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Published, Version of Record (VoR)CC BY-NC-ND V4.0, Open
Journal article
Health Care Access and Physical and Behavioral Health Among Undocumented Latinos in California
Medical care, v 56(11), pp 919-926
01 Nov 2018
PMID: 30216201
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background:This paper provides statewide estimates on health care access and utilization patterns and physical and behavioral health by citizenship and documentation status among Latinos in California.Methods:This study used data from the 2011-2015 California Health Interview Survey to examine health care access and utilization and physical and behavioral health among a representative sample of all nonelderly Latino and US-born non-Latino white adults (N=51,386). Multivariable regressions estimated the associations between the dependent measures and citizenship/documentation status among Latinos (US-born, naturalized citizen, green card holder, and undocumented).Results:Adjusted results from multivariable analyses observed worse access and utilization patterns among immigrant Latinos compared with US-born Latinos, with undocumented immigrants using significantly less health care. Undocumented Latinos had lower odds of self-reporting excellent/very good health status compared with US-born Latinos, despite them having lower odds of having several physical and behavioral health outcomes (overweight/obesity, physician-diagnosed hypertension, asthma, self-reported psychological distress, and need for behavioral health services). Among those reporting a need for behavioral health services, access was also worse for undocumented Latinos when compared with US-born Latinos.Conclusions:Patterns of poor health care access and utilization and better physical and behavioral health are observed across the continuum of documentation status, with undocumented immigrants having the worst access and utilization patterns and less disease. Despite fewer reported diagnoses and better mental health, undocumented Latinos reported poorer health status than their US-born counterparts.
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Details
- Title
- Health Care Access and Physical and Behavioral Health Among Undocumented Latinos in California
- Creators
- Alexander N. Ortega - Drexel UniversityRyan M. McKenna - Drexel UniversityJessie Kemmick Pintor - Drexel UniversityBrent A. Langellier - Drexel UniversityDylan H. Roby - Department of Health ServicesNadereh Pourat - Departments of Health Policy and Management.Arturo Vargas Bustamante - Departments of Health Policy and Management.Steven P. Wallace - University of California, Los Angeles
- Publication Details
- Medical care, v 56(11), pp 919-926
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Health Management and Policy
- Web of Science ID
- WOS:000447699000006
- Scopus ID
- 2-s2.0-85053807959
- Other Identifier
- 991019167976804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services
- Public, Environmental & Occupational Health