Social Networks and Access to Health Care Among Mexican-Americans
This research explores social networks and their relationship to access to health care among adult Mexican-Americans. We use data from the Medical Expenditure Panel Survey (MEPS) linked to data from the 2000 U.S. Census and other data sources. We analyze multiple measures of access to health care. Measures of social networks are constructed at the ZCTA level and include percent of the population that is Hispanic, percent of the population that speaks Spanish, and percent of the population that is foreign-born and Spanish-speaking. Regressions are stratified by insurance status and social network measures are interacted with individual-level measures of acculturation. For insured Mexican-American immigrants, living in an area populated by relatively more Hispanics, more immigrants, or more Spanish-speakers increases access to care. The social network effects are generally stronger for more recent immigrants compared to those who are better established. We find no effects of these characteristics of the local population on access to care for U.S. born Mexican-Americans, suggesting that similarities in race and language may contribute more to the formation of social ties among individuals who are less acculturated to the U.S. Among the uninsured, we find evidence suggesting that social networks defined by ethnicity improve access to care among recent immigrants. A finding particular to the uninsured is the negative influence of percent of the population that is Hispanic and the percent that is Spanish-speaking on access to care among U.S. born Mexican-Americans. The results provide evidence that social networks play an important role in access to health care among Mexican-Americans. The results also suggest the need for further study using additional measures of social networks, analyzing other racial and ethnic groups, and exploring social networks defined by characteristics other than race, language and ethnicity.
|Date of creation:||Oct 2007|
|Date of revision:|
|Contact details of provider:|| Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.|
Web page: http://www.nber.org
More information through EDIRC
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Marianne Bertrand & Erzo F. P. Luttmer & Sendhil Mullainathan, 2000.
"Network Effects and Welfare Cultures,"
The Quarterly Journal of Economics,
Oxford University Press, vol. 115(3), pages 1019-1055.
- Marianne Bertrand & Erzo F.P. Luttmer & Sendhil Mullainathan, 1999. "Network Effects and Welfare Cultures," JCPR Working Papers 62, Northwestern University/University of Chicago Joint Center for Poverty Research.
- Bertrand, M. & Luttmer, E.F.P. & Mullainathan, S., 1998. "Network Effects and Welfare Cultures," Papers 201, Princeton, Woodrow Wilson School - Public and International Affairs.
- Marianne Bertrand & Erzo F. P. Luttmer & Sendhil Mullainathan, 1999. "Network Effects and Welfare Cultures," Working Papers 9903, Harris School of Public Policy Studies, University of Chicago.
- Marianne Bertrand & Erzo F.P. Luttmer & Sendhil Mullainathan, 1998. "Network Effects and Welfare Cultures," NBER Working Papers 6832, National Bureau of Economic Research, Inc.
- Sendhil Mullainathan & Marianne Bertrand & Erzo F.P. Luttmer, 1998. "Network Effects and Welfare Cultures," Working papers 98-21, Massachusetts Institute of Technology (MIT), Department of Economics.
- Anna Aizer & Janet Currie, 2002.
"Networks or Neighborhoods? Correlations in the Use of Publicly-Funded Maternity Care in California,"
NBER Working Papers
9209, National Bureau of Economic Research, Inc.
- Aizer, Anna & Currie, Janet, 2004. "Networks or neighborhoods? Correlations in the use of publicly-funded maternity care in California," Journal of Public Economics, Elsevier, vol. 88(12), pages 2573-2585, December.
- George J. Borjas, 1994.
"Ethnicity, Neighborhoods, and Human Capital Externalities,"
NBER Working Papers
4912, National Bureau of Economic Research, Inc.
- Borjas, George J, 1995. "Ethnicity, Neighborhoods, and Human-Capital Externalities," American Economic Review, American Economic Association, vol. 85(3), pages 365-90, June.
- Glass, Thomas A. & de Leon, Carlos F. Mendes & Seeman, Teresa E. & Berkman, Lisa F., 1997. "Beyond single indicators of social networks: A LISREL analysis of social ties among the elderly," Social Science & Medicine, Elsevier, vol. 44(10), pages 1503-1517, May.
- Charles F. Manski, 1993.
"Identification of Endogenous Social Effects: The Reflection Problem,"
Review of Economic Studies,
Oxford University Press, vol. 60(3), pages 531-542.
- Manski, C.F., 1991. "Identification of Endogenous Social Effects: the Reflection Problem," Working papers 9127, Wisconsin Madison - Social Systems.
- Walter S. McManus, 1990. "Labor Market Effects of Language Enclaves: Hispanic Men in the United States," Journal of Human Resources, University of Wisconsin Press, vol. 25(2), pages 228-252.
When requesting a correction, please mention this item's handle: RePEc:nbr:nberwo:13460. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ()
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.