miércoles, 27 de julio de 2016

The relationship between violence in Northern Mexico and potentially avoidable hospitalizations in the USA-Mexico border region. - PubMed - NCBI

The relationship between violence in Northern Mexico and potentially avoidable hospitalizations in the USA-Mexico border region. - PubMed - NCBI



 2016 Mar;38(1):14-23. doi: 10.1093/pubmed/fdv012. Epub 2015 Feb 19.

The relationship between violence in Northern Mexico and potentially avoidable hospitalizations in the USA-Mexico border region.

Abstract

BACKGROUND:

Substantial proportions of US residents in the USA-Mexico border region cross into Mexico for health care; increases in violencein northern Mexico may have affected this access. We quantified associations between violence in Mexico and decreases in access to care forborder county residents. We also examined associations between border county residence and access.

METHODS:

We used hospital inpatient data for Arizona, California and Texas (2005-10) to estimate associations between homicide rates and the probability of hospitalization for ambulatory care sensitive (ACS) conditions. Hospitalizations for ACS conditions were compared with homicide rates in Mexican municipalities matched by patient residence.

RESULTS:

A 1 SD increase in the homicide rate of the nearest Mexican municipality was associated with a 2.2 percentage point increase in the probability of being hospitalized for an ACS condition for border county patients. Residence in a border county was associated with a 1.3 percentage point decrease in the probability of being hospitalized for an ACS condition.

CONCLUSIONS:

Increased homicide rates in Mexico were associated with increased hospitalizations for ACS conditions in the USA, although residence in a border county was associated with decreased probability of being hospitalized for an ACS condition. Expanding access in theborder region may mitigate these effects by providing alternative sources of care.
© The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

KEYWORDS:

USA–Mexico border region; ambulatory care sensitive condition; healthcare access; violence

[PubMed - in process]

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