Maternal and Child Health Journal

, Volume 21, Issue 12, pp 2153–2160 | Cite as

Public Health Insurance and Health Care Utilization for Children in Immigrant Families

Article
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Abstract

Objectives To estimate the impacts of public health insurance coverage on health care utilization and unmet health care needs for children in immigrant families. Methods We use survey data from National Health Interview Survey (NHIS) (2001–2005) linked to data from Medical Expenditures Panel Survey (MEPS) (2003–2007) for children with siblings in families headed by at least one immigrant parent. We use logit models with family fixed effects. Results Compared to their siblings with public insurance, uninsured children in immigrant families have higher odds of having no usual source of care, having no health care visits in a 2 year period, having high Emergency Department reliance, and having unmet health care needs. We find no statistically significant difference in the odds of having annual well-child visits. Conclusions for practice Previous research may have underestimated the impact of public health insurance for children in immigrant families. Children in immigrant families would likely benefit considerably from expansions of public health insurance eligibility to cover all children, including children without citizenship. Immigrant families that include both insured and uninsured children may benefit from additional referral and outreach efforts from health care providers to ensure that uninsured children have the same access to health care as their publicly-insured siblings.

Keywords

Unmet health care needs Public health insurance Immigrant families 
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Notes

Funding

Funding was provided by Robert Wood Johnson Foundation (Grant Nos ID0EISAE2390 and ID0EGZAE2391).

Supplementary material

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Supplementary material 1 (XLSX 14 KB)
10995_2017_2331_MOESM2_ESM.xlsx (14 kb)
Supplementary material 2 (XLSX 14 KB)

References

  1. Aizer, A. (2007). Public health insurance, program take-up, and child health. The Review of Economics and Statistics, 89(3), 400–415.CrossRefGoogle Scholar
  2. American Academy of Pediatrics. (2014). Recommendations for preventive pediatric health care. Retrieved November 11, 2014 from, http://www.aap.org/enus/professionalresources/practicesupport/Periodicity/Periodicity%20Schedule_FINAL.pdf.
  3. Avila, R., & Bramlett, M. (2013). Language and immigrant status effects on disparities in hispanic children’s health status and access to health care. Maternal and Child Health Journal, 17, 415–423.CrossRefPubMedGoogle Scholar
  4. Bailey et al (2016). Health Care Utilization after a Children’s Health Insurance Program Expansion in Oregon. Maternal and Child Health Journal, 20, 946–954.Google Scholar
  5. Banthin, J., & Selden, T. (2003). The ABCs of children’s health care: how the medicaid expansions affected access, burdens, and coverage between 1987 and 1996. Inquiry: A Journal of Medical Care Organization, Provision and Financing, 40, 133–145.PubMedGoogle Scholar
  6. Boudreaux, M. H., Golberstein, E., & McAlpine, D. (2016). The long-term impacts of Medicaid exposure in early childhood: Evidence from the program’s origin. Journal of Health Economics, 45, 161–175.CrossRefPubMedGoogle Scholar
  7. Bronchetti, E. (2014). Public insurance expansions and the health of immigrant and native children. Journal of Public Economics, 120, 205–219.CrossRefGoogle Scholar
  8. Brown, D., Kowalski, A. & Lurie, I. (2015). Medicaid as an investment in children: What is the long-term impact on tax receipts? NBER Working Paper No. 20835.Google Scholar
  9. Buelow, V. H., & Van Hook, J. (2008). Timely immunization series completion among children of immigrants. Journal of Immigrant and Minority Health, 10, 37–44.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Calvo, R., & Hawkins, S. (2015). Disparities in quality of healthcare of children from immigrant families in the US. Maternal and Child Health Journal, 19, 2223–2232.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Currie, J. (2000). Do children of immigrants make differential use of public health insurance?. in G. J. Borjas, (ed). Issues in the economics of immigration (pp. 271–308). Chicago: University of Chicago Press.Google Scholar
  12. Currie, J., Decker, S., & Lin, W (2008). Has Public Health Insurance for older children reduced disparities in access to care and health outcomes? Journal of Health Economics, 27(6), 1567–1581.CrossRefPubMedGoogle Scholar
  13. Currie, J., & Gruber, J. (1996). Health insurance eligibility, utilization of medical care, and child health. Quarterly Journal of Economics, 111(2), 431–466.CrossRefGoogle Scholar
  14. Dafny, L., & Gruber, J. (2005). Public insurance and child hospitalizations: access and efficiency effects. Journal of Public Economics, 89, 109–129.CrossRefGoogle Scholar
  15. Drewry, J., Sen, B., Wingate, M., Bronstein, J., Foster, E. M., & Kotelchuck, M. (2015). The impact of the state children’s health insurance program’s unborn child ruling expansions on foreign-born latina prenatal care and birth outcomes. Maternal and Child Health Journal, 19, 1464–1471.CrossRefPubMedGoogle Scholar
  16. Hoilette, L., Clark, S., Gebremariam, A., & Davis, M. (2009). Usual source of care and unmet need among vulnerable children: 1998–2006. Pediatrics, 123, e214–e219.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Howell, E., & Kenney, S. (2012). The impact of the medicaid/chip expansions on children: a synthesis of the evidence. Medical Care Research and Review, 69(4), 372–396.CrossRefPubMedGoogle Scholar
  18. Hudson, J. L. (2009). Families with mixed eligibility for public coverage: navigating medicaid, chip, and uninsurance. Health Affairs, 28(4), W697–W709.CrossRefPubMedGoogle Scholar
  19. Institute of Medicine (2009). America’s uninsured crisis: Consequences for health and health care. Washington, DC: National Academies Press.Google Scholar
  20. Kaiser Commission on Medicaid and the Uninsured. (2012). Performing under pressure: Annual findings of a 50-State survey of eligibility, enrollment, renewal and cost-sharing policies in Medicaid and CHIP, 2011–2012.Google Scholar
  21. Kaushal, N., & Kaestner, R. (2007). Welfare reform and the health of immigrant women and their children. Journal of Immigrant and Minority Health, 9(2), 61–74.CrossRefPubMedGoogle Scholar
  22. Kroner, E. L., Hoffmann, R. G., & Brousseau, D. C. (2010). Emergency department reliance: a discriminatory measure of frequent emergency department users. Pediatrics, 125, 133–138.CrossRefPubMedGoogle Scholar
  23. Levy, H., & Meltzer, D. (2008). The Impact of health insurance on health. Annual Review of Public Health, 29, 399–409.CrossRefPubMedGoogle Scholar
  24. Miller, S. & Wherry, L. (2015). The long-term health effects of early life medicaid coverage. Working Paper.Google Scholar
  25. Percheski, C., & Bzostek, S. (2013). Health insurance coverage within sibships: Prevalence of mixed coverage and associations with health care utilization. Social Science & Medicine, 90, 1–10.CrossRefGoogle Scholar
  26. Royer, H. (2005). The response to a loss in medicaid eligibility: Pregnant immigrant mothers in the wake of welfare reform. Working paper.Google Scholar
  27. Seiber, E. E. (2014). Almost half of uninsured children live in immigrant families. Medical Care, 52(3), 202–207.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Starfield, B., & Shi, L. (2004). The medical home, access to care, and insurance: A review of the evidence. Pediatrics, 113(4), 1493–1498.PubMedGoogle Scholar
  29. Vargas, E. D. (2015). Immigration enforcement and mixed-status families: The effects of risk of deportation on medicaid use. Children and Youth Services Review, 57, 83–89.CrossRefPubMedPubMedCentralGoogle Scholar
  30. Watson, T. (2014). Inside the refrigerator: Immigration Enforcement and chilling effects in medicaid participation. American Economic Journal: Economic Policy, 6(3), 313–338.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of Sociology and Institute for Policy ResearchNorthwestern UniversityEvanstonUSA
  2. 2.Department of Sociology and Institute for Health, Health Care Policy & Aging ResearchRutgers UniversityNew BrunswickUSA

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