title: Financial Barriers to Health Care Among Mexican Americans With Chronic Disease and Depression or Anxiety in El Paso, Texas.
abstract: OBJECTIVE
  To determine the barriers to health care access by chronic disease and depression/anxiety diagnosis in Mexican Americans living in El Paso, TX.
  
  
  METHODS
  A secondary analysis was conducted using data for 1,002 Hispanics from El Paso, TX (2009-2010). Logistic regression was conducted for financial barriers by number of chronic conditions and depression/anxiety diagnosis. Interaction models were conducted between number of chronic conditions and depression or anxiety.
  
  
  RESULTS
  Depressed/anxious individuals reported more financial barriers than those with chronic conditions alone. There were significant interactions between number of chronic conditions and depression/anxiety for cost, denied treatment because of an inability to pay, and an inability to pay $25 for health care.
  
  
  CONCLUSIONS
  Financial barriers should be considered to maintain optimal care for both mental and physical health in this population.
  
  
  CONCLUSIONS
  There should be more focus on the impact of depression or anxiety as financial barriers to compliance.
authors.affiliation: 1 University of Texas Health Science Center at Houston School of Public Health, El Paso Regional Campus., El Paso, TX, USA.
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Salinas
authors.affiliation: 2 University of Texas at El Paso, TX, USA.
authors.forename: Josiah M
authors.initials: JM
authors.lastname: Heyman
authors.affiliation: 1 University of Texas Health Science Center at Houston School of Public Health, El Paso Regional Campus., El Paso, TX, USA.
authors.forename: Louis D
authors.initials: LD
authors.lastname: Brown
keywords: Mexican Americans; barriers; cardiovascular disease; diabetes; health care