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Health Policy Challenges Posed By Shifting Demographics And Health Trends Among Immigrants To The United States
Journal article   Open access   Peer reviewed

Health Policy Challenges Posed By Shifting Demographics And Health Trends Among Immigrants To The United States

Arturo Vargas Bustamante, Jie Chen, Lucia Felix Beltran and Alexander N. Ortega
Health affairs (Millwood, Va.), v 40(7), pp 1028-1037
01 Jul 2021
PMID: 34228519
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8285051View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Health Care Sciences & Services Health Policy & Services Life Sciences & Biomedicine Science & Technology
Since the 1960s the immigrant population in the United States has increased fourfold, reaching 44.7 million, or 13.7 percent of the US population, in 2018. The shifting immigrant demography presents several challenges for US health policy makers. We examine recent trends in immigrant health and health care after the Great Recession and the nationwide implementation of the Affordable Care Act. Recent immigrants are more likely to have lower incidence of chronic health conditions than other groups in the US, although these differences vary along the citizenship and documentation status continuum. Health care inequities among immigrants and US-born residents increased after the Great Recession and later diminished after the Affordable Care Act took effect. Unremitting inequities remain, however, particularly among noncitizen immigrants. The number of aging immigrants is growing, which will present a challenge to the expansion of coverage to this population. Health care and immigration policy changes are needed to integrate immigrants successfully into the US health care system.

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30 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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

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

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
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