Trends in Disparities in Low-Income Children's Health Insurance Coverage and Access to Care by Family Immigration Status

Jarlenski, Marian; Baller, Julia; Borrero, Sonya; Bennett, Wendy L.

doi:10.1016/j.acap.2015.07.008

Cited by 21 publications

(10 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…36 One study examining health insurance changes by immigration status did find immigrant youth ages 0-17 lagging behind their citizen peers regardless of parental immigration status; however, this study only included years prior to the enactment of the ACA (2003-2012) and focused exclusively on low-income youth. 37 Trends assessing all adolescents by language or citizenship status remain underexplored, particularly in the years since passage of the ACA.…”

Section: Health Coverage Disparities Among Children and Youthmentioning

confidence: 99%

“…A more recent study of young people under 18 found that low‐income citizens in immigrant families made significant gains in insurance status between 2008 and 2015 relative to youth in nonimmigrant families . One study examining health insurance changes by immigration status did find immigrant youth ages 0‐17 lagging behind their citizen peers regardless of parental immigration status; however, this study only included years prior to the enactment of the ACA (2003‐2012) and focused exclusively on low‐income youth . Trends assessing all adolescents by language or citizenship status remain underexplored, particularly in the years since passage of the ACA.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of citizenship status, Latino ethnicity, and household language on health insurance coverage for U.S. adolescents, 2007‐2016

Knipper

Rivers²,

Goodman

2019

Health Services Research

View full text Add to dashboard Cite

Objective/Study Question To examine changes in uninsurance rates among U.S. adolescents ages 12‐17 and assess whether trends over time differed by citizenship status, Latino ethnicity, and household language. Data Sources/Study Setting 2007‐2016 National Health Insurance Survey (NHIS). Study Design Multivariable logistic regression and postestimation marginal effects were used to assess changes in the current uninsured rate. Logistic regression models were used to determine significant trends over time for each demographic group and compare them to trends in the broader adolescent population. Marginal effects were employed to calculate adjusted outcome probabilities for each year. Principal Findings Across all 12‐ to 17‐year‐olds, the unadjusted uninsured rate dropped significantly between 2007 and 2016, from 10.2 percent to 6.0 percent. For noncitizen youth, the probability of being uninsured increased from 26.6 percent in 2007 to 28.4 percent in 2016, after controlling for covariates. Latino youth and those in Spanish‐speaking households saw declines in their adjusted uninsurance rate that was proportional to non‐Latino and English‐speaking youth. Conclusions Most adolescents saw significant improvements in health insurance coverage between 2007 and 2016; however, disparities remain among Spanish‐speaking and Latino adolescents and no improvements were seen among noncitizen youth. This suggests a need for equity‐focused eligibility, outreach, and enrollment policies that expand insurance options for these populations.

show abstract

Section: Health Coverage Disparities Among Children and Youthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of citizenship status, Latino ethnicity, and household language on health insurance coverage for U.S. adolescents, 2007‐2016

Knipper

Rivers²,

Goodman

2019

Health Services Research

View full text Add to dashboard Cite

show abstract

“…Immigration status of children and/or their parents continues to affect access to services and public benefits, despite some improvement. 33,261,262 Increased fears about the use of public programs and immigration status has deterred immigrants from accessing programs regardless of eligibility. [263][264][265] In addition, immigration enforcement activities that occur at or near sensitive locations, such as hospitals, may prevent families from accessing needed medical care.…”

Section: Immigration and Related Legal Issuesmentioning

confidence: 99%

Providing Care for Children in Immigrant Families

Linton

Green

Chilton³

et al. 2019

Pediatrics

View full text Add to dashboard Cite

Children in immigrant families (CIF), who represent 1 in 4 children in the United States, represent a growing and ever more diverse US demographic that pediatric medical providers nationwide will increasingly encounter in clinical care. Immigrant children are those born outside the United States to non-US citizen parents, and CIF are defined as those who are either foreign born or have at least 1 parent who is foreign born. Some families immigrate for economic or educational reasons, and others come fleeing persecution and seeking safe haven. Some US-born children with a foreign-born parent may share vulnerabilities with children who themselves are foreign born, particularly regarding access to care and other social determinants of health. Therefore, the larger umbrella term of CIF is used in this statement. CIF, like all children, have diverse experiences that interact with their biopsychosocial development. CIF may face inequities that can threaten their health and wellbeing, and CIF also offer strengths and embody resilience that can surpass challenges experienced before and during integration. This policy statement describes the evolving population of CIF in the United States, briefly introduces core competencies to enhance care within a framework of cultural humility and safety, and discusses barriers and opportunities at the practice and systems levels. Practice-level recommendations describe how pediatricians can promote health equity for CIF through careful attention to core competencies in clinical care, thoughtful community engagement, and systemlevel support. Advocacy and policy recommendations offer ways pediatricians can advocate for policies that promote health equity for CIF. DEMOGRAPHICS Health care of children in immigrant families (CIF) in the United States has received increasing attention over the past decade, in part because of increasing migration of children caused by conflicts globally, greater diversity among migrant populations, and divisive sociopolitical discussion regarding immigration policy. Definitions regarding immigrant children vary, but for the purposes of this policy statement, immigrant

show abstract

“…Similarly, studies found that international immigrant children tended to be in poorer access to health service utilisation (HSU) compared with their native counterparts. 12–14 A study in the USA showed that 6% of the local family’s children had no usual source of healthcare, compared with a percentage of as high as 26% among the international immigrant children. 15 Previous studies on HSU among international immigrant children have reported that parents’ acculturation, conceptualised as the international immigrants’ ability of adaption to the attitudes, beliefs, values, customs and behaviours of a new or different culture, 16 17 was an important factor for the HSU of their immigrant children.…”

Section: Introductionmentioning

confidence: 99%

Association between health service utilisation of internal migrant children and parents’ acculturation in Guangdong, China: a cross-sectional study

Peng¹,

Zou²,

Chen³

et al. 2018

BMJ Open

View full text Add to dashboard Cite

ObjectivesTo assess the health service utilisation of internal migrant children in Guangdong, China, and to explore the association between children’s health service utilisation and their parents’ acculturation.DesignCross-sectional survey between April and May 2016.SettingSix society-run schools of Tianhe and Baiyun districts in Guangzhou City of China.ParticipantsWe recruited all students at grade 7 or 8 and one of their parents who resided in Guangzhou over 6 months without permanent registered residence (hukou) in Guangzhou (1161 pairs completed this survey). 258 children were ill within the past 2 weeks or during the last year.Main outcome measuresThe main outcome was self-reported health service utilisation. Logistic regression analysis was conducted to explore the association between children’s unmet needs for outpatient or inpatient service and their parents’ acculturation (categorised into high, middle and low groups).ResultsIn total, 216 children, or 18.6% of the total subjects, were ill within the past 2 weeks and were in need of outpatient service; 94 children, or 8.1% of the total subjects, were in need of inpatient service. Among them, 17.6% and 46.8% of the migrant children had unmet needs for outpatient and inpatient services, respectively. After controlling for enabling resources and predisposing characteristics, migrant children with parents in the middle-acculturation group (adjusted OR=3.17, 95% CIs 1.2 to 8.3, P<0.05) were more likely to have an unmet outpatient need than high-acculturation or low-acculturation groups, although only statistically significant when comparing with the high-acculturation group. Stratified analysis suggested that this association could be moderated by their family economic status.ConclusionsOur study suggested that the association between migrant children’s health service utilisation and their parents’ acculturation was complex and could be moderated by family economic status. Increasing the service utilisation among migrant children requires improving the acculturation and economic status of the parents of internal migrants.

show abstract

Trends in Disparities in Low-Income Children's Health Insurance Coverage and Access to Care by Family Immigration Status

Cited by 21 publications

References 18 publications

Effects of citizenship status, Latino ethnicity, and household language on health insurance coverage for U.S. adolescents, 2007‐2016

Effects of citizenship status, Latino ethnicity, and household language on health insurance coverage for U.S. adolescents, 2007‐2016

Providing Care for Children in Immigrant Families

Association between health service utilisation of internal migrant children and parents’ acculturation in Guangdong, China: a cross-sectional study

Contact Info

Product

Resources

About