International Journal of Health Planning and Management
Volume 29, Issue 1, 2014, Pages e83-e96

Identifying health insurance predictors and the main reported reasons for being uninsured among US immigrants by legal authorization status (Article)

Vargas Bustamante A.* , Chen J. , Fang H. , Rizzo J.A. , Ortega A.N.
  • a Department of Health Policy and Management, University of California Los Angeles Fielding School of Public Health, Los Angeles, CA, United States
  • b Department of Health Services Administration, University of Maryland, College Park, MD, United States
  • c Center for Health Development Studies, Peking University, Beijing, China
  • d Department of Economics, Stony Brook University, Stony Brook, NY, United States
  • e Department of Health Policy and Management, University of California Los Angeles Fielding School of Public Health, Los Angeles, CA, United States

Abstract

This study identifies differences in health insurance predictors and investigates the main reported reasons for lacking health insurance coverage between short-stayed (≤10years) and long-stayed (>10years) US immigrant adults to parse the possible consequences of the Affordable Care Act among immigrants by length of stay and documentation status. Foreign-born adults (18-64years of age) from the 2009 California Health Interview Survey are the study population. Health insurance coverage predictors and the main reasons for being uninsured are compared across cohorts and by documentation status. A logistic-regression two-part multivariate model is used to adjust for confounding factors. The analyses determine that legal status is a strong health insurance predictor, particularly among long-stayed undocumented immigrants. Immigration status is the main reported reason for lacking health insurance. Although long-stayed documented immigrants are likely to benefit from the Affordable Care Act implementation, undocumented immigrants and short-stayed documented immigrants may encounter difficulties getting health insurance coverage. © 2013 John Wiley & Sons, Ltd.

Author Keywords

Health care reform emigrants and immigrants Undocumented immigrants Health insurance coverage

Index Keywords

immigrant medically uninsured regression analysis health care policy health insurance human immigration middle aged statistics and numerical data time factor Time Factors welfare reform Insurance, Health Undocumented Immigrants United States Young Adult Humans migrant undocumented immigrant Adolescent California male Emigrants and Immigrants female emigration Patient Protection and Affordable Care Act adult cohort analysis Health Policy legislative implementation health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84895556886&doi=10.1002%2fhpm.2214&partnerID=40&md5=7c5becea21ce518e4af0e441a7bc9f47
DOI: 10.1002/hpm.2214
ISSN: 07496753
Cited by: 19
Original Language: English