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

被引：20

作者：

Jarlenski, Marian ^{[1
,2
]}

Baller, Julia ^{[3
]}

Borrero, Sonya ^{[2
,4
,5
]}

Bennett, Wendy L. ^{[6
,7
]}

机构：

[1] Univ Pittsburgh, Dept Hlth Policy & Management, Grad Sch Publ Hlth, 130 DeSoto St,A647, Pittsburgh, PA 15261 USA

[2] Univ Pittsburgh, Ctr Womens Hlth Res & Innovat, Pittsburgh, PA USA

[3] Math Policy Res, Washington, DC USA

[4] Univ Pittsburgh, Sch Med, Div Gen Internal Med, Pittsburgh, PA USA

[5] VA Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA USA

[6] Johns Hopkins Univ, Sch Med, Div Gen Internal Med, Baltimore, MD USA

[7] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Populat Family & Reprod Hlth, Baltimore, MD USA

来源：

ACADEMIC PEDIATRICS | 2016年 / 16卷 / 02期

关键词：

access to care; disparities; health insurance; immigrant; UNINSURED CHILDREN; UNITED-STATES; EXPANSIONS; MEDICAID; PARENTS; IMPACT;

D O I：

10.1016/j.acap.2015.07.008

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

OBJECTIVE: To examine time trends in disparities in low-income children's health insurance coverage and access to care by family immigration status. METHODS: We used data from the National Survey of Children's Health in 2003 to 2011-2012, including 83,612 children aged 0 to 17 years with family incomes <200% of the federal poverty level. We examined 3 immigration status categories: citizen children with nonimmigrant parents; citizen children with immigrant parents; and immigrant children. We used multivariable regression analyses to obtain adjusted trends in health insurance coverage and access to care.. RESULTS: All low-income children experienced gains in health insurance coverage and access to care from 2003 to 2011-2012, regardless of family immigration status. Relative to citizen children with nonimmigrant parents, citizen children with immigrant parents had a 5 percentage point greater increase in health insurance coverage (P = .06), a 9 percentage point greater increase in having a personal doctor or nurse (P < .01), and an 11 percentage point greater increase in having no unmet medical need (P < .01). Immigrant children had significantly lower health insurance coverage than other groups. However, the group had a 14 percentage point greater increase in having a personal doctor or nurse (P < .01) and a 26 percentage point greater increase in having no unmet medical need (P < .01) relative to citizen children with nonimmigrant parents. CONCLUSIONS: Some disparities in access to care related to family immigration status have lessened over time among children in low-income families, although large disparities still exist. Policy efforts are needed to ensure that children of immigrant parents and immigrant children are able to access health insurance and health care.

引用

页码：208 / 215

页数：8

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