Evidence map›Paper›PMID 36812257›Full record

ArticlePloS one2023

A characterization of cross-border use of health services in a transborder population at the Mexico-Guatemala border, September-November 2021.

Cesar Rodriguez-Chavez, Silvana Larrea-Schiavon, Rene Leyva-Flores, Nirma D Bustamante, Marcel Arevalo, Ricardo Cortes-Alcala, Georgina Rodriguez, Rebecca Merrill, Dianne Escotto, Ietza Bojorquez

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Cesar Rodriguez-ChavezSchool of Public Health, University of Texas, Health Science Center, Houston, Texas, United States of America.
Silvana Larrea-SchiavonSchool of Public Health, University of California Berkeley, Berkeley, California, United States of America.
Rene Leyva-FloresCenter for Research on Health Systems, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Nirma D BustamanteU.S. Centers for Disease Control and Prevention, Mexico City, Mexico.
Marcel ArevaloProgram on Migration and Poverty, Facultad Latinoamericana de Ciencias Sociales (FLACSO)-Guatemala, Guatemala, Guatemala.
Ricardo Cortes-AlcalaGeneral Directorate for Health Promotion, Ministry of Health, Mexico City, Mexico.
Georgina RodriguezGeneral Directorate for Health Promotion, Ministry of Health, Mexico City, Mexico.
Rebecca MerrillU.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America.
Dianne EscottoU.S. Centers for Disease Control and Prevention, Mexico City, Mexico.
Ietza BojorquezDepartment of Population Studies, El Colegio de la Frontera Norte, Tijuana, Baja California, Mexico.ORCID 0000-0003-1723-7269

Funding

NCEZID CDC HHS NU50CK000495NCEZID CDC HHS R43 CK000493
6 · The paper itself

Abstract

backgroundCross-border use of health services is an important aspect of life in border regions. Little is known about the cross-border use of health services in neighboring low- and middle-income countries. Understanding use of health services in contexts of high cross-border mobility, such as at the Mexico-Guatemala border, is crucial for national health systems planning. This article aims to describe the characteristics of the cross-border use of health care services by transborder populations at the Mexico-Guatemala border, as well as the sociodemographic and health-related variables associated with use.

methodsBetween September-November 2021, we conducted a cross-sectional survey using a probability (time-venue) sampling design at the Mexico-Guatemala border. We conducted a descriptive analysis of cross-border use of health services and assessed the association of use with sociodemographic and mobility characteristics by means of logistic regressions.

resultsA total of 6,991 participants were included in this analysis; 82.9% were Guatemalans living in Guatemala, 9.2% were Guatemalans living in Mexico, 7.8% were Mexicans living in Mexico, and 0.16% were Mexicans living in Guatemala. 2.6% of all participants reported having a health problem in the past two weeks, of whom 58.1% received care. Guatemalans living in Guatemala were the only group reporting cross-border use of health services. In multivariate analyses, Guatemalans living in Guatemala working in Mexico (compared to not working in Mexico) (OR 3.45; 95% CI 1.02,11.65), and working in agriculture/cattle, industry, or construction while in Mexico (compared to working in other sectors) (OR 26.67; 95% CI 1.97,360.85), were associated with cross-border use.

conclusionsCross-border use of health services in this region is related to transborder work (i.e., circumstantial use of cross-border health services). This points to the importance of considering the health needs of migrant workers in Mexican health policies and developing strategies to facilitate and increase their access to health services.

Indexed as

Health ServicesTransients and MigrantsAnimalsCattleCross-Sectional StudiesGuatemalaHealth Services AccessibilityHumansMexico

Identifiers

PMID36812257
PMCPMC9946200

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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.