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

Academic Pediatrics
Marian JarlenskiWendy L Bennett

Abstract

To examine time trends in disparities in low-income children's health insurance coverage and access to care by family immigration status. 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. 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 ...Continue Reading

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Citations

Nov 3, 2017·Journal of Immigrant and Minority Health·Sasha A McGee, Luz Claudio
Oct 27, 2018·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Courtney GushueDmitry Tumin
Feb 2, 2020·Pediatrics in Review·Carole Jenny, James B Metz
Mar 27, 2021·Paediatrics and International Child Health·Elizabeth E Dawson-HahnWilliam Stauffer
Dec 13, 2016·Pediatrics·Kandyce LarsonLynn M Olson
Aug 21, 2019·Pediatrics·Julie M LintonUNKNOWN COUNCIL ON COMMUNITY PEDIATRICS

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