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Health Care Access and Utilization Among U.S. Immigrants Before and After the Affordable Care Act.
- Source :
- Journal of Immigrant & Minority Health; Apr2019, Vol. 21 Issue 2, p211-218, 8p
- Publication Year :
- 2019
-
Abstract
- We examine changes in health insurance coverage and access to and utilization of health care before and after the national implementation of the Patient Protection and Affordable Care Act (ACA) among the U.S. adult immigrant population. Data from the 2011–2016 National Health Interview Survey are used to compare adult respondents in 2011–2013 (before the ACA implementation) and 2014–2016 (after the ACA implementation). Multivariable logistic regression analyses are used to compare changes over time. This study shows that the ACA has closed the coverage gap that previously existed between U.S. citizens and non-citizen immigrants. We find that naturalized citizens, non-citizens with more than 5 years of U.S. residency, and non-citizens with 5 years or less of U.S. residency reduced their probability of being uninsured by 5.81, 9.13, and 8.23%, respectively, in the first 3 years of the ACA. Improvements in other measures of access and utilization were also observed. [ABSTRACT FROM AUTHOR]
- Subjects :
- CITIZENSHIP
CONCEPTUAL structures
HEALTH care reform
HEALTH services accessibility
PSYCHOLOGY of immigrants
INSURANCE
HEALTH insurance
MEDICAL care use
MULTIVARIATE analysis
RESEARCH funding
SURVEYS
LOGISTIC regression analysis
SOCIOECONOMIC factors
CROSS-sectional method
DATA analysis software
PATIENT Protection & Affordable Care Act
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 15571912
- Volume :
- 21
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Immigrant & Minority Health
- Publication Type :
- Academic Journal
- Accession number :
- 135693535
- Full Text :
- https://doi.org/10.1007/s10903-018-0741-6