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Carole Roan GresenzRAND Corporation, Arlington, VA 22202-5050, USA. gresenz@rand.org
Jeannette Rogowski
José J Escarce

Funding

MEDICARE AND THE CHRONICALLY ILL ELDERLYP01HS010770 · AHRQ · RAND CORPORATION · PI ESCARCE, JOSE JULIO · 2000 to 2004
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AHRQ HHS P01 HS010770AHRQ HHS P01-HS10770
6 · The paper itself

Abstract

objectiveTo explore the influence of the communities in which Hispanics live on their access to health care. DATA: 1996-2002 Medical Expenditure Panel Survey data, linked to secondary data sources and including 14,504 observations from 8,371 Mexican American respondents living in metropolitan areas. STUDY

designWe use multivariate probit regression models, stratified by individuals' insurance status, for analyses of four dependent variables measuring access to health care. We measure community characteristics at the zip code tabulation area level, and key independent variables of interest are the percentage of the population that speaks Spanish and percentage of the population that is immigrant Hispanic. Each of these measures is interacted with individual-level measures of nativity and length of U.S. residency. PRINCIPAL

findingsFor Mexican American immigrants, living in an area populated by relatively more Spanish speakers or more Hispanic immigrants is associated with better access to care. The associations are generally stronger for more recent immigrants compared with those who are better established. Among U.S.-born Mexican Americans who are uninsured, living in areas more heavily populated with Spanish-speaking immigrants is negatively associated with access to care.

conclusionsThe results suggest that characteristics of the local population, including language and nativity, play an important role in access to health care among U.S. Hispanics, and point to the need for further study, including analyses of other racial and ethnic groups, using different geographic constructs for describing the local population, and, to the extent possible, more specific exploration of the mechanisms through which these characteristics may influence access to care.

Indexed as

DemographyAcculturationAdolescentAdultAge FactorsCommunication BarriersFemaleHealthcare DisparitiesHealth Services AccessibilityHealth Services ResearchHumansInsurance CoverageInsurance, HealthLanguageMaleMexican Americans

Identifiers

PMID19619247
PMCPMC2754547

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.