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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Access-To-Care Differences Between Mexican-Heritage And Other Latinos In California After The Affordable Care Act
Health affairs Web exclusive, v 37(9), pp 1400-1408
Sep 2018
PMID: 30179559
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We examined changes in health insurance coverage and access to and use of health care among adult (ages 18-64) Latinos in the US before (2007-13) and after (2014-16) implementation of the main provisions of the Affordable Care Act. Data from the California Health Interview Survey were used to compare respondents in the two periods. We used multivariable and decomposition regression analyses to investigate the role of documentation status in access disparities between Mexicans and other Latinos in California. Our findings show that after the implementation of these provisions in California, insurance coverage increased for US- and foreign-born Latinos, including undocumented Latinos. Our decomposition analyses show that after implementation, disparities between Mexicans and other Latinos declined with respect to having coverage and a usual source of care. Without the implementation of these provisions in 2014, these disparities would have been 5.76 percent and 0.31 percent larger, respectively. In contrast, legal documentation status was positively associated with disparities between Mexicans and other Latinos in having coverage and physician visits. If Mexican Latinos had had the same share of undocumented immigrants as other Latinos, disparities in health insurance coverage would have declined by 24.17 percent.
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Details
- Title
- Access-To-Care Differences Between Mexican-Heritage And Other Latinos In California After The Affordable Care Act
- Creators
- Arturo Vargas Bustamante - University of California, Los AngelesRyan M McKenna - Drexel UniversityJoseph Viana - University of California, Los AngelesAlexander N Ortega - Drexel UniversityJie Chen - Jie Chen is an associate professor of health services administration at the University of Maryland, in College Park.
- Publication Details
- Health affairs Web exclusive, v 37(9), pp 1400-1408
- Grant note
- TL1 TR000121 / NCATS NIH HHS R01 MD011523 / NIMHD NIH HHS TL1 TR001883 / NCATS NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Biochemistry and Molecular Biology; Health Management and Policy
- Web of Science ID
- WOS:000463962900008
- Scopus ID
- 2-s2.0-85053895830
- Other Identifier
- 991019168111804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services