TY - JOUR
T1 - Nativity and citizenship status affect Latinos’ health insurance coverage under the ACA
AU - Sanchez, Gabriel R.
AU - Vargas, Edward D.
AU - Juarez, Melina D.
AU - Gomez-Aguinaga, Barbara
AU - Pedraza, Francisco I.
N1 - Funding Information:
The project described is supported, in part, by a NICHD training grant to the University of Wisconsin–Madison (grant number T32HD049302) and the Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National Institutes of Health, or the Robert Wood Johnson Foundation.
Publisher Copyright:
© 2017 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2017/9/10
Y1 - 2017/9/10
N2 - The 2010 Patient Protection and Affordable Care Act (ACA) aimed to increase health insurance access for the over 47 million uninsured people in the U.S.A., among whom ethnoracial minorities had the highest uninsured rates before the ACA. Studies have shown that Latinos have had the greatest improvements in health coverage under the ACA, but many may be at a significant disadvantage, specifically due to their nativity and immigration status, as the ACA explicitly excludes unauthorised immigrants from most of its provisions. Using the 2015 Latino National Health and Immigration Survey, a nationally representative sample of Latinos (n = 1493), we find that variation in health insurance access among Latinos can be traced to immigration status. This study finds no differences among U.S.-born versus foreign-born Latinos in the likelihood of being uninsured in 2015. However, among foreign-born Latinos, unauthorised immigrants are five times more likely than naturalised citizens to be uninsured and less likely to visit a primary care provider or clinic, even after controlling for other factors including language, income and education.
AB - The 2010 Patient Protection and Affordable Care Act (ACA) aimed to increase health insurance access for the over 47 million uninsured people in the U.S.A., among whom ethnoracial minorities had the highest uninsured rates before the ACA. Studies have shown that Latinos have had the greatest improvements in health coverage under the ACA, but many may be at a significant disadvantage, specifically due to their nativity and immigration status, as the ACA explicitly excludes unauthorised immigrants from most of its provisions. Using the 2015 Latino National Health and Immigration Survey, a nationally representative sample of Latinos (n = 1493), we find that variation in health insurance access among Latinos can be traced to immigration status. This study finds no differences among U.S.-born versus foreign-born Latinos in the likelihood of being uninsured in 2015. However, among foreign-born Latinos, unauthorised immigrants are five times more likely than naturalised citizens to be uninsured and less likely to visit a primary care provider or clinic, even after controlling for other factors including language, income and education.
KW - Latinos
KW - Patient protection and affordable care act
KW - health insurance
KW - health outcome
KW - immigrant
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U2 - 10.1080/1369183X.2017.1323450
DO - 10.1080/1369183X.2017.1323450
M3 - Article
AN - SCOPUS:85020724087
SN - 1369-183X
VL - 43
SP - 2037
EP - 2054
JO - Journal of Ethnic and Migration Studies
JF - Journal of Ethnic and Migration Studies
IS - 12
ER -