Nativity, Duration of Residence, Citizenship, and Access to Health Care for Hispanic Children

Durden, T. Elizabeth

doi:10.1111/j.1747-7379.2007.00078.x

Cited by 11 publications

(15 citation statements)

References 18 publications

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“…As a result, at longer durations the composition of the remaining immigrant population will be disproportionately represented by those with poorer health outcomes. Such a pattern is consistent with studies that show, on average, a higher level of healthcare utilization among Mexican immigrants with a longer duration in the US (LeClere et al , 1994, Durden, 2007). …”

Section: Introductionsupporting

confidence: 91%

Maternal and infant health of Mexican immigrants in the USA: the effects of acculturation, duration, and selective return migration

Ceballos¹,

Palloni²

2010

Ethnicity & Health

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Background A significant body of research on minority health shows that while Hispanic immigrants experience unexpectedly favorable outcomes in maternal and infant health, their advantage deteriorates with increased time of residence in the US. This is referred to as the “acculturation paradox.” Objective We assess the “acculturation paradox” hypothesis that attributes this deterioration in birth and child health outcomes to negative effects of acculturation and behavioral adjustments made by immigrants while living in the US, and investigate the potential for the existence of a selective return migration. Design We use a sample of Mexican immigrant women living in two Midwestern communities in the US to analyze the effects of immigrant duration and acculturation on birth outcomes once controlling for social, behavioral, and environmental determinants of health status. These results are verified by conducting a similar analysis with a nationally representative sample of Mexican immigrants. Results We find duration of residence to have a significant and nonlinear relationship with birth outcomes and acculturation to not be statistically significant. The effect of mediators is minimal. Conclusion The analyses of birth outcomes of Mexican immigrant women shows little evidence of an acculturation effect and indirectly suggest the existence of a selective return migration mechanism.

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Section: Introductionsupporting

confidence: 91%

Maternal and infant health of Mexican immigrants in the USA: the effects of acculturation, duration, and selective return migration

Ceballos¹,

Palloni²

2010

Ethnicity & Health

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“…Census data show Latinos comprising 22% (16 million) of the US population under the age of 18 years (32). Consistent with studies that have shown that Latino adults and the elderly are less likely to access and utilize health care compared with non-Latino whites and other groups (17, 25, 72, 77, 93, 142), studies have also revealed that Latino youth experience barriers to access and are less likely to utilize health services compared with youth from other racial and ethnic backgrounds (29, 30, 103). In particular, youth who have Mexican-origin parents with low English-language proficiency have worse access to, and lower utilization of, health services and have worse experiences in primary care than children whose parents speak English well or are otherwise more acculturated (13, 35, 50, 94, 103, 126).…”

Section: Health Care Access and Utilization Trends For Latinossupporting

confidence: 61%

Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act

Ortega

Rodríguez

Bustamante

2015

Annu. Rev. Public Health

176

125

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The changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and racial groups. The implementation of the Affordable Care Act (ACA) of 2010 may ameliorate some of these disparities. However, even with the ACA, it is expected that Latinos will continue to have problems accessing and using high-quality health care, especially in states that are not expanding Medicaid eligibility as provided by the ACA. We identify four current policy dilemmas relevant to Latinos’ health and ACA implementation: (a) the need to extend coverage to the undocumented; (b) the growth of Latino populations in states with limited insurance expansion; (c) demands on public and private systems of care; and (d) the need to increase the number of Latino physicians while increasing the direct patient-care responsibilities of nonphysician Latino health care workers.

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“…On the other hand, immigrants with longer residency may have developed the necessary social networks, social ties, and healthcare access that increase the likelihood of staying in the United States. This is consistent with studies showing that immigrants with longer residence in the United States have higher healthcare utilization than those with shorter lengths of residency (Durden 2007;LeClere et al 1994). The results also provide evidence of negative acculturation that takes effect after many years of living in the United States.…”

Section: Discussionsupporting

confidence: 91%

Simulating the Effects of Acculturation and Return Migration on the Maternal and Infant Health of Mexican Immigrants in the United States: A Research Note

Ceballos

2011

Demography

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A significant body of research on minority health shows that although Latino immigrants experience unexpectedly favorable outcomes in maternal and infant health, this advantage deteriorates with increased time of residence in the United States. This study evaluates the underlying assumptions of two competing hypotheses that explain this paradox. The first hypothesis attributes this deterioration to possible negative effects of acculturation and behavioral adjustments made by immigrants while living in the United States, and the second hypothesis attributes this deterioration to the mechanism of selective return migration. Hypothetical probabilistic models are simulated for assessing the relationship between duration and birth outcomes based on the assumptions of these two hypotheses. The results are compared with the empirical research on the maternal and infant health of first-generation, Mexican-origin immigrant women in the United States. The analysis provides evidence that a curvilinear pattern of duration and birth outcomes can be explained by the joint effects of both acculturation and selective return migration in which the former affects health status over the longer durations, and the latter affects health status at shorter durations.

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Nativity, Duration of Residence, Citizenship, and Access to Health Care for Hispanic Children

Cited by 11 publications

References 18 publications

Maternal and infant health of Mexican immigrants in the USA: the effects of acculturation, duration, and selective return migration

Maternal and infant health of Mexican immigrants in the USA: the effects of acculturation, duration, and selective return migration

Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act

Simulating the Effects of Acculturation and Return Migration on the Maternal and Infant Health of Mexican Immigrants in the United States: A Research Note

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