title: Report on Honduras: ripples in the pond--the financial crisis and remittances to chronically ill patients in Honduras.
abstract: The U.S. financial crisis has affected employment opportunities for Latino immigrants, and this could affect their ability to send financial assistance, or "remittances", to chronically ill family members in their home country. In a cross-sectional survey of 624 chronically ill adults conducted in Honduras between June and August 2009, respondents reported their receipt of remittances, health service use, and cost-related access barriers. Fifty-four percent of respondents reported relatives living outside the country, and of this group, 66 percent (37% of the overall sample) received remittances. Seventy-four percent of respondents receiving remittances reported a decrease over the prior year, mostly due to job losses among their relatives abroad. Respondents reporting reductions in remittances received significantly less per month, on average, than those without a reduction (US $170 vs. $234; p = 0.01). In multivariate models, respondents experiencing a reduction in remittances used fewer health services and medications due to cost concerns. Remittance payments from relatives resident in the United States are a major source of income for chronically ill individuals in Latin America. Most recipients of remittances reported a reduction during the financial downturn that affected their access to care.
authors.affiliation: Department of Internal Medicine, University of Michigan, Ann Arbor 48109-5429, USA. jpiette@umich.edu
authors.forename: John D
authors.initials: JD
authors.lastname: Piette
authors.forename: Milton O
authors.initials: MO
authors.lastname: Mendoza-Avelares
authors.forename: Laura
authors.initials: L
authors.lastname: Chess
authors.forename: Evan C
authors.initials: EC
authors.lastname: Milton
authors.forename: Armando
authors.initials: A
authors.lastname: Matiz Reyes
authors.forename: Joel
authors.initials: J
authors.lastname: Rodriguez-Saldaña
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000191:economics* / Q000628:therapy*; D003430:Cross-Sectional Studies; D057172:Economic Recession; D004467:Economics / Q000706:statistics & numerical data; D005260:Female; D006296:Health Services / Q000191:economics* / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000191:economics*; D006721:Honduras; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000191:economics*; D008297:Male; D008875:Middle Aged; D011203:Poverty / Q000706:statistics & numerical data; D055553:Prescription Drugs / Q000191:economics; D012959:Socioeconomic Factors
chemical_list: D055553:Prescription Drugs