Community Demographics and Access to Health Care Among US Hispanics

This paper analyzes community level influences on access to health care for Mexican-Americans, exploring whether community level influences differ for immigrants compared with U.S.-born Mexican-Americans.

The authors found that for immigrants, living in an area with a high density of Spanish-speaking immigrants is associated with better access to care. By contrast, for U.S.-born Mexican-Americans without insurance, living in a community with a high density of Spanish-speaking immigrants is associated with poorer access to care. The data analyzed come from the 1996-2002 Medical Expenditure Panel Survey.