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Determinants of Physician Utilization Among Mexican-Americans

A Three-generations Study

Bibliographic Data

ID9104911
AuthorsKyriakos S Markides (General Department of Preventive Medicine), Jeffrey S Levin (The University of Texas Medical Branch at Galveston), Laura A Ray (The University of Texas Medical Branch at Galveston)
Year1985
Volume23
Issue3
Pages236-246
Publication date1985-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198503000-00005
PMID3982104
OpenAlexW1989308866
LanguageEN
Citations received17

Determinants of physician utilization were examined using a three-generational sample of Mexican-Americans in San Antonio. A typical version of Andersen's causal behavioral model was moderately successful in predicting physician utilization in the middle and older generations and less successful in the younger generation. Consistent with the literature, need factors (health indicators) tended to affect utilization most directly. The authors also examined whether acculturation into the larger society positively influenced utilization regardless of need, as the literature suggested. While three separate measures of acculturation had no independent effects on physician utilization, acculturation did affect utilization indirectly via the need variables in the middle generation, although these effects were not consistently in the direction of greater utilization. Generational differences in determinants of physician utilization are discussed particularly in relation to the model's greater relevance for the middle and older generations

Acculturation · Affect (linguistics) · Ethnic group · Mexican americans · Sample (material) · Sociology · Demography · Global Health Care Issues · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes · Psychology · Gerontology

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    Richard L Hough, Jacqueline M Golding et al.•Medical Care•1988

  • Acculturation and Smoking Patterns Among Hispanics

    Open Access•Jeffrey W Bethel, Marc B Schenker•American Journal of Preventive…•2005

  • Limited English Proficiency and Latinos’ Use of Physician Services

    Open Access•Kathryn P Derose, David W Baker•Medical Care Research and Review•2000

  • Acculturation and Latino Health in the United States

    Marielena Lara, Cristina Gamboa et al.•Annual Review of Public Health•2005

  • Determinants of reported health promotion behaviors in employed Mexican American women

    Mary E Duffy•Health Care For Women International•1997

  • A Profile of Black and Hispanic Subgroups' Access to Dental Care

    Open Access•Lu Ann Aday, Ronald N Forthofer•Journal of Public Health Dentistry•1992

  • The development of the Cultural Health Attributions Questionnaire (CHAQ)

    Alejandro Murguia, Maria Cecilia Zea et al.•Cultural Diversity & Ethnic…•2000

  • Acculturation

    Lauren Clark, Lisa Hofsess•Handbook of Immigrant Health•1998

  • Why Rural Residents Migrate for Family Physician Care

    Open Access•Tyrone F Borders, James E Rohrer et al.•The Journal of Rural Health•2000

  • Predictors of health promotion behavours among Asian Indian immigrants

    Open Access•Ranjita Misra, Rashmi Gupta•International Journal of…•2004

  • Acculturation and alcohol consumption among Mexican Americans

    Kyriakos S Markides, Niklas Krause et al.•American Journal of Public Health•1988

  • Health behavior of elderly Hispanic women

    Gary N Marks, G Marks et al.•American Journal of Public Health•1987

  • Smoking among Mexican Americans

    Kyriakos S Markides, Jeannine Coreil et al.•American Journal of Public Health•1987

  • Health care utilization barriers among Mexican Americans

    Antonio L Estrada, F M Trevino et al.•American Journal of Public Health•1990

  • Pneumococcal pneumonia and influenza vaccination

    Tami L Mark, L Clark Paramore•American Journal of Public Health•1996

  • Use of Health Services by Chinese Elderly in Beijing

    Stephen Earl Foreman, Stephen Foreman et al.•Medical Care•1998

  • Initial Validation of a Scale Measuring Self-Efficacy of Breast Self-Examination among Low-Income Mexican American Women

    Open Access•Judith T Gonzalez, Virginia Gonzalez et al.•Hispanic Journal of Behavioral…•1990

Unique citing works17
Citations per year0,44
Citation span1987 - 2005 (19)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 16
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