Medicaid Use by Documented and Undocumented Farm Workers

Chung, Yoon Kyung; Leigh, James

doi:10.1097/jom.0000000000000357

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…It should be noted, however, that Medicaid use is significantly less among undocumented immigrants than among documented immigrants [19]. Namely, While undocumented and non-citizen immigrant groups are very similar in most demographic characteristics, they vary significantly on their type of coverage.…”

Section: Discussionmentioning

confidence: 89%

Immigrant Status and Its Impact on Access to Health Care

Navarro¹,

Ibarra²,

Anglemyer³

2017

JSS

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This paper explores disparities in health care access for undocumented immigrants in the United States. Using the case of California, we find that less than half of undocumented immigrants in this state report having health insurance. Additionally, our estimates show that, among the insured, US-born and naturalized citizens are significantly more likely to have a doctor visit in the previous year when compared to undocumented immigrants (aOR = 1.53%; 95% CI 1.15 -2.04, aOR = 1.40%; 95% CI 1.05 -1.87, respectively). Further, we find that US-born citizens are significantly more likely to use the ER in the previous year than undocumented immigrants, independent of insurance status. Our findings suggest that undocumented immigrants not only face barriers to obtain health insurance, but even with health insurance they face barriers to access health care services.

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Section: Discussionmentioning

confidence: 89%

Immigrant Status and Its Impact on Access to Health Care

Navarro¹,

Ibarra²,

Anglemyer³

2017

JSS

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“…The 12.2% SNAP and 18.0% WIC participation rates measured in this study are on the low end of recent estimates for U.S. farmworkers, ranging from 15–32% for SNAP and 13–22% for WIC [ 29 ]. Several studies using the NAWS have found that legal status has little direct association with SNAP and WIC participation rates among farmworkers [ 30 – 32 ]. Still, it may be challenging to capture unbiased SNAP/WIC participation.…”

Section: Discussionmentioning

confidence: 99%

The role of SNAP and WIC participation and racialized legal status in U.S. farmworker health

et al. 2022

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Background Policies that restrict access to and use of the Supplemental Nutrition Assistance Program (SNAP) and Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC) by legal status may disproportionately disadvantage particular racial and ethnic groups. While immigrant legal status, race, and ethnicity are recognized as independent social determinants of health, studies examining the extent to which legal status structures racial and ethnic health disparities are limited. Research is needed to identify factors that mitigate disparate health outcomes, such as SNAP and WIC. Methods Cross-sectional data from the 2009/2010 National Agricultural Workers Survey (N = 3,961) were analyzed. Chi-square tests and logistic regressions examined associations among self-reported health, race, ethnicity, legal status, and SNAP/WIC participation. Results Farmworkers reporting excellent or good health were more likely to be non-Hispanic White, U.S. citizen, aged 18–25, single, male, educated beyond primary school, living above the poverty level, without chronic health conditions, and located in the Midwest. Hispanic farmworkers had lower odds of reporting excellent or good health (OR 0.27, 95% CI 0.12–0.62). Among SNAP/WIC participants, Hispanic farmworkers had higher odds of reporting excellent or good health (OR 6.74, 95% CI 1.54–29.57) compared to non-Hispanic White farmworkers. There was no significant association between self-reported health and legal status. Discussion This study complements the extant literature showing racial and ethnic health disparities among the U.S. farmworker population. Results provide valuable insight on the health-protective potential of programs like SNAP and WIC, particularly among Hispanic farmworkers, who may be both less likely to be eligible and more hesitant to participate. These findings underscore the need to expand U.S. farmworkers’ eligibility and participation in SNAP and WIC.

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Changing SNAP-Participation Trends Among Farmworker Households in the U.S., 2003–2012

Medel-Herrero

Leigh

2017

J Immigrant Minority Health

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We investigated Supplemental Nutrition Assistance Program (SNAP) participation among citizen, documented and undocumented immigrant hired crop farmworkers for ten recent years. We analyzed population representative data from the National Agricultural Workers Survey for 2003-2012 (N = 18,243 households). Time-chart, simple mean differences, and logistic regressions described farmworker household participation in SNAP. The 2008 financial crisis almost doubled SNAP-participation by agriculture households (6.5% in 2003-2007 vs. 11.3% in 2008-2012). The increasing SNAP-participation was found for citizen, documented and undocumented immigrant households. We found low participation among documented (OR 0.67, 95% CI 0.56-0.8) and undocumented immigrants (OR 0.63, 95% CI 0.54-0.74) compared to citizens. Low odds ratios (OR 0.70, 95% CI 0.55-0.89) were found for Hispanic-citizens as compared with non-Hispanic white-citizens. Our results may help inform the debate surrounding the effects of the financial crisis on SNAP-participation and on differences in participation among citizens, immigrants, Hispanics and non-Hispanics, the latter suggesting ethnic farmworker disparities in SNAP-participation.

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Medicaid Use by Documented and Undocumented Farm Workers

Abstract: Undocumented farm workers' households were roughly half as likely to use Medicaid as documented households, and undocumented households' participation was especially responsive to the presence of children.

Cited by 5 publications

References 12 publications

Immigrant Status and Its Impact on Access to Health Care

Immigrant Status and Its Impact on Access to Health Care

The role of SNAP and WIC participation and racialized legal status in U.S. farmworker health

Changing SNAP-Participation Trends Among Farmworker Households in the U.S., 2003–2012

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