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Health Care Access and Utilization for Latino Youth in the United States: The Roles of Maternal Citizenship and Distress
Journal article   Peer reviewed

Health Care Access and Utilization for Latino Youth in the United States: The Roles of Maternal Citizenship and Distress

Cinthya K Alberto, Jessie Kemmick Pintor, Ana P Martínez-Donate, Jie Chen and Alexander N Ortega
Medical care, v 58(6), pp 541-548
Jun 2020
DOI: https://doi.org/10.1097/MLR.0000000000001306
PMID: 32011423
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Adolescent Adult Cross-Sectional Studies Emergency Service, Hospital - statistics & numerical data Emigrants and Immigrants - psychology Emigrants and Immigrants - statistics & numerical data Female Health Services Accessibility - statistics & numerical data Health Surveys Hispanic Americans - statistics & numerical data Humans Language Logistic Models Male Mothers - psychology Mothers - statistics & numerical data Patient Acceptance of Health Care - ethnology Socioeconomic Factors Stress, Psychological - ethnology Undocumented Immigrants - psychology Undocumented Immigrants - statistics & numerical data United States
We sought to determine the associations between maternal citizenship and health care access and utilization for US-born Latino youth and to determine whether maternal distress is a moderator of the associations. Using 2010-2017 Integrated Public Use Microdata Series National Health Interview Survey data, multivariable logistic regressions were run to examine the associations among maternal citizenship and health care access and utilization for US-born Latino youth. Maternal citizenship and distress interactions were tested. Noncitizen mothers had higher odds of reporting uninsurance, lack of transportation for delaying care, and lower odds of health care utilization for their youth than citizen mothers. Compared with no distress, moderate and severe distress were positively associated with uninsurance, delayed medical care due to cost, lack of transportation, and having had an emergency department visit for their youth. Moderate distress was positively associated with youth having had a doctor's office visit. Noncitizen mothers with moderate distress were less likely to report their youth having had an emergency department visit than citizen mothers with moderate distress. Among severely distressed mothers, noncitizen mothers were more likely to report youth uninsurance and delayed care due to lack of transportation compared with citizen mothers. Health care access and utilization among US-born Latino youth are influenced by maternal citizenship and distress. Maternal distress moderates the associations among maternal citizenship and youth's health care access and use. Almost one-third of all US-born youth in the United States are Latino and current federal and state noninclusive immigration policies and anti-Latino immigrant rhetoric may exacerbate health care disparities.

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24 Record Views
3 citations in Web of Science
2 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
Public, Environmental & Occupational Health
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