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Networks Matter: Male Mexican Migrants’ Use of Hospitals

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Abstract

Using the behavioral model for health care use and unique data from the Mexican migration project, we explore the factors associated with hospital use among Mexican male migrants to the US. Twenty-eight percent of the respondents reported receiving healthcare from a hospital. In addition to established enabling factors of time in the US and English language ability, this research points to the importance of family social networks as enabling hospital health care use among migrants. Migrants with more ties to family members with migration experience have an increased likelihood of using emergency room healthcare. The research adds to the body of literature by providing evidence that ties to individuals with US migration experience increases migrants’ probability of accessing healthcare at hospitals.

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Notes

  1. The difference in sample mean for age and the age of most migrants in the population as reported elsewhere reflects sample restrictions imposed for this study.

  2. Using a probit model and Wald test we found the relationship between hospital and duration of trip to be endogenous, indicating a bi-directional causal relationship.

References

  • Abe-Kim, J., Takeuchi, D. T., Hong, S., Zane, N., Sue, S., Spencer, M. S., et al. (2007). Use of mental health-related services among immigrant and US-born Asian Americans: Results from the national Latino and Asian American study. American Journal of Public Health, 97(1), 91–98.

    Article  Google Scholar 

  • Aguilera, M. B. (2002). The impact of social capital on labor force participation: Evidence from the 2000 social capital benchmark survey. Social Science Quarterly, 83, 853–874.

    Article  Google Scholar 

  • Akresh, I. R. (2009). Health service utilization among immigrants to the United States. Population Research and Policy Review, 28(6), 795–815.

    Article  Google Scholar 

  • Andersen, R. (1968). A behavioral model of families’ use of health services. Chicago, IL: Center for Health Administration Studies.

    Google Scholar 

  • Andersen, R. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10.

    Article  Google Scholar 

  • Bagchi, A. D. (2001). Making connections: A study of networking among immigrant professional. New York, NY: LFB Scholarly Publishing LLC.

    Google Scholar 

  • Berk, M. L., Schur, C. L., Chavez, L. R., & Frankel, M. (2000). Health care use among undocumented Latino immigrants. Health Affairs, 19(4), 51–64.

    Article  Google Scholar 

  • Borjas, G. (2001). Heaven’s door: Immigration policy and the American economy. Princeton, NJ: Princeton University.

    Google Scholar 

  • Borjas, G., & Hilton, L. (1996). Immigration and the welfare state: Migrant participation in means-tested entitlement programs. The Quarterly Journal of Economics, 111(2), 575–604.

    Article  Google Scholar 

  • Burt, R. (2000). The network structure of social capital. Research in Organizational Behavior, 2, 345–423.

    Article  Google Scholar 

  • Callahan, S. T., Hickson, G. B., & Cooper, W. O. (2006). Health care access of Hispanic young adults in the United States. Journal of Adolescent Health, 39(5), 627–633.

    Article  Google Scholar 

  • Chavez, L. R., Cornelius, W. A., & Jones, O. W. (1985). Mexican immigrants and the utilization of US health services: The case of San Diego. Social Science and Medicine, 21(1), 93–102.

    Article  Google Scholar 

  • Coleman, J. S. (1988). Social capital in the creation of human capital. American Journal of Sociology, 94, S95–S120.

    Article  Google Scholar 

  • Cunningham, P. (2006). What accounts for differences in the use of hospital emergency departments across US communities? Health Affairs, 25(5), w324–w336.

    Article  Google Scholar 

  • Derose, K., Bahney, B. W., Lurie, N., & Escarce, J. J. (2009). Review: Immigrants and health care access, quality, and cost. Medical Care Research and Review, 66(4), 355–408.

    Article  Google Scholar 

  • Dorherty, W., & Campbell, T. (1988). Families and health. Beverly Hills, CA: Sage.

    Google Scholar 

  • Duleep, H. (1994). Social security and the emigration of immigrants. Social Security Bulletin, 57(1), 37–51.

    Google Scholar 

  • Espinosa, K., & Massey, D. (1997). What’s driving Mexico–US migration?: Theoretical, empirical, and policy analysis. American Journal of Sociology, 102(4), 939–999.

    Article  Google Scholar 

  • Fremstad, S., & Cox, L. (2004). Covering new Americans: A review of federal and state policies related to immigrants’ eligibility and access to publicly funded health insurance. Henry J. Kaiser Family Foundation, the Kaiser Commission on Medicaid and the Uninsured. Washington, DC.

  • Gerst, K., & Burr, J. A. ( 2010). Welfare use among older Hispanic immigrants: The effect of state and federal policy. Population Research and Policy Review, 30(1), 129–150.

    Article  Google Scholar 

  • González-Block, M. A., & de la Sierra-de la Vega, L. A. (2011). Hospital utilization by Mexican migrants returning to Mexico due to health needs. BMC Public Health, 11, 241.

  • Granovetter, M. (1983). The strength of weak ties: A network theory revisited. Sociological Theory, 1, 201–233.

    Article  Google Scholar 

  • Guendelman, S., Angulo, V., Wier, M., & Oman, D. (2005). Overcoming the odds: Access to care for immigrant children in working poor families in California. Maternal Child Health Journal, 9(4), 351–362.

    Article  Google Scholar 

  • Hao, L., & Kawano, Y. (2001). Migrants’ welfare use and opportunity for contact with co-ethnics. Demography, 38, 375–389.

    Article  Google Scholar 

  • Heyman, J. M., Núñez, G. G., & Talavera, V. (2009). Healthcare access and barriers for unauthorized immigrants in El Paso County, Texas. Family and Community Health, 32(1), 4–21.

    Google Scholar 

  • Hovey, J. D. (2000). Psychosocial predictors of acculturative stress in Mexican immigrants. Journal of Psychology, 134(5), 490–502.

    Article  Google Scholar 

  • Hu, D. J., & Covell, R. M. (1986). Health care usage by Hispanic outpatients as function of primary language. Western Journal of Medicine, 144(4), 490–493.

    Google Scholar 

  • Landeck, M., & Garza, C. (2002). Utilization of physician health care services in Mexico by U.S. Hipanic border residents. Health Marketing Quarterly, 20, 3–16.

    Article  Google Scholar 

  • Lara, M., Gamboa, C., Kahramanian, M., Morales, L., & Bautista, D. (2005). Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annual Review of Public Health, 26(1), 367–397.

    Article  Google Scholar 

  • Lasser, K. E., Himmelstein, D. U., & Woolhandler, S. (2006). Access to care, health status, and health disparities in the United States and Canada: Results of a cross-national population-based survey. American Journal of Public Health, 96(7), 1300–1307.

    Article  Google Scholar 

  • LeClere, F. B., Jensen, L., & Biddlecom, A. E. (1994). Health care utilization, family context, and adaptation among immigrants to the United States. Journal of Health and Social Behavior, 35(4), 370–384.

    Article  Google Scholar 

  • Lin, N. (2001). Social capital: A theory of social structure and action. Cambridge, MA: Cambridge University.

    Google Scholar 

  • Litwak, E., & Messeri, P. (1989). Organizational theory, social supports, and mortality rates: A Theoretical convergence. Annual Review of Sociology, 54, 49–66.

    Article  Google Scholar 

  • Livingston, G. M. (2006). Gender, job searching, and employment outcomes among Mexican migrants. Population Research and Policy Review, 25, 43–66.

    Google Scholar 

  • Massey, D., & Aguilera, M. (2003). Social capital and the wages of Mexican migrants: New hypotheses and tests. Social Forces, 82(2), 671–701.

    Article  Google Scholar 

  • Massey, D., Alarcón, R., Durand, J., & González, H. (1987). Return to Aztlan: The social process of international migration from Western Mexico. London, England: University of California.

    Google Scholar 

  • Massey, D. S., & Capoferro, C. (2008). The geographic diversification of American immigration. In D. S. Massey (Ed.), New faces in new places: The changing geography of American immigration (pp. 25–50). New York: Russell Sage.

    Google Scholar 

  • Massey, D. S., Durand, J., & Malone, N. J. (2002). Beyond smoke and mirrors: Mexican migration in an era of economic integration. New York: Russell Sage Foundation.

    Google Scholar 

  • Massey, D., & Phillips, J. (1999). Engines of immigration: Stocks of human and social capital in Mexico. Social Science Quarterly, 81, 33–48.

    Google Scholar 

  • Massey, D., & Zenteno, R. (2000). A validation of the enthosurvey: The case of Mexico–US migration. International Migration Review, 34, 766–793.

    Article  Google Scholar 

  • Mexican migration project (MMP). (2011). Study design. Princeton, NJ: Princeton University. Retrieved July 01, 2011 (http://mmp.opr.princeton.edu/databases/studydesign-en.aspx).

  • Mohanty, S. A., Woolhandler, S., Himmelstein, D. U., Pati, S., Carrasquillo, O., & Bor, D. H. (2005). Health care expenditures of immigrants in the United States: A nationally representative analysis. American Journal of Public Health, 95, 1431–1438.

    Article  Google Scholar 

  • Nandi, A., Galea, S., Lopez, G., Nandi, V., Strongarone, S., & Ompad, D. C. (2008). Access to and use of health services among undocumented Mexican immigrants in a US urban area. American Journal of Public Health, 98, 2011–2020.

    Article  Google Scholar 

  • Neuhouser, M. L., Thompson, B., Coronado, G. D., & Solomon, C. C. (2004). Higher fat intake and lower fruit and vegetables intakes are associated with greater acculturation among Mexicans living in Washington State. Journal of the American Dietetic Association, 104(1), 51–57.

    Article  Google Scholar 

  • Ortega, A. N., Fang, H., Perez, V. H., Rizzo, J. A., Carter-Pokras, O., Wallace, S. P., et al. (2007). Health care access, use of services, and experiences among undocumented Mexicans and other Latinos. Archives of Internal Medicine, 167(21), 2354–2360.

    Article  Google Scholar 

  • Palloni, A., & Arias, E. (2004). Paradox lost: explaining the Hispanic adult mortality advantage. Demography, 41(3), 385–415.

    Article  Google Scholar 

  • Passel, J., & Cohn, D. (2009). Mexican immigrants in the United States, 2008. Pew Hispanic Center. Retrieved from (www.pewhispanic.org).

  • Portes, A. (1998). Social capital: Its origins and applications in modern sociology. Annual Review of Sociology, 24, 1–24.

    Article  Google Scholar 

  • Portes, A., Kyle, D., & Eaton, W. W. (1992). Mental Illness and help-seeking behavior among Mariel Cuban and Haitian refugees in South Florida. Journal of Health and Social Behavior, 33(4), 283–298.

    Article  Google Scholar 

  • Portes, A., & Sensenbrenner, J. (1993). Embeddedness and immigration: Notes on the social determinants of economic action. American Journal of Sociology, 98(6), 1320–1350.

    Article  Google Scholar 

  • Rhodes, S., Hergenrather, K., Zometa, C., Lindstrom, K., & Montano, J. (2008). Characteristics of immigrant Latino men who utilize formal healthcare services: Baseline findings from the HoMBRes study. Journal of the National Medical Association, 100(10), 1177–1185.

    Google Scholar 

  • Richardson, L., & Hwang, U. (2001). America’s health care safety net: Intact or unraveling? Academic Emergency Medicine, 8(1), 1056–1063.

    Article  Google Scholar 

  • Ross, C., Mirowsky, J., & Goldsteen, K. (1990). The impact of the family on health: The decade in review. Journal of Marriage and the Family, 52, 1059–1078.

    Article  Google Scholar 

  • Sapiro, V. (2006). Gender, social capital, and politics. In B. O’Neill & E. Gidengil (Eds.), Gender and social capital (pp. 151–183). New York, NY: Routledge.

    Google Scholar 

  • Schor, E., Starfield, B., Stidley, C., & Hankin, J. (1987). Family health: Utilization and effects of family medicine. Medical Care, 25(7), 616–626.

    Article  Google Scholar 

  • StataCorp. (2007). Stata Statistical Software: Release 10. College Station, TX: StataCorp LP.

  • Ullmann, S. H., Goldman, N., & Massey, D. S. (2011). Healthier before they migrate, less healthy when they return? The health of returned migrants in Mexico. Social Science and Medicine, 73(3), 421–428.

    Article  Google Scholar 

  • Van Hook, J., & Zhang, W. (2010). Who stays? Who goes? Selective emigration among the foreign-born. Population Research and Policy Review, 30(1), 1–24.

    Article  Google Scholar 

  • Wallace, S., Mendez-Luck, C., & Castañeda, X. (2009). Heading south: Why Mexican immigrant in California seek health services in Mexico. Medical Care, 47, 662–669.

    Article  Google Scholar 

  • Winship, C., & Radbill, L. (1994). Sampling weights and regression analysis. Sociological Methods and Research, 23, 230–257.

    Article  Google Scholar 

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Correspondence to Margaret L. Ralston.

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Ralston, M.L., Escandell, X. Networks Matter: Male Mexican Migrants’ Use of Hospitals. Popul Res Policy Rev 31, 321–337 (2012). https://doi.org/10.1007/s11113-012-9233-x

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