Objectives: Toestimate the long-term association between Israeli-imposed restrictions on travel for medical care in the occupied Palestinian territory and health status in adulthood. Methods: Using event history calendar methods, we collected annual data from 1987 to 2011 from a representative sample of 1778 Palestinians aged 32 to 43 years and analyzed the subsample of whomever had a serious medical condition and needed to travel for medical care (n =246; contributing 1163 person-years). We used ordered logistic regression with person-year data to test the association between movement restrictions from 1987 to 2011 and health status in 2011. Results: Two thirds (65%; n =161) of participants reported travel restrictions, and 38% (n =92) reported ever being barred from travel for medical care. Compared with study participants who experiencednotravel restrictions inayear (n=559 person-years), those who were barred from travel in that same year (n=122 person-years) reported worse self-rated health (57% vs 22% reported bad or very bad self-rated health; P<.05) and greater limits on daily functioning caused by physical health (41% vs 16% reported regular limits; P <.05). Conclusions: Being barred from travel for medical care was associated with poor health as long as 25 years later.
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health