Julia C Prentice1, Anne R Pebley, Narayan Sastry. 1. Center for Health Quality, Outcomes and Economic Research, Bedford VAMC, 200 Springs Rd (152), Bedford, MA 01730, USA. jprentic@bu.edu
Abstract
OBJECTIVES: We compared health insurance status transitions of nonimmigrants and immigrants. METHODS: We used multivariate survival analysis to examine gaining and losing insurance by citizenship and legal status among adults with the Los Angeles Family and Neighborhood Survey. RESULTS: We found significant differences by citizenship and legal status in health insurance transitions. Undocumented immigrants were less likely to gain and more likely to lose insurance compared with native-born citizens. Legal residents were less likely to gain and were slightly more likely to lose insurance compared with native-born citizens. Naturalized citizens did not differ from native-born citizens. CONCLUSIONS: Previous studies have not examined health insurance transitions by citizenship and legal status. Policies to increase coverage should consider the experiences of different immigrant groups.
OBJECTIVES: We compared health insurance status transitions of nonimmigrants and immigrants. METHODS: We used multivariate survival analysis to examine gaining and losing insurance by citizenship and legal status among adults with the Los Angeles Family and Neighborhood Survey. RESULTS: We found significant differences by citizenship and legal status in health insurance transitions. Undocumented immigrants were less likely to gain and more likely to lose insurance compared with native-born citizens. Legal residents were less likely to gain and were slightly more likely to lose insurance compared with native-born citizens. Naturalized citizens did not differ from native-born citizens. CONCLUSIONS: Previous studies have not examined health insurance transitions by citizenship and legal status. Policies to increase coverage should consider the experiences of different immigrant groups.
Authors: Laura M Bogart; Kathryn Pitkin Derose; David E Kanouse; Beth Ann Griffin; Beth Ann Grifin; Ann C Haas; Malcolm V Williams Journal: J Urban Health Date: 2015-02 Impact factor: 3.671