Persistent Disparities in Health Insurance Coverage: Hispanic Children, 1996 to 2005

Wie, Alissa Van; Ziegenfuss, Jeanette; Blewett, Lynn A.; Davern, Michael

doi:10.1353/hpu.0.0069

Cited by 13 publications

(7 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, most second-generation Latino children were also members of households with at least one employed adult, but private coverage was nearly half that of third-generation Latino children. This is consistent with previous research demonstrating Latino children with non-citizen parents are less likely to have access to employer-based insurance [9, 11]. …”

Section: Discussionsupporting

confidence: 93%

“…Public insurance programs, such as Medicaid and the State Children’s Health Insurance Program (SCHIP), offer low or no-cost health insurance options for improving coverage [6]. However, eligible Latino children are less likely to be enrolled in public insurance programs than eligible non-Latinos [3, 8–11]. Lower enrollment rates of eligible Latino children in public insurance have been linked to deficits in knowledge about the programs, limited English proficiency, and distrust of government programs [1–3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Generational Status, Health Insurance, and Public Benefit Participation Among Low-Income Latino Children

DeCamp

Bundy

2011

Matern Child Health J

View full text Add to dashboard Cite

The objectives of this study were to (1) measure health insurance coverage and continuity across generational subgroups of Latino children, and (2) determine if participation in public benefit programs is associated with increased health insurance coverage and continuity. We analyzed data on 25,388 children income-eligible for public insurance from the 2003 to 2004 National Survey of Children’s Health and stratified Latinos by generational status. First- and second-generation Latino children were more likely to be uninsured (58 and 19%, respectively) than third-generation children (9.5%). Second-generation Latino children were similarly likely to be currently insured by public insurance as third-generation children (61 and 62%, respectively), but less likely to have private insurance (19 and 29%, respectively). Second-generation Latino children were slightly more likely than third-generation children to have discontinuous insurance during the year (19 and 15%, respectively). Compared with children in families where English was the primary home language, children in families where English was not the primary home language had higher odds of being uninsured versus having continuous insurance coverage (OR: 2.19; 95% CI [1.33–3.62]). Among second-generation Latino children, participation in the Food Stamp (OR 0.26; 95% CI [0.14–0.48]) or Women, Infants, and Children (OR 0.40; 95% CI [0.25–0.66]) programs was associated with reduced odds of being uninsured. Insurance disparities are concentrated among first- and second-generation Latino children. For second-generation Latino children, connection to other public benefit programs may promote enrollment in public insurance.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Generational Status, Health Insurance, and Public Benefit Participation Among Low-Income Latino Children

DeCamp

Bundy

2011

Matern Child Health J

View full text Add to dashboard Cite

show abstract

“…Related to racial/ethnic differences in our measures of family structural constraints, African American and Hispanic children are disproportionately situated in low SES families (Child Trends Data Bank 2015; National Center for Education Statistics 2005) and are less likely than white children to be covered by health insurance (Adams, Newacheck, Park, Brindis, and Irwin 2007; Van Wie, Ziegenfuss, Blewett, and Davern 2008). Children in immigrant families are at particularly high risk of being uninsured (Seiber 2014) and having a very low-educated parent (Van Hook, Brown, & Kwenda, 2004).…”

Section: Introductionmentioning

confidence: 99%

Racial-ethnic Disparities in Inflammation: Evidence of Weathering in Childhood?

Schmeer

Tarrence

2018

J Health Soc Behav

View full text Add to dashboard Cite

Building on the weathering hypothesis, we advance health disparities research by assessing racial/ethnic differences in low-grade inflammation, a marker of chronic stress exposure, in young children. Using nationally representative data from NHANES (N=6652) and logistic regression, we find an increased risk of low-grade inflammation among Hispanic and African American children compared to white children. The risk of inflammation appears to be stronger for Hispanic and African American children with foreign-born parents compared to children of the same race/ethnicity with U.S.-born parents. Low parental education and elevated child body mass index (BMI) work as partial mediators of these associations. Our findings suggest the need to understand the social and psychological challenges faced by Hispanic and African American children, particularly those with foreign-born parents, if we are to make further progress in reducing health disparities.

show abstract

“…Latino children with limited English proficiency (LEP) parents, or who live in households where the primary language is not English, disproportionately experience poor primary care access and quality compared to Latino children in English-speaking families [1–16]. Increasing access to primary care through provision of health insurance is commonly discussed as a key mechanism to address health care disparities among Latino children as they have the highest uninsurance rates [3, 17–22]. However, focusing only on access barriers ignores important disparities in the quality of care for Latino children who have health care access [4, 6, 9, 11, 13, 23, 24].…”

Section: Introductionmentioning

confidence: 99%

The Voices of Limited English Proficiency Latina Mothers on Pediatric Primary Care: Lessons for the Medical Home

DeCamp

Kieffer

Zickafoose

et al. 2012

Matern Child Health J

View full text Add to dashboard Cite

The objective of this study is to inform medical home implementation in practices serving limited English proficiency Latino families by exploring limited English proficiency Latina mothers’ experiences with, and expectations for, pediatric primary care. In partnership with a federally-qualified community health center in an urban Latino neighborhood, we conducted semi-structured interviews with 38 low-income Latina mothers. Eligible participants identified a pediatric primary care provider for their child and had at least one child 3 years old or younger, to increase the probability of frequent recent interactions with health care providers. Interview transcripts were coded and analyzed through an iterative and collaborative process to identify participants’ satisfaction with and expectations for pediatric primary care. About half of the mothers interviewed were satisfied with their primary care experiences. Mothers suggested many ways to improve the quality of pediatric primary care for their children to better meet the needs of their families. These included: encouraging providers to invest more in their relationship with families, providing reliable same-day sick care, expanding hours, improving access to language services, and improving care coordination services. Limited English proficiency Latina mothers expect high-quality pediatric primary care consistent with the medical home model. Current efforts to improve primary care quality through application of the medical home model are thus relevant to this population, but should focus on the parent-provider relationship and timely access to care. Promoting this model among practices that serve limited English proficiency Latino families could improve engagement and satisfaction with primary care.

show abstract

Persistent Disparities in Health Insurance Coverage: Hispanic Children, 1996 to 2005

Abstract: Expansions in public health insurance programs between 1996 and 2005 increased health insurance coverage for Hispanic children but disparities between Hispanic and non-Hispanic White children persist.

Cited by 13 publications

References 10 publications

Generational Status, Health Insurance, and Public Benefit Participation Among Low-Income Latino Children

Generational Status, Health Insurance, and Public Benefit Participation Among Low-Income Latino Children

Racial-ethnic Disparities in Inflammation: Evidence of Weathering in Childhood?

The Voices of Limited English Proficiency Latina Mothers on Pediatric Primary Care: Lessons for the Medical Home

Contact Info

Product

Resources

About