Journal of Immigrant and Minority Health
Volume 13, Issue 4, 2011, Pages 671-680

Estimating the effects of immigration status on mental health care utilizations in the United States (Article) (Open Access)

Chen J.* , Vargas-Bustamante A.
  • a Department of Political Science, Economics, and Philosophy, College of Staten Island, City University of New York, 2800 Victory Blvd, Staten Island, NY 10314, United States
  • b Department of Health Services, School of Public Health, University of California, Los Angeles, 650 Charles E. Young Drive South, Los Angeles, CA 90095, United States

Abstract

Immigration status is a likely deterrent of mental health care utilization in the United States. Using the Medical Expenditure Panel Survey and National Health Interview survey from 2002 to 2006, multivariable logistic regressions were used to estimate the effects of immigration status on mental health care utilization among patients with depression or anxiety disorders. Multivariate regressions showed that immigrants were significantly less likely to take any prescription drugs, but not significantly less likely to have any physician visits compared to US-born citizens. Results also showed that improving immigrants' health care access and health insurance coverage could potentially reduce disparities between US-born citizens and immigrants by 14-29% and 9-28% respectively. Policy makers should focus on expanding the availability of regular sources of health care and immigrant health coverage to reduce disparities on mental health care utilization. Targeted interventions should also focus on addressing immigrants' language barriers, and providing culturally appropriate services. © The Author(s) 2011. This article is published with open access at Springerlink.com.

Author Keywords

Utilizations Immigrant Depression Mental health Anxiety

Index Keywords

Needs Assessment mental health service insurance health insurance mental health human Insurance Coverage middle aged statistics comparative study Logistic Models Health Surveys Mental Health Services ethnology Insurance, Health Mental Disorders mental disease United States Young Adult Humans male Emigrants and Immigrants female risk factor Risk Factors Multivariate Analysis questionnaire Article Questionnaires adult migration ambulatory care Utilization Review Office Visits statistical model Healthcare Disparities health care disparity Health Services Accessibility health care delivery health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-80755128924&doi=10.1007%2fs10903-011-9445-x&partnerID=40&md5=d8e0c74428455263734c5c61d9b7ceec

DOI: 10.1007/s10903-011-9445-x
ISSN: 15571912
Cited by: 28
Original Language: English