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Journal article
Equity in Health Care Access, Utilization, and Experiences for Latino Children in California by Parental Citizenship and Household Language, 2021-2022
Academic pediatrics : the official journal of the Academic Pediatric Association, v 25(6), 102856
Aug 2025
PMID: 40412762
Featured in Collection : Research Supported by Drexel Libraries' OA Programs
Abstract
Objectives
This study examines health care access, utilization, and experiences among Latino children in California by parental citizenship and household language.
Methods
Merged data from the 2021-2022 California Health Interview Survey and the follow-up Latino Youth Health Study of the same years were analyzed. Primary outcomes were parental reports of children’s health care access, utilization, and experiences in the past year. The main predictors were variables stratified by parental citizenship status (both citizen parents versus one citizen and one noncitizen parent or both noncitizen parents) and household language (English-only versus English-and-Spanish, or Spanish-only). Multivariable analyses adjusted for parental education, family income, parent-reported child’s health status, child’s age, and child’s insurance.
Results
Findings showed no significant differences in health care access across groups. However, children with both noncitizen parents and from Spanish-only households were more likely to have had well-child visits and general doctor visits than children with both citizen parents and in English-only households. Additionally, parents of children with both noncitizen parents were more likely to feel respected by doctors than those with both citizen parents. Conversely, compared to parents with both citizen parents, parents of children with one citizen and one noncitizen parent were less likely to report that doctors spent enough time with their children and less likely to express high satisfaction with their children’s health care.
Conclusion
Patterns of health care access, utilization, and experiences among Latino children in immigrant families in California are improving, which are likely associated with recent inclusive health policies in the state.
Metrics
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Details
- Title
- Equity in Health Care Access, Utilization, and Experiences for Latino Children in California by Parental Citizenship and Household Language, 2021-2022
- Creators
- Clara Belen Barajas (Corresponding Author) - Drexel University, Health Management and PolicyDylan H. Roby - University of California, Los AngelesJames P Stimpson - The University of Texas Southwestern Medical CenterNinez A Ponce - University of California, Los AngelesGabriela E. Lazalde - University of California, Los AngelesMaria-Elena De Trinidad Young - University of California, MercedKathryn Kietzman - University of California, Los AngelesArturo Vargas Bustamante - University of California, Los AngelesAlexandra Rivera-González - University of California, MercedBrent Langellier - Drexel University, Urban Health CollaborativeJan Eberth - Drexel University, Health Management and PolicyMark Stehr - Drexel University, Center for Public PolicyAlexander Neil Ortega - University of Hawaiʻi at Mānoa
- Publication Details
- Academic pediatrics : the official journal of the Academic Pediatric Association, v 25(6), 102856
- Publisher
- Elsevier
- Number of pages
- 10
- Grant note
Research reported in this publication was supported by the National Institute on Minority Health and Health Disparities (NIMHD) of the National Institutes of Health (NIH) under Award Number R01MD014146. The content is solely the responsibility of the authors and does not necessarily represent the official views of NIH.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Economics (School of Economics); Urban Health Collaborative; Health Management and Policy; Center for Public Policy
- Web of Science ID
- WOS:001528506200003
- Scopus ID
- 2-s2.0-105009590116
- Other Identifier
- 991022053438504721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics