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Immigration status and health insurance coverage: Who gains? Who loses?

Author

Listed:
  • Prentice, J.C.
  • Pebley, A.R.
  • Sastry, N.

Abstract

Objectives. We compared health insurance status transitions of nonimmigrants and immigrants. Methods. We used multivariate survival analysis to examine gaining and losing insurance by citizenship and legal status among adults with the Los Angeles Family and Neighborhood Survey. Results. We found significant differences by citizenship and legal status in health insurance transitions. Undocumented immigrants were less likely to gain and more likely to lose insurance compared with native-born citizens. Legal residents were less likely to gain and were slightly more likely to lose insurance compared with native-born citizens. Naturalized citizens did not differ from native-born citizens. Conclusions. Previous studies have not examined health insurance transitions by citizenship and legal status. Policies to increase coverage should consider the experiences of different immigrant groups.

Suggested Citation

  • Prentice, J.C. & Pebley, A.R. & Sastry, N., 2005. "Immigration status and health insurance coverage: Who gains? Who loses?," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 109-116.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.028514_2
    DOI: 10.2105/AJPH.2003.028514
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    Cited by:

    1. R. S. Oropesa & Nancy S. Landale & Marianne M. Hillemeier, 2016. "Legal Status and Health Care: Mexican-Origin Children in California, 2001–2014," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(5), pages 651-684, October.
    2. Claire E. Altman & Colleen M. Heflin & Chaegyung Jun & James D. Bachmeier, 2021. "Material Hardship Among Immigrants in the United States: Variation by Citizenship, Legal Status, and Origin in the 1996–2008 SIPP," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(3), pages 363-399, June.
    3. Noreen Goldman & Anne Pebley & Mathew Creighton & Graciela Teruel & Luis Rubalcava & Chang Chung, 2014. "The Consequences of Migration to the United States for Short-Term Changes in the Health of Mexican Immigrants," Demography, Springer;Population Association of America (PAA), vol. 51(4), pages 1159-1173, August.
    4. Christal Hamilton & Claire Altman & James Bachmeier & Cody Spence, 2022. "Legal status and health disparities: An examination of health insurance coverage among the foreign-born," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 47(16), pages 453-488.
    5. Gabriel R. Sanchez & Shannon Sanchez-Youngman, 2013. "“The Politics of the HealthCare Reform Debate: Public Support of Including Undocumented Immigrants and Their Children in Reform Efforts in the U.S.”," International Migration Review, Wiley Blackwell, vol. 47(2), pages 442-473, June.
    6. Bzostek, Sharon & Goldman, Noreen & Pebley, Anne, 2007. "Why do Hispanics in the USA report poor health?," Social Science & Medicine, Elsevier, vol. 65(5), pages 990-1003, September.
    7. Cody Spence & James D. Bachmeier & Claire E. Altman & Christal Hamilton, 2020. "The Association Between Legal Status and Poverty Among Immigrants: A Methodological Caution," Demography, Springer;Population Association of America (PAA), vol. 57(6), pages 2327-2335, December.

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