Objectives. We examined the association between children's state of residence and their access to health care among specific types of immigrant families: foreign-born children, US-born children with 1 foreign-born parent, US-born children with both foreign-born parents, and nonimmigrant families. Methods. We analyzed data from 12400 children from the 2003 National Survey of Children's Health in the 6 states with the highest proportion of immigrants (California, Florida, Illinois, New York, New Jersey, and Texas). Results. Multivariable analyses indicated that among foreign-born children, those living in California, Illinois, and Texas were more likely to lack access to health care compared with those living in New York. Among foreign-born children with 1 or 2 US-born parents, Texas children were most likely to lack health insurance. Within nonimmigrant families, children from California, Florida, and Texas had significantly more access and use problems. Conclusions. Our findings document differential health care access and use among states for specific immigrant family types.

[No Keywords available]

New Jersey immigrant State Health Plans health care planning health survey poverty health care personnel health insurance human birthplace statistics Illinois geographic distribution Health Surveys ethnology family size Eligibility Determination Family Characteristics United States Florida income Humans classification Hispanic California Infant, Newborn Adolescent male female residential area preschool child Emigrants and Immigrants Infant Child, Preschool newborn New York Child Welfare Multivariate Analysis cultural factor Article organization and management health care utilization major clinical study migration health care access Utilization Review child health care preventive medicine Child Health Services Cultural Characteristics employment Healthcare Disparities Health Services Accessibility Texas health care delivery Child