Health Care Use Among Undocumented Latino Immigrants

Berk, Marc L.; Schur, Claudia L.; Chávez, Leo R.; Frankel, Martin R.

doi:10.1377/hlthaff.19.4.51

Cited by 286 publications

(217 citation statements)

References 5 publications

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“…These policies were put in place to discourage future immigrants from coming to the United States; however, several studies have suggested that this end will not be achieved-that is, the largest driver of immigration and where immigrants settle within the United States is in fact the availability of jobs, not health and social services. 38 Moreover, continuing to restrict immigrants' access to Medicaid for primary care, while allowing their access to Medicaid for emergency services, creates perverse incentives for providers and patients alike.…”

Section: Implications For Policymentioning

confidence: 99%

Immigrants And Health Care: Sources Of Vulnerability

Derose¹,

Escarce²,

2007

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Section: Implications For Policymentioning

confidence: 99%

Immigrants And Health Care: Sources Of Vulnerability

Derose¹,

Escarce²,

2007

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“…Notable research demonstrated lower medical care use among undocumented Latinos; however, it did not estimate the comparative medical costs of all types of immigrants. 1 Similarly, other research has documented lower per capita health spending by the foreign-born but was unable to distinguish among the foreign-born by their naturalization or legal status. 2 The relative absence of reliable cost numbers partly reflects the strong emotion surrounding immigration throughout U.S. history.…”

mentioning

confidence: 99%

Immigrants And The Cost Of Medical Care

Goldman¹,

Smith²,

Sood

2006

Health Affairs

113

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Immigrants use disproportionately less medical care than their representation in the U.S. population would indicate.by Dana P. Goldman, James P. Smith, and Neeraj Sood ABSTRACT: Foreign-born adults in Los Angeles County, California, constituted 45 percent of the county's population ages 18-64 but accounted for 33 percent of health spending in 2000. Similarly, the undocumented constituted 12 percent of the nonelderly adult population but accounted for only 6 percent of spending. Extrapolating to the nation, total spending by the undocumented is $6.4 billion, of which only 17 percent ($1.1 billion) is paid for by public sources. The foreign-born (especially the undocumented) use disproportionately fewer medical services and contribute less to health care costs in relation to their population share, likely because of their better relative health and lack of health insurance. [Health Affairs 25, no. 6 (2006): 1700-1711; 10.1377/hlthaff.25.6.1700] S e v e r a l s a l i e n t d i m e n s i o n s o f t h e "medical cost crisis" have received much attention, but one neglected topic involves the role of immigrants in shaping levels and trends in the costs of providing medical care. Notable research demonstrated lower medical care use among undocumented Latinos; however, it did not estimate the comparative medical costs of all types of immigrants. Similarly, other research has documented lower per capita health spending by the foreign-born but was unable to distinguish among the foreign-born by their naturalization or legal status.2 The relative absence of reliable cost numbers partly reflects the strong emotion surrounding immigration throughout U.S. history. Emotional pleas by advocates on both sides of the immigration divide are given especially free rein when scientific evidence is incomplete.Immigrants are a rapidly growing part of the population. According to the 2000 census, there were thirty-two million foreign-born people living in the United States-one in nine of the total U.S. population. Estimates indicate that the U.S. population will add 120 million people by 2050, 80 million of whom are or will be here as the direct or indirect consequence of immigration.3 An equally dramatic trend is the rapidly changing fraction of undocumented immigrants. Among immigrants in the United States for less than five years in 2002, almost half were un- D a t a W a t c h

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“…Immigrants from Latin America who have children in California are more likely to live in the south. 11 In addition, foreign-born immigrants with TB disease are less likely to seek medical care due to language, socioeconomic, and other barriers to accessing care, 22 and thus transmission of TB within the United States might be greater within these populations (including to children).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Central Nervous System Tuberculosis

et al. 2015

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OBJECTIVES: To describe the epidemiology and factors associated with pediatric central nervous system (CNS) tuberculosis (TB) in California from 1993 to 2011. METHODS:We analyzed California TB registry data for persons aged #18 years, comparing CNS TB cases versus non-CNS TB cases reported from 1993 to 2011. Factors associated with CNS TB and TB deaths were identified by using multivariate logistic regression.RESULTS: A total of 200 CNS TB cases were reported. Compared with non-CNS TB case patients, CNS TB case patients were more likely to be aged ,5 years (72.0% vs 43.6%; odds ratio [OR] CONCLUSIONS: Subsets of children are at increased risk for CNS TB in California and may benefit from additional prevention efforts. WHAT'S KNOWN ON THIS SUBJECT:Central nervous system (CNS) tuberculosis has high morbidity and mortality, and it frequently affects children aged ,5 years. WHAT THIS STUDY ADDS:In California, children who were US-born, Hispanic, and aged ,5 years were at increased risk of CNS tuberculosis. Children with CNS tuberculosis were more likely to die. Specific populations of US-born infants might benefit from additional prevention measures. Dr Duque-Silva was involved in research design, performed the data analysis and interpretation, and drafted and revised the manuscript; Ms Robsky was involved in research design and assisted with data analysis and interpretation; and Dr Flood assisted in research design and data interpretation, and reviewed and revised the manuscript. Dr Barry conceptualized the study; supervised the research design, data analysis, and interpretation; and critically reviewed and revised the manuscript. All authors approved the final manuscript as submitted. 2,3 It is most commonly diagnosed in children aged ,5 years and may affect the same groups at high risk for pediatric TB in the United States such as immigrants, racial and ethnic minorities, and children who traveled to a country with high prevalence of TB or who had contact with a household visitor from a high-prevalence country. [4][5][6] In children, CNS TB is often the result of recently acquired infection after close contact with an infectious TB case in an adult. Risk of dissemination to the CNS after TB exposure is influenced by age and immune status, 7 including BCG vaccination. In most countries outside the United States, BCG vaccination is recommended in early childhood to decrease the risk of disseminated forms of TB such as miliary and CNS TB in children. 8 BCG vaccination has not routinely been used in the United States. 9 California is the state that reports the most pediatric TB cases 10 and has the largest foreign-born population in the United States. 11 It is therefore an excellent population in which to examine the epidemiology of pediatric CNS TB. To inform ongoing CNS TB prevention activities, our goal was to describe the epidemiology of pediatric CNS TB in California from 1993 to 2011 and to identify factors associated with the development of pediatric CNS TB as well as factors associated with pedia...

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Health Care Use Among Undocumented Latino Immigrants

Cited by 286 publications

References 5 publications

Immigrants And Health Care: Sources Of Vulnerability

Immigrants And Health Care: Sources Of Vulnerability

Immigrants And The Cost Of Medical Care

Risk Factors for Central Nervous System Tuberculosis

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