Abstract
The last two decades have been marked by substantial immigration to the United States. As a result of this movement, the foreign-born population is growing rapidly. Previous studies have shown that the foreign-born population is much more likely than the native-born one to be without health insurance. The present analysis focuses on factors that distinguish the insured from the uninsured, utilizing nativity status (foreign born versus native born) as one of the independent variables in a set of logistic regression models. Results show that even after controlling for income, employment status, and other variables known to be associated with health insurance status, the foreign born are twice as likely to be without health insurance than are their native-born counterparts. Among the foreign born, recency of arrival emerges as an important factor in distinguishing the insured from the uninsured. Public policies intended to address the problem of health insurance in the foreign-born population must go beyond being based only on economic considerations and take into account factors such as cultural background and health-related attitudes to be effective.
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References
U.S. Census Bureau: Statistical Abstract of the United States, 1999. Washington, DC: U.S. Government Printing Office; 1999
U.S. Department of Justice: Legal Immigration, Fiscal Year 1998.Washington, DC: U.S. Government Printing Office; 1999
U.S. Census Bureau: Profile of the Foreign-Born Population in the United States: 1997. Current Population Reports Special Studies, Series P-23, No. 195. Washington, DC: U.S. Government Printing Office; 1999
U.S. Census Bureau: Available: www.census.gov/population/ www/documentation/twps0029/tab01.html; 2000
Stephen EH, Foote K, Hendershot G, Schoenborn CA: Health of the Foreign-Born Population: United States, 1989-90. Advance Data 241. Washington, DC: National Center for Health Statistics; 1994
Jones ME, Bond ML: Predictors of birth outcome among Hispanic immigrant women. J Nurs Care Qual 1999; 141(1):56–62
Ma GX: Between two worlds: The use of traditional and western health services by Chinese immigrants. J Community Health 1999; 24(6):421–437
Guendelman S, English P, Chavez G: Infants of Mexican immigrants: Health status of an emerging population. Med Care 1995; 33(1):41–52
Ku L, Matani S: Left out: Immigrants' access to health care and insurance. Health Aff 2001; 20(1):247–256
U.S. Census Bureau: Available: www.census.gov/population/ socdemo/foreign/98; 2000
Health Sector Assembly: Statement of Findings and Intent of the Health Sector Assembly 1999-2000. Memo from Ted Lewers, Chair AMA Board of Trustees; Chicago, IL: 2000
Thamer M, Rinehart C: Public and private health insurance of U.S. foreign-born residents: Implications of the 1996 welfare reform law. Ethn Health 1998; 3 (Feb-May):19–24
Thamer M, Richard C, Casebeer AW, Ray NF: Health insurance coverage among foreign-born U.S. residents: The impact of race, ethnicity and length of residence. Am J Public Health 1997; 87(Jan):96–102
Siddharthan K: Health insurance coverage of the immigrant elderly. Inquiry 1991; 28(Winter):403–412
Carrasquillo O, Carrasquillo AI, Shea S: Health insurance coverage of immigrants living in the United States: Differences by citizenship and country of origin. Am J Public Health 2000; 90:917–923
Camarota SA, Edwards JR: Without Coverage. Washington, DC: Center for Immigration Studies; 2000
Sonis J: Association between duration of residence and access to ambulatory care among Caribbean immigrant adolescents. Am J Public Health 1998; 88(June):964–966
Sun WY, Sangweni B, Butts G, Merlino M: Comparisons of immunization accessibility between non-U.S. born and U.S. born children in New York City. Public Health 1998; 112(Nov):405–408
Leclere FB, Jensen L, Biddlecam AE: Health care utilization, family context and adaptation among immigrations to the United States. J Health Soc Behav 1994; 35(Dec):370–384
Swartz K: Interpreting the estimates from four national surveys of the number of people without health insurance. J Econ Soc Meas 1996; 14:233–256
Swartz K: Changes in the 1995 current population survey and estimates of health insurance coverage. Inquiry 1997; 34(1):70–79
Cohany S, Polivka A, Rothgeb J: Revisions in the current population survey effective January 1994. Employment and Earnings. Washington, DC: U. S. Department of Labor; Feb 1994
Begg CB, Grey R: Calculation of polychotomous logistic regression parameters using individualized regressions. Biometrika 1984; 71:11–18
DeMaris A: Logit Modelling. Thousand Oaks, CA: Sage; 1992
Pol LG, Mueller KJ, Adidam PT: Health insurance in the near elderly population. Popul Res Policy Rev 2000; 19:97–112
Johnson RW, Crystal S: Health insurance coverage at midlife: Characteristics, costs, and dynamics. Health Care Financ Rev 1997; 18(Spring):123–148
Feder J, Levitt L, O'Brien E, Rowland D: Covering the low-income uninsured: The case for expanding federal programs. Health Aff 2001; 20(1):27–39
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Pol, L.G., Adidam, P.T. & Pol, J.T. Health Insurance Status of the Adult, Nonelderly Foreign-Born Population. Journal of Immigrant Health 4, 103–110 (2002). https://doi.org/10.1023/A:1014502710289
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DOI: https://doi.org/10.1023/A:1014502710289