Undocumented Mexicans and other undocumented Latinos report less use of health care and poorer experiences with the health care system compared with their counterparts who were born in the United States, according to a report in the November 26 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.
An estimated 8.4 million of the 10.3 million undocumented individuals in the United States are Latino, including 5.9 million from Mexico, according to background information in the article. “One recurrent theme in the debate over immigration has been the use of public services, including health care,” the authors write. “Proponents of restrictive policies have argued that immigrants overuse services, placing an unreasonable burden on the public. Despite a scarcity of well-designed research into these questions regarding immigrants, use of resources continues to be a part of the public debate.”
Alexander N. Ortega, Ph.D., of the David Geffen School of Medicine, University of California, Los Angeles, and colleagues analyzed data from a 2003 telephone survey of 42,044 California residents designed to represent the state’s entire population. The researchers found that:
The results have implications for addressing health care disparities, they continue. “For example, worse health care experiences for undocumented Mexicans imply that efforts to improve processes of care need to address this specific vulnerable group,” the authors write. “Strategies to improve the delivery of health care services to legally authorized immigrants and U.S. citizens, to the exclusion of undocumented individuals, will likely miss an opportunity to influence health care for the individuals most affected by inequities in health care access.”
“Low rates of use of health care services by Mexican immigrants and similar trends among other Latinos do not support public concern about immigrants’ overuse of the health care system,” they conclude.
(Arch Intern Med. 2007;167(21):2354-2360. Available pre-embargo to the media at www.jamamedia.org.)
Editor’s Note: This study was supported by a grant from the National Institute of Mental Health and by faculty start-up funding from the University of California, Los Angeles Chicano Studies Research Center. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
For more information, contact JAMA/Archives Media Relations at 312/464-JAMA (5262) or e-mail mediarelations@jama-archives.org.
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Archives of Internal Medicine