Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Journal article
Health Care Access and Utilization Among US Immigrants Before and After the Affordable Care Act
Journal of immigrant and minority health, v 21(2), pp 211-218
01 Apr 2019
PMID: 29633069
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We examine changes in health insurance coverage and access to and utilization of health care before and after the national implementation of the Patient Protection and Affordable Care Act (ACA) among the U.S. adult immigrant population. Data from the 2011-2016 National Health Interview Survey are used to compare adult respondents in 2011-2013 (before the ACA implementation) and 2014-2016 (after the ACA implementation). Multivariable logistic regression analyses are used to compare changes over time. This study shows that the ACA has closed the coverage gap that previously existed between U.S. citizens and non-citizen immigrants. We find that naturalized citizens, non-citizens with more than 5years of U.S. residency, and non-citizens with 5years or less of U.S. residency reduced their probability of being uninsured by 5.81, 9.13, and 8.23%, respectively, in the first 3years of the ACA. Improvements in other measures of access and utilization were also observed.
Metrics
Details
- Title
- Health Care Access and Utilization Among US Immigrants Before and After the Affordable Care Act
- Creators
- Arturo Vargas Bustamante - Department of Health Policy and Management, UCLA Fielding School of Public Health, 650 Charles E. Young Drive South Room 31-299C, Box 951772, Los Angeles, CA, 90095, USA.Jie Chen - University of Maryland, College ParkRyan M. McKenna - Drexel UniversityAlexander N. Ortega - Drexel University
- Publication Details
- Journal of immigrant and minority health, v 21(2), pp 211-218
- Publisher
- Springer Nature
- Number of pages
- 8
- Grant note
- P30AG021684 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) UL1TR000124 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) R01MD011523 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Biochemistry and Molecular Biology; Health Management and Policy
- Web of Science ID
- WOS:000465413100001
- Scopus ID
- 2-s2.0-85045111722
- Other Identifier
- 991019169421604721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health