Determinants of Access to Treatment for Chronic Diseases Among Venezuelan Migrants in Peru: A Population-Based Survey Analysis
摘要
Approximately 1.5 million Venezuelans live in Peru. This study aimed to identify the key factors associated with receiving treatment for chronic conditions among Venezuelan migrants residing in Peru. We conducted a cross-sectional analytical study using nationally representative data from the 2022 s Survey of the Venezuelan Population Residing in Peru (ENPOVE 2022). The sample included 1,313 Venezuelan adults with self-reported chronic diseases living in urban households. Survey-weighted multivariable Poisson regression models were used to estimate adjusted prevalence ratios (PR) and 95% confidence intervals (CI) for associations between socioeconomic, demographic, and health system variables and the likelihood of receiving treatment. Only 33.1% of migrants with chronic diseases were currently receiving treatment. Access to treatment was significantly higher among those with EsSalud (PR: 2.81; 95% CI: 2.03–3.88), Seguro Integral de Salud (SIS) (PR: 2.08; 95% CI: 1.71–2.53), or other insurance (PR: 2.43; 95% CI: 1.41–4.19) compared to the uninsured. Older age (≥ 60 years) was also associated with increased access (PR: 1.23; 95% CI: 1.03–1.46). Educational attainment, wealth index, and sex were not significantly associated with receiving treatment after adjustment for confounders. Health insurance coverage is the main determinant of access to chronic disease treatment among Venezuelan migrants in Peru, while individual socioeconomic factors play a lesser role. These findings underscore the urgent need for inclusive, migration-sensitive health policies and expanded insurance coverage to address persistent inequities.