scholarly journals States with fewer criminalizing immigrant policies have smaller health care inequities between citizens and noncitizens

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Maria-Elena De Trinidad Young ◽  
Hiram Beltrán-Sánchez ◽  
Steven P. Wallace
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
State Level ◽  
Comparative Approach ◽  
Usual Source Of Care ◽  
Data Set ◽  
Logistic Regression Models ◽  
Usual Source ◽  
Care Access ◽  
Source Of Care

Abstract Background In the last thirty years, major shifts in immigrant policy at national and state levels has heightened boundaries among citizens, permanent residents, and those with other statuses. While there is mounting evidence that citizenship influences immigrant health care inequities, there has been less focus on how policies that reinforce citizenship stratification may shape the extent of these inequities. We examine the extent to which the relationship between citizenship and health care inequities is moderated by state-level criminalization policies. Methods Taking a comparative approach, we assess how distinct criminalization policy contexts across US states are associated with inequitable access to care by citizenship status. Utilizing a data set with state-level measures of criminalization policy and individual-level measures of having a usual source of care from the National Health Interview Survey, we use mixed-effects logistic regression models to assess the extent to which inequities in health care access between noncitizens and US born citizens vary depending on states’ criminalization policies. Results Each additional criminalization policy was associated with a lower odds that noncitizens in the state had a usual source of care, compared to US born citizens. Conclusion Criminalization policies shape the construction of citizenship stratification across geography, such as exacerbating inequities in health care access by citizenship.

Racial and Ethnic Disparities in Perceived Barriers to Health Care Among U.S. Adults With Intellectual and Developmental Disabilities

2021 ◽  
Vol 59 (1) ◽  
pp. 84-94
Author(s):  
Henan Li ◽  
Susan L. Parish ◽  
Sandra Magaña ◽  
Miguel A. Morales
Keyword(s):  
Health Care ◽  
Developmental Disabilities ◽  
Medical Care ◽  
Health Care Access ◽  
Perceived Barriers ◽  
Intellectual And Developmental Disabilities ◽  
Usual Source Of Care ◽  
Care Access ◽  
Source Of Care ◽  
Barriers To Health

Abstract Barriers to health care access can greatly affect one's health status. Research shows that U.S. adults with intellectual and developmental disabilities (IDD) have poor health and face barriers such as long waits for appointments. However, whether barriers differ by race and ethnicity has not been examined. We conducted a secondary data analysis using the 2002–2011 Medical Expenditure Panel Survey dataset, and compared perceived barriers of community-living U.S. adults with IDD in three racial and ethnic groups (White, Black, and Latinx). Specifically, we examined the top reasons for not having usual source of care, delaying or foregoing medical care. For Black and Latinx adults with IDD, the most-mentioned reasons for not having usual source of care, delaying or foregoing medical care were “don't like/don't trust doctors,” “don't use doctors,” and “don't know where to get care.” In comparison, the White adults with IDD group's biggest perceived barriers were location and insurance related. All groups cited that being unable to afford care was a top reason for delaying or foregoing care. Policies/interventions to improve health care access in racial/ethnic minorities with IDD must first address the topic of developing trust between patients and the health professions. Insurance and the rising costs of care are also key areas that need attention.

State-Level Sexism and Women’s Health Care Access in the United States: Differences by Race/Ethnicity, 2014–2019

2021 ◽  
pp. e1-e10
Author(s):  
Kristen Schorpp Rapp ◽  
Vanessa V. Volpe ◽  
Hannah Neukrug
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Hispanic Women ◽  
State Level ◽  
The United States ◽  
Barriers To Health Care ◽  
Care Access ◽  
Race Ethnicity ◽  
The Relationship ◽  
Barriers To Health

Objectives. To quantify racial/ethnic differences in the relationship between state-level sexism and barriers to health care access among non-Hispanic White, non-Hispanic Black, and Hispanic women in the United States. Methods. We merged a multidimensional state-level sexism index compiled from administrative data with the national Consumer Survey of Health Care Access (2014–2019; n = 10 898) to test associations between exposure to state-level sexism and barriers to access, availability, and affordability of health care. Results. Greater exposure to state-level sexism was associated with more barriers to health care access among non-Hispanic Black and Hispanic women, but not non-Hispanic White women. Affordability barriers (cost of medical bills, health insurance, prescriptions, and tests) appeared to drive these associations. More frequent need for care exacerbated the relationship between state-level sexism and barriers to care for Hispanic women. Conclusions. The relationship between state-level sexism and women’s barriers to health care access differs by race/ethnicity and frequency of needing care. Public Health Implications. State-level policies may be used strategically to promote health care equity at the intersection of gender and race/ethnicity. (Am J Public Health. Published online ahead of print September 2, 2021: e1–e10. https://doi.org/10.2105/AJPH.2021.306455 )

Impact of a Usual Source of Care on Health Care Use, Spending, and Quality Among Adults With Mental Health Conditions

2017 ◽  
Vol 45 (3) ◽  
pp. 462-471 ◽  
Author(s):  
Catherine A. Fullerton ◽  
Whitney P. Witt ◽  
Clifton M. Chow ◽  
Manjusha Gokhale ◽  
Christine E. Walsh ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Use ◽  
Health Conditions ◽  
Usual Source Of Care ◽  
Mental Health Conditions ◽  
Usual Source ◽  
Source Of Care

scholarly journals Parent and Child Usual Source of Care and Children's Receipt of Health Care Services

2011 ◽  
Vol 9 (6) ◽  
pp. 504-513 ◽  
Author(s):  
J. E. DeVoe ◽  
C. J. Tillotson ◽  
L. S. Wallace ◽  
H. Angier ◽  
M. J. Carlson ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Care Services ◽  
Source Of Care

scholarly journals Association Between Parental Barriers to Accessing a Usual Source of Care and Children’s Receipt of Preventive Services

2017 ◽  
Vol 132 (3) ◽  
pp. 316-325 ◽  
Author(s):  
John Bellettiere ◽  
Emmeline Chuang ◽  
Suzanne C. Hughes ◽  
Isaac Quintanilla ◽  
C. Richard Hofstetter ◽  
...  
Keyword(s):  
Health Care ◽  
Preventive Health Services ◽  
Preventive Services ◽  
Preventive Health ◽  
Attitudes And Beliefs ◽  
Usual Source Of Care ◽  
Well Child Care ◽  
Usual Source ◽  
Source Of Care ◽  
Parental Barriers

Objectives: Preventive health services are important for child development, and parents play a key role in facilitating access to services. This study examined how parents’ reasons for not having a usual source of care were associated with their children’s receipt of preventive services. Methods: We used pooled data from the 2011-2014 National Health Interview Survey (n = 34 843 participants). Parents’ reasons for not having a usual source of care were framed within the Penchansky and Thomas model of access and measured through 3 dichotomous indicators: financial barriers (affordability), attitudes and beliefs about health care (acceptability), and all other nonfinancial barriers (accessibility, accommodation, and availability). We used multivariable logistic regression models to test associations between parental barriers and children’s receipt of past-year well-child care visits and influenza vaccinations, controlling for other child, family, and contextual factors. Results: In 2014, 14.3% (weighted percentage) of children had at least 1 parent without a usual source of care. Children of parents without a usual source of care because they “don’t need a doctor and/or haven’t had any problems” or they “don’t like, trust, or believe in doctors” had 35% lower odds of receiving well-child care (adjusted odds ratio = 0.65; 95% CI, 0.56-0.74) and 23% lower odds of receiving influenza vaccination (adjusted odds ratio = 0.77; 95% CI, 0.69-0.86) than children of parents without those attitudes and beliefs about health care. Financial and other nonfinancial parental barriers were not associated with children’s receipt of preventive services. Results were independent of several factors relevant to children’s access to preventive health care, including whether the child had a usual source of care. Conclusions: Parents’ attitudes and beliefs about having a usual source of care were strongly associated with their children’s receipt of recommended preventive health services. Rates of receipt of child preventive services may be improved by addressing parents’ attitudes and beliefs about having a usual source of care. Future studies should assess causes of these associations.

scholarly journals State-Level Health Care Access and Use Among Children in US Immigrant Families

2008 ◽  
Vol 98 (11) ◽  
pp. 1996-2003 ◽  
Author(s):  
Stella M. Yu ◽  
Zhihuan J. Huang ◽  
Michael D. Kogan
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Immigrant Families ◽  
State Level ◽  
Care Access

scholarly journals Three studies on psychological distress, health-risk behaviors, and health care access among Chinese, Filipino, and Asian Indian American Subgroups

2020 ◽  
Author(s):  
◽  
Hari K. Poudel
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Alcohol Consumption ◽  
Cigarette Smoking ◽  
Health Risk ◽  
Asian American ◽  
Health Care Access ◽  
Health Risk Behaviors ◽  
Usual Source Of Care ◽  
Usual Source

Asian Americans are the fastest-growing ethnic minority population in the United States. Among this group, Chinese-, Filipino-, and Asian Indian Americans are the most three largest Asian American subgroups. Yet, health-related research on the growing Asian American population at the subgroup level remains limited. To date, studies have focused on aggregating all Asians into a single category. The current study sought to examine psychological distress, cigarette smoking and alcohol consumption, and health care access among the three most populous subgroups of Asian Americans. In Study 1, we focus on psychological distress. In Study 2, we focus on current cigarette smoking and alcohol consumption. Finally, we focus on the usual source of health care among these three subgroups in Study 3. We use the pooled National Health Interview Survey (NHIS) data (2011-2015) for our statistical analyses. Participants are self-identified Asian American adults who completed the Sample Adult Component questionnaires of the survey. NHIS provides information on adults' psychological distress, current smoking and alcohol consumption, and health care access. We run a series of multivariate regression models to examine key factors associated with psychological distress, health risk behaviors, and usual source of care. The results of this dissertation highlight the importance of disaggregated data analysis when examining factors related to psychological distress, current cigarette smoking and alcohol consumption, and having a usual source of care. We showed that there were significant health disparities remain in psychological distress, health-risk behaviors, and usual source of care across Asian American subgroups. Marked differences in health outcomes indicate the underlying significance of different predictors and draw the attention of policymakers, researchers, and practitioners to address the existing health disparities. Once policymakers understand the disproportionate health outcomes, they have the opportunity to formulate policies and legislation that will more accurately represent the experiences of specific Asian American subgroups so that targeted public services can be more productive.

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