Table 2.
Unadjusted and adjusted logistic regression models examining the association between migration phase and last 12-month healthcare access indicators among Mexican im/migrants1 (N=1541)
| Healthcare Utilization | Forgone Healthcare | Availability of a Usual Source of Care | ||
|---|---|---|---|---|
| Unadjusted Models | Migration phase | |||
| • Pre-departure | Ref | Ref | Ref | |
| • Return | 0.49 (0.33–0.71) | 1.46 (0.76–2.81) | 0.57 (0.40–0.83) | |
| • Destination | 0.68 (0.51–0.91) | 0.88 (0.46–1.69) | 0.63 (0.45–0.90) | |
| • Interception/deportation | 0.62 (0.43–0.89) | 2.48 (1.19–5.17) | 0.39 (0.24–0.64) | |
| Adjusted Models | Migration phase | |||
| • Pre-departure | Ref | Ref | Ref | |
| • Return | 1.07 (0.64–1.79) | 1.58 (0.65–3.86) | 1.09 (0.73–1.63) | |
| • Destination | 0.91 (0.63–1.31) | 0.65 (0.31–1.36) | 0.93 (0.63–1.37) | |
| • Interception/deportation | 0.71 (0.42–1.21) | 1.19 (0.47–3.03) | 1.05 (0.58–1.89) | |
| Covariates | ||||
| Time | ||||
| Time in applicable country during last 12 months (in months) | 1.12 (1.08–1.16) | 1.11 (1.01–1.22) | 1.06 (1.02–1.09) | |
| Enabling factors | ||||
| Health insurance | 3.07 (2.29–4.12) | 0.68 (0.38–1.22) | 3.32 (2.37–4.64) | |
| Transportation limitations | 0.80 (0.58–1.10) | 1.32 (0.81–2.14) | 0.92 (0.62–1.38) | |
| Percentage of imprisonment time during last 12 months in applicable country (every 10% increment) | 1.14 (1.07–1.22) | 1.05 (0.96–1.15) | 0.89 (0.82–0.96) | |
| Need factors | ||||
| Health status score | 0.96 (0.94–0.98) | 0.89 (0.86–0.92) | 0.99 (0.97–1.02) | |
| Work-related injuries/burns | 1.48 (0.69–3.20) | 2.81 (1.03–7.74) | 0.97 (0.47–2.00) | |
| Predisposing factors | ||||
| Male | 0.68 (0.50–0.92) | 1.23 (0.63–2.40) | 0.64 (0.48–0.86) | |
| Age | 1.01 (1.00–1.02) | 0.98 (0.97–1.00) | 1.00 (0.99–1.01) | |
| Education | x | |||
| • Less than high school | Ref | 0.83 (0.44–1.57) | Ref | |
| • High school | 1.00 (0.72–1.39) | 0.83 (0.44–1.57) | 1.02 (0.75–1.40) | |
| • College degree | 0.97 (0.69–1.36) | 1.22 (0.69–2.19) | 0.85 (0.62–1.18) | |
| Marital status | ||||
| • Not married | Ref | Ref | Ref | |
| • Married living w/ partner | 0.87 (0.67–1.12) | 0.94 (0.59–1.51) | 1.16 (0.87–1.56) | |
| • Married not living w/ partner | 0.52 (0.36–0.76) | 1.36 (0.77–2.41) | 0.71 (0.51–0.99) | |
| Indigenous ethnicity | 0.77 (0.40–1.46) | 0.47 (0.09–2.39) | 0.80 (0.40–1.60) | |
| Employment status | ||||
| • Other | Ref. | Ref | Ref | |
| • Part-time | 1.09 (0.67–1.78) | 1.22 (0.55–2.70) | 1.88 (1.18–2.99) | |
| • Full-time | 0.97 (0.74–1.28) | 0.92 (0.54–1.59) | 1.51 (1.15–1.99) |
Bold indicates significance at p<0.05.
Among im/migrants who stayed in the applicable country (i.e. the U.S. for destination and interception phases; Mexico for pre-departure and return im/migrants) for more than 30 days during last 12 months.