Original Paper

Journal of Immigrant and Minority Health

, Volume 16, Issue 2, pp 204-210

Healthcare Coverage and Use Among Undocumented Central American Immigrant Women in Houston, Texas

  • Jane R. MontealegreAffiliated withDivision of Epidemiology, Human Genetics, and Environmental Sciences, The University of Texas School of Public HealthDan L. Duncan Cancer Center, Baylor College of Medicine Email author 
  • , Beatrice J. SelwynAffiliated withDivision of Epidemiology, Human Genetics, and Environmental Sciences, The University of Texas School of Public Health

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

We investigated the prevalence and correlates of having current healthcare coverage and of having a usual formal source of care among undocumented Central American immigrant women. Participants were recruited using respondent driven sampling. Thirty-five percent of participants had healthcare coverage and 43 % had a usual formal source of care. Healthcare coverage was primarily through the local indigent healthcare program and most of those with a usual formal source of care received care at a public healthcare clinic. Having healthcare coverage and having a usual formal source of care were both associated with older age; having a usual formal source of care was also marginally associated with increased time of residence in the US and increased income security. The primary barriers to healthcare use were not having money or insurance, not knowing where to go, and not having transportation. Healthcare interventions may benefit from targeting young and newly arrived immigrants and addressing the structural and belief barriers that impede undocumented immigrant women’s use of healthcare services.

Keywords

Undocumented immigrants Hispanic/Latino Healthcare access and utilization Respondent driven sampling