ArticlePublic health reports (Washington, D.C. : 1974)
Barriers to care and comorbidities along the U.S.-Mexico border.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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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.
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Who cites it
21 citing papers in PubMed.
- Home-based diabetes symptom self-management education for Mexican Americans with type 2 diabetes.Health education research · 2015Trial
- A Comparison of Cardiovascular Health Across Migration Flows on the US-Mexico Border.Journal of immigrant and minority health · 2026Article
- Navigating Multifaceted Barriers: A Qualitative Exploration of Antiretroviral Therapy Adherence Among Hispanic People with HIV in Texas.AIDS and behavior · 2026Article
- Crossing Borders, Missing Data - Cancer Inequities in Displaced and Migrant Populations: A Scoping Review.International journal of public health · 2026Article
- Inequities in Forgone Medical Care and Health Insurance in a Key Geopolitical Area Along the US-Mexico Border.Healthcare (Basel, Switzerland) · 2025Article
- Hepatitis C virus-related hepatocellular carcinoma mortality: a focus on the US-Mexico border region.Proceedings (Baylor University. Medical Center) · 2025Article
- An expanded chronic care management approach to multiple chronic conditions in Hispanics using community health workers as community extenders in the Rio Grande Valley of Texas.Preventive medicine · 2024Article
- Racial/ethnic differences in the clinical presentation and survival of breast cancer by subtype.Frontiers in oncology · 2024Article
- Ethnic disparities in childhood leukemia survival by border residence: A Texas population-based analysis.Cancer · 2023Article
- Article
- Critical Perspectives on Expanding Racial/Ethnic Diversity in the HIV Research Workforce: Comorbidities and Mentoring.Health education & behavior : the official publication of the Society for Public Health Education · 2023Article
- Outcome of Neonates Born to SARS-CoV-2-Infected Mothers: Tertiary Care Experience at US-Mexico Border.Children (Basel, Switzerland) · 2022Article
- Bamlanivimab Reduces ED Returns and Hospitalizations and May Reduce COVID-19 Burden on Low-resource Border Hospitals.The western journal of emergency medicine · 2022Article
- Syndemics in Symbiotic Cities: Pathogenic Policy and the Production of Health Inequity across Borders.Journal of borderlands studies · 2022Article
- Starting the Conversation About Healthcare Disparities.HCA healthcare journal of medicine · 2022Article
- Stroke-Related Mortality in the United States-Mexico Border Area of the United States, 1999 to 2018.Journal of the American Heart Association · 2021Article
- Blood cancer health disparities in the United States Hispanic population.Cold Spring Harbor molecular case studies · 2021Article
- The (in)visible health risks of climate change.Social science & medicine (1982) · 2019Review
- Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities.Preventing chronic disease · 2018Article
- Mental Health Disparities Among Low-Income US Hispanic Residents of a US-Mexico Border Colonia.Journal of racial and ethnic health disparities · 2015Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveWhile limited access to care is associated with adverse health conditions, little research has investigated the association between barriers to care and having multiple health conditions (comorbidities). We compared the financial, structural, and cognitive barriers to care between Mexican-American border residents with and without comorbidities.
methodsWe conducted a stratified, two-stage, randomized, cross-sectional health survey in 2009-2010 among 1,002 Mexican-American households. Measures included demographic characteristics; financial, structural, and cognitive barriers to health care; and prevalence of health conditions.
resultsComorbidities, most frequently cardiovascular and metabolic conditions, were reported by 37.7% of participants. Controlling for demographics, income, and health insurance, six financial barriers, including direct measures of inability to pay for medical costs, were associated with having comorbidities (odds ratios [ORs] ranged from 1.7 to 4.1, p<0.05). The structural barrier of transportation (OR=3.65, 95% confidence interval [CI] 1.91, 6.97, p<0.001) was also associated with higher odds of comorbidities, as were cognitive barriers of difficulty understanding medical information (OR=1.71, 95% CI 1.10, 2.66, p=0.017), being confused about arrangements (OR=1.82, 95% CI 1.04, 3.21, p=0.037), and not being treated with respect in medical settings (OR=1.63, 95% CI 1.05, 2.53, p=0.028). When restricting analyses to participants with at least one health condition (comparing one condition vs. having ≥ 2 comorbid conditions), associations were maintained for financial and transportation barriers but not for cognitive barriers.
conclusionA substantial proportion of adults reported comorbidities. Given the greater burden of barriers to medical care among people with comorbidities, interventions addressing these barriers present an important avenue for research and practice among Mexican-American border residents.
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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.