Parental Immigration Status is Associated with Children’s Health Care Utilization: Findings from the 2003 New Immigrant Survey of US Legal Permanent Residents

Yun, Katherine; Fuentes-Afflick, Elena; Curry, Leslie; Krumholz, Harlan M.; Desai, Mayur M.

doi:10.1007/s10995-012-1217-2

Cited by 23 publications

(12 citation statements)

References 20 publications

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“…Furthermore, beyond shared cultural understanding, other individual characteristics, such as poverty and traumatic experiences, were also identified as factors influencing health literacy. These findings are consistent with existing research that have demonstrated the influence of socioeconomic status and other demographic factors on health literacy (Yun et al, 2013).…”

Section: Discussionsupporting

confidence: 92%

Healthcare providers' perspectives on parental health literacy and child health outcomes among Southeast Asian American immigrants and refugees

Khuu

Lee

Zhou

et al. 2016

Children and Youth Services Review

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Low health literacy has emerged as an important area of research because of its close link with health disparities. In this study, we used a qualitative approach to investigate healthcare providers' perspectives on the health literacy of immigrant and refugee parents and its association with children's health. Sixteen health and mental health professionals serving immigrant and refugee parents and children in various clinical settings were recruited through a purposive sampling method and interviewed. Six broad themes were identified: (1) multi-dimensional components of parental health literacy; (2) parent characteristics and native country experiences; (3) host systems and their interactions impact on parental health literacy; (4) diverse aspects of help-seeking; (5) culture-based parental help-seeking; and (6) child health outcomes. Within these larger themes, the complexity of parental health literacy and its various effects on children's health outcomes among immigrant and refugee parents were evident. Future research includes more population-based quantitative studies of parental health literacy and culturally relevant clinical approaches among immigrant and refugee parents.Published by Elsevier Ltd.

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Section: Discussionsupporting

confidence: 92%

Healthcare providers' perspectives on parental health literacy and child health outcomes among Southeast Asian American immigrants and refugees

Khuu

Lee

Zhou

et al. 2016

Children and Youth Services Review

View full text Add to dashboard Cite

show abstract

“…The survey assessed parent report of provider-diagnosed conditions and may underestimate the prevalence of health conditions in children with less healthcare access. Parent-reported health conditions may be over-reported or under-reported due to the parent’s education level and ethnicity (59), English language proficiency (9, 60) and legal status (7, 32, 61, 62). Study strengths include the large study population, racial/ethnic diversity of the children, the administration of the survey in five languages, and inclusion of less prevalent health conditions.…”

Section: Discussionmentioning

confidence: 99%

Nativity as a Determinant of Health Disparities Among Children

McGee

Cláudio

2017

J Immigrant Minority Health

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Nativity is not often considered in the study of health disparities. We conducted a cross-sectional, parent-reported survey of demographics, socioeconomic characteristics, healthcare access, and health conditions in New York City schoolchildren (n = 9029). US-born children with US-born parents (US/US) had higher socioeconomic status, better access to healthcare, and reported higher rates of disease diagnoses compared to US-born children with immigrant parents and to immigrant children. Dental cavities were the only condition in which US/US children reported lower prevalence. US/US children had the best healthcare access, most favorable parent-reported health status and highest rate of satisfaction with healthcare. The magnitude of racial/ethnic disparities varied based on nativity of the children being compared. Factors such as the healthy immigrant effect and differential diagnosis rates may explain the results. In conclusion, nativity influences disease burdens and should be considered in health disparities studies.

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“…In the US, differential healthcare access and health outcomes have been found for children from immigrant families. Studies have shown that immigrant children and native-born children of immigrant parents are more likely to lack health insurance and access to healthcare than native-born children of native-born parents [3–6]. There is also evidence that immigrant parents are less aware of health and community resources than native-born parents [7], and that children of immigrant parents are more likely to report poor physical health than children of native-born parents [8].…”

Section: Introductionmentioning

confidence: 99%

Disparities in Quality of Healthcare of Children from Immigrant Families in the US

Calvo

Hawkins

2015

Matern Child Health J

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The objective of this study was to examine disparities in quality of pediatric primary care among children from immigrant families in the US. Drawing from a nationally representative sample of 83,528 children ages 0–17 years from the 2007 National Survey of Children’s Health, weighted logistic regression was used to assess the effect of immigrant family type on five indicators of quality of healthcare across children’s racial/ethnic groups. Analyses controlled for indicators of child’s access to care, family socio-economic characteristics, and primary language spoken in the household. Unadjusted estimates revealed a pattern of decreasing disparities from immigrant children to second-generation children, native-born children of immigrant parents, and to third-generation children, native-born children of native-born parents. Controlling for confounders showed that the positive effect of generational status on the quality of healthcare of children from immigrant families varied across indicators and among racial/ethnic groups. Not even third-generation Hispanic and Black children reached parity with third-generation White children on reported amount of time that providers devoted to their care and on providers’ sensitivity to their family’s values and customs. In contrast, disparities in reports of providers listening carefully to caregivers disappeared after adjusting for confounders, and only families headed by immigrant parents reported receiving less specific health-related information than the families of native-born White children. Our study suggests that it is important to develop interventions that help healthcare professionals to learn how different types of immigrant families perceive the interactions with the healthcare system and how to deliver care that increases the satisfaction of children from different racial/ethnic groups.

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Parental Immigration Status is Associated with Children’s Health Care Utilization: Findings from the 2003 New Immigrant Survey of US Legal Permanent Residents

Cited by 23 publications

References 20 publications

Healthcare providers' perspectives on parental health literacy and child health outcomes among Southeast Asian American immigrants and refugees

Healthcare providers' perspectives on parental health literacy and child health outcomes among Southeast Asian American immigrants and refugees

Nativity as a Determinant of Health Disparities Among Children

Disparities in Quality of Healthcare of Children from Immigrant Families in the US

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