 
          
            48
          
        
        
          other immigrants andnatives (Figure36). Knowledge
        
        
          of this innovation in cervical cancer prevention also
        
        
          showsagender gap inall thegroupsanalyzed, towith
        
        
          men having the lowest knowledge.
        
        
          The information also indicates that tests
        
        
          designed to provide for the early detection and
        
        
          treatmentofcancersare lessfrequentamongtheHis-
        
        
          panicpopulation(bothUS-bornand immigrant) inthe
        
        
          United States, in comparison with non-Hispanic US-
        
        
          bornwhites andAfricanAmericans (Figure37).
        
        
          Healthcoverageandmedical serviceuseamong
        
        
          Mexican immigrants in the United States is notice-
        
        
          ably lower than among other groups in the country.
        
        
          The population of Central American origin has also
        
        
          seenadecrease in the level of health insurancecover-
        
        
          age in recent years.
        
        
          Unequal access also affectsmen disproportion-
        
        
          atelyand is present across all agegroups. Childrenand
        
        
          older adults areparticularlyaffectedbyexclusion from
        
        
          the health care system. Though this inequality can be
        
        
          observed in every state in the country, some inclu-
        
        
          ding several that receive numerous Mexicanmigrants
        
        
          provide immigrantsand their familiesdistinctlyunfavo-
        
        
          rableconditions for social integrationandmedical care.
        
        
          Overall, factors such as Mexicans’ concentration
        
        
          in certain sectors of the economy also condition a
        
        
          frameworkof salaryandbenefits,whichhas contributed
        
        
          significantly to reproducing the economic and social
        
        
          deprivation of this group in the United States. The
        
        
          result is worse access to needed health services for
        
        
          Mexican immigrants, and often for Central American
        
        
          immigrants, than for all other groups. Mexican immi-
        
        
          grantsare thegroup least likely to seeadoctor, obtain
        
        
          neededdental careandeyeglasses, and receiveclinical
        
        
          preventive services that can identify health problems
        
        
          early so that they canbemoreeffectively treated.
        
        
          Source: Migration Policy Bureau, SEGOB, based onU.S. StateHealthAccessDataAssistanceCenter,
        
        
          
            National Health
          
        
        
          
            InterviewSurvey
          
        
        
          (NHIS), 2012. IntegratedHealth InterviewSeries.Minneapolis: UniversityofMinnesota.
        
        
          
            Figure36. Populationbetween18and64years in theUnitedStates that has heard
          
        
        
          
            of thevaccinationagainst theHumanPapillomaVirus (hpv), bygender, basedon region
          
        
        
          
            of originandethnicityor race, 2012
          
        
        
          
            migration & health •
          
        
        
          
            mexican immigrants in the us: a 10 year perspective