Legal status and health disparities: An examination of health insurance coverage among the foreign-born

IF 2.1 3区社会学 Q2 DEMOGRAPHY

Demographic Research Pub Date : 2022-09-20 DOI:10.4054/demres.2022.47.16

Christal Hamilton, Claire E. Altman, James D. Bachmeier, Cody Spence

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引用次数: 1

Abstract

OBJECTIVE This paper employs a statistical matching procedure to impute the legal status of foreignborn adults in US Census surveys in order to estimate migration status disparities in health insurance coverage. METHODS Using data from the Survey of Income and Program Participation, we impute the legal/citizenship (migration) status of immigrants in the National Health Interview Survey. RESULTS Results from the pooled data document disparities in health insurance coverage among four citizen/legal status groups: naturalized citizens, lawful permanent residents, legal nonimmigrants, and unauthorized immigrants. Naturalized citizens had the highest rate of health insurance coverage, followed by legal immigrants, legal nonimmigrants, and unauthorized immigrants. CONTRIBUTIONS The paper presents revised pre–Affordable Care Act (ACA) estimates of health insurance coverage among the foreign-born that are crucial for evaluating the impact of the ACA on reducing or exacerbating disparities in health coverage among migration status groups. 1 Center on Poverty and Social Policy, Columbia University, New York, NY, USA. Email: cgh2139@columbia.edu. 2 Department of Health Sciences and Truman School of Public Affairs, University of Missouri, Columbia, MO, USA. 3 Department of Sociology, Temple University, Philadelphia, PA, USA. Hamilton et al.: Legal status and health disparities 454 https://www.demographic-research.org

查看原文本刊更多论文

法律地位和健康差距:对外国出生人口健康保险覆盖情况的调查

目的采用统计匹配程序估算美国人口普查中外国出生成年人的法律地位，以估计移民身份在健康保险覆盖方面的差异。方法使用收入和项目参与调查的数据，我们在全国健康访谈调查中计算移民的合法/公民身份(移民)身份。结果汇总数据的结果记录了四种公民/合法身份群体(归化公民、合法永久居民、合法非移民和非法移民)健康保险覆盖率的差异。入籍公民的医疗保险覆盖率最高，其次是合法移民、合法非移民和非法移民。本文提出了修订后的平价医疗法案(ACA)出台前对外国出生人口健康保险覆盖率的估计，这对于评估ACA对减少或加剧移民身份群体健康保险差距的影响至关重要。1哥伦比亚大学贫困与社会政策研究中心，美国纽约;电子邮件:cgh2139@columbia.edu。2密苏里大学卫生科学系和杜鲁门公共事务学院，美国密苏里州哥伦比亚3天普大学社会学系，美国费城;汉密尔顿等人:法律地位和健康差距454 https://www.demographic-research.org

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来源期刊

Demographic Research DEMOGRAPHY-

CiteScore

3.90

自引率

4.80%

发文量

审稿时长

28 weeks

期刊介绍： Demographic Research is a free, online, open access, peer-reviewed journal of the population sciences published by the Max Planck Institute for Demographic Research in Rostock, Germany. The journal pioneers an expedited review system. Contributions can generally be published within one month after final acceptance.