ArticleHealthcare (Basel, Switzerland)2025
Inequities in Forgone Medical Care and Health Insurance in a Key Geopolitical Area Along the US-Mexico Border.
Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundResidents of the US-Mexico border face cost-related barriers in accessing necessary medical care. Given the potential for individualized or broader tailoring of solutions to reflect community needs, we sought to identify risk factors for being uninsured and forgoing necessary medical care due to cost among a largely Hispanic adult population residing along the US-Mexico border.
methodsSurveys among adults in a major US-Mexico border area were used to investigate cost-related forgone medical care and lack of insurance. Binary Logit models were employed to model multiple binary outcomes informed by our theoretical frameworks.
resultsLower education, Hispanic ethnicity, being younger, lacking underlying illness and/or having obesity, forgoing medical care due to cost, and having lower income were associated with a higher likelihood of being uninsured; while being female, being younger, having underlying illness and/or having obesity (potential increased risk of severe illness due to COVID-19), lacking insurance, and having a lower income were risk factors for forgone medical care due to cost.
conclusionsThis study adds novel insight into existing health inequities facing those residing along the US-Mexico border region, thereby holding timely public health implications.
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