Changes in Public Prenatal Care Coverage Options for Noncitizens Since Welfare Reform

Green, Tiffany; Hochhalter, Stephanie; Dereszowska, Krystyna; Sabik, Lindsay M.

doi:10.1177/1077558715616024

Cited by 6 publications

(7 citation statements)

References 27 publications

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“…Only recently has literature emerged exploring the potential health trajectory among this population within the current political climate and the implementation of the Patient Protection and Affordable Care Act (ACA; 2010; Agrawal & Venkatesh, 2015; H. Brown, Wilson, & Angel, 2015; Green, Hochhalter, Dereszowska, & Sabik, 2015; Hacker, Anies, Folb, & Zallman, 2015; Joseph, 2016). The purpose of this review was to provide evidence for existing health disparities among immigrants based on ethnicity, immigration status, country of origin, length of time in the United States, and access to health care.…”

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confidence: 99%

Immigrant Health in the United States

Hall

Cuellar

2016

J Transcult Nurs

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confidence: 99%

Immigrant Health in the United States

Hall

Cuellar

2016

J Transcult Nurs

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“…Although states receive a federal match (currently at 88% to 100% 62 ) for the CHIP Unborn Child Option, since 2008 take-up has been stagnant 63 ; only one additional state (Missouri in 2015 64 ) has expanded access to comprehensive prenatal coverage regardless of documentation status. This suggests that political factors may be preventing states from taking up a relatively inexpensive and critical initiative, which should be cause for concern among pediatricians considering the crucial role of health insurance for both maternal and children's access to care and health.…”

Section: Discussionmentioning

confidence: 99%

State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status Families

Pintor

Call

2019

Global Pediatric Health

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Children in immigrant families are twice as likely to be uninsured as their counterparts, and states may influence these inequities by facilitating or restricting immigrant families’ access to coverage. Our objective was to measure differences in insurance by mother’s documentation status among a nationally representative sample of US-born children in immigrant families and to examine the role of state-level immigrant health care policy—namely, state-level immigrant access to prenatal coverage. Compared with US-born children in immigrant families with citizen mothers, children with undocumented immigrant mothers had a 17.0 percentage point ( P < .001) higher uninsurance rate (8.8 percentage points higher in adjusted models, P < .05). However, in states with nonrestrictive prenatal coverage for immigrants, there were no differences in children’s insurance by mother’s documentation status, while large inequities were observed within states with restrictive policies. Our findings demonstrate the potential for state-level immigrant health care policy to mitigate or exacerbate inequities in children’s insurance.

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“…We also have identified several different areas of potential interventions at the clinic and policy levels to mitigate these barriers to care. These potential interventions include adjusting clinic scheduling practices and adopting the "Unborn Child" option in North Carolina to allow for coverage of all low-income women irrespective of documentation status [29,20].…”

Section: Strengthsmentioning

confidence: 99%

Identifying Barriers and Facilitators to Prenatal Care for Spanish-Speaking Women

Fryer

Lewis

Munoz

et al. 2021

North Carolina Medical Journal

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background Early access to quality prenatal care is an essential component of improving maternal and neonatal outcomes as it allows for early intervention and risk stratification. Women who receive late or infrequent prenatal care are at high risk for complications including preterm birth, infant death, and stillbirth. We sought to better understand the barriers Spanish-speaking women face in accessing quality prenatal care and to identify facilitators in obtaining timely quality prenatal care. methods We recruited a homogeneous group of 11 women with Spanish as their primary language who were pregnant or had given birth within the last six months. We then conducted two focus groups in Spanish. The focus groups were recorded, translated, and transcribed, and then coded using grounded theory. results In our cohort of participants, the three major themes included desire for psychosocial support, health care system logistics, and barriers due to Latinx ethnicity. limitations Our study has several limitations, including a small sample size and single site design. conclusion Latinx women experience unique barriers to care including language barriers, a lack of cultural competency on the part of health care personnel, and ethnic discrimination. Additional research is needed to develop patient-centered interventions to address these barriers.

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Changes in Public Prenatal Care Coverage Options for Noncitizens Since Welfare Reform

Cited by 6 publications

References 27 publications

Immigrant Health in the United States

Immigrant Health in the United States

State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status Families

Identifying Barriers and Facilitators to Prenatal Care for Spanish-Speaking Women

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