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Health status and health service access and use among children in U.S. immigrant families

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  • Huang, Z.J.
  • Yu, S.M.
  • Ledsky, R.

Abstract

Objectives. We examined the health status and patterns of health care use of children in US immigrant families. Methods. Data from the 1999 National Survey of America's Families were used to create 3 subgroups of immigrant children: US-born children with noncitizen parents, foreign-born children who were naturalized US citizens, and foreign-born children with noncitizen parents. Chi-square and logistic regression analyses were used to examine relationships between immigrant status and health access variables. Subgroup analyses were conducted with low-income families. Results. Foreign-born noncitizen children were 4 times more likely than children from native families to lack health insurance coverage and to have not visited a mental health specialist in the preceding year. They were 40% and 80% more likely to have not visited a doctor or dentist in the previous year and twice as likely to lack a usual source of care. US-born children with noncitizen parents were also at a disadvantage in many of these aspects of care. Conclusions. We found that, overall, children from immigrant families were in worse physical health than children from non-immigrant families and used health care services at a significantly lower frequency.

Suggested Citation

  • Huang, Z.J. & Yu, S.M. & Ledsky, R., 2006. "Health status and health service access and use among children in U.S. immigrant families," American Journal of Public Health, American Public Health Association, vol. 96(4), pages 634-640.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.049791_4
    DOI: 10.2105/AJPH.2004.049791
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    Cited by:

    1. Rohitha Goonatilake & Susantha Herath, 2016. "The Economy of Healthcare: Disparity of Insured/Uninsured Profiles among European Immigrants in the United States," Eurasian Journal of Social Sciences, Eurasian Publications, vol. 4(1), pages 1-9.
    2. Cordner, Alissa, 2012. "The health care access and utilization of homeschooled children in the United States," Social Science & Medicine, Elsevier, vol. 75(2), pages 269-273.
    3. Browne, Dillon T. & Jenkins, Jennifer M., 2012. "Health across early childhood and socioeconomic status: Examining the moderating effects of differential parenting," Social Science & Medicine, Elsevier, vol. 74(10), pages 1622-1629.
    4. Ko Ling Chan & Ruby Lo, 2019. "Effect of Generational Status on Child Well-Being: Mediating Effects of Social Support and Residential Instability," IJERPH, MDPI, vol. 16(3), pages 1-10, February.
    5. Lee, Hee Yun & Zhou, Anne Q. & Lee, Richard M. & Dillon, Amy L., 2020. "Parents’ functional health literacy is associated with children’s health outcomes: Implications for health practice, policy, and research," Children and Youth Services Review, Elsevier, vol. 110(C).
    6. Terriquez, Veronica & Joseph, Tiffany D., 2016. "Ethnoracial inequality and insurance coverage among Latino young adults," Social Science & Medicine, Elsevier, vol. 168(C), pages 150-158.
    7. Molly Dondero & Claire E. Altman, 2022. "State-Level Immigrant Policy Climates and Health Care Among U.S. Children of Immigrants," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(6), pages 2683-2708, December.
    8. Khuu, Belle P. & Lee, Hee Y. & Zhou, Anne Q. & Shin, Jihee & Lee, Richard M., 2016. "Healthcare providers' perspectives on parental health literacy and child health outcomes among Southeast Asian American immigrants and refugees," Children and Youth Services Review, Elsevier, vol. 67(C), pages 220-229.
    9. Fabienne Jaeger & Mazeda Hossain & Ligia Kiss & Cathy Zimmerman, 2012. "The health of migrant children in Switzerland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(4), pages 659-671, August.
    10. Weber, Sabine & Landolt, Markus A. & Maier, Thomas & Mohler-Kuo, Meichun & Schnyder, Ulrich & Jud, Andreas, 2017. "Psychotherapeutic care for sexually-victimized children – Do service providers meet the need? Multilevel analysis," Children and Youth Services Review, Elsevier, vol. 73(C), pages 165-172.
    11. Embry Howell & Lisa Dubay & Genevieve Kenney & Louise Palmer & Ian Hill & Moira Inkelas & Martha Kovac, "undated". "A Profile of Young Children in the Los Angeles Healthy Kids Program: Who Are They and What Are Their Experiences on the Program?," Mathematica Policy Research Reports c6fe0d55d226454bb91f38537, Mathematica Policy Research.
    12. Ybarra, Marci & Ha, Yoonsook & Chang, Jina, 2017. "Health insurance coverage and routine health care use among children by family immigration status," Children and Youth Services Review, Elsevier, vol. 79(C), pages 97-106.
    13. Pulver, Ariel & Ramraj, Chantel & Ray, Joel G. & O'Campo, Patricia & Urquia, Marcelo L., 2016. "A scoping review of female disadvantage in health care use among very young children of immigrant families," Social Science & Medicine, Elsevier, vol. 152(C), pages 50-60.

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