Healthcare Utilization Among Hispanic Immigrants with Diabetes: Investigating the Effect of US Documentation Status
- 1.1k Downloads
Previous studies have not examined whether documentation status has an effect on healthcare utilization among US Hispanic immigrants with diabetes. A secondary analysis was conducted using data from the Pew Hispanic Center and Robert Johnson Wood Foundation’s 2007 Hispanic Healthcare Survey. Hispanic immigrants diagnosed with diabetes were included in analyses. The association between documentation status and healthcare utilization was assessed using logistic regressions. Of N = 577 Hispanic immigrants with diabetes, 80 % were documented immigrants and 81 % reported having visited a healthcare provider in the last 6 months. Adjusting for confounders, those who were undocumented faced higher odds of having seen a healthcare provider more than 6 months ago or never when compared to those who were documented (OR = 1.79; 95 % CI 1.01, 3.14). Unique opportunities in addressing healthcare disparities can be found in focusing on the Hispanic immigrant population living with diabetes.
KeywordsHealthcare disparities Undocumented immigrants Healthcare utilization Diabetes
- 1.Doty M. Hispanic patients’ double burden: lack of health insurance and limited English. The Commonwealth Fund; 2003.Google Scholar
- 2.Passel JS, Cohn D. U.S. population projections: 2005–2050. Washington: PewResearchCenter; 2008, Available at: http://www.pewhispanic.org/files/reports/85.pdf.
- 3.Livingston G, Minushkin S, Cohn D. Hispanics and health care in the United States: access, information and knowledge. Washington: Pew Hispanic Center/Robert Wood Johnson Foundation; 2008. Available at: http://pewhispanic.org/files/reports/91.pdf.
- 7.Kirk JK, Passmore LV, Bell RA, et al. Disparities in A1C Levels between Hispanic and Non-Hispanic White adults with diabetes. Diabetes Care. 2008;31(2):2240–6.Google Scholar
- 8.Department of Health and Human Services. Fact sheet: prevalence of diabetes among Hispanics in six U.S. geographic locations. Atlanta: Centers for Disease Control and Prevention; 2011. Available at: http://www.cdc.gov/diabetes/pubs/pdf/hispanic.pdf.
- 10.Ascheim J, Bagley B, Doran R, et al. Plan to address health disparities and promote health equity in New Hampshire. New Hampshire: State Plan Advisory Work Group; 2011. Available at: http://www.dhhs.nh.gov/omh/documents/disparities.pdf.
- 16.Pew Hispanic Center/Robert Wood Johnson Foundation. 2007 Hispanic Healthcare Survey. Washington: Pew Hispanic Center/Robert Wood Johnson Foundation; 2007. Available at: http://www.pewhispanic.org/2007/09/23/2007-hispanic-healthcare-survey/.
- 17.International Communications Research Group. Pew Hispanic Center Health Survey Topline. Media: International Communications Research; 2007. Available at: http://www.pewhispanic.org/files/2008/08/91.1.pdf.
- 18.Owens G. Gender differences in health care expenditures, resource utilization, and quality of care. J Manag Care Pharm. 2008;14(3):S2–6.Google Scholar