The Health Care Safety Net for Hispanics

Angel, Ronald J.; Angel, Jacqueline L.

doi:10.1007/978-0-387-47208-9_19

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…The Mexican‐origin population has particularly low rates of coverage at all ages (American College of Physicians, 2000; Amey, Seccombe, and Duncan, 1995; Angel and Angel, 2007; Santos and Seitz, 2000; Treviño et al, 1991; Valdez et al, 1993). In 2006, while 18 percent of non‐Hispanic blacks and 13 percent of non‐Hispanic whites under 65 were uninsured, fully 39 percent of Mexican‐origin individuals had no coverage (Adams, Lucas, and Barnes, 2008).…”

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“…Many potential explanations for these low rates of coverage have been suggested. These include a large number of noncitizens who do not have access to coverage (Angel and Angel, 2007), low access among recent immigrants (Bastida, Brown, and Pagán, 2007), language and cultural barriers (Brown et al, 2000), bureaucratic barriers (Lein and Schexnayder, 2007; Mechanic et al, 2005; Reschovsky, Hadley, and Nichols, 2007), and employment in jobs in which coverage is not offered or offered only at premiums that poor working families cannot afford (Angel and Angel, 1996; DeNavas‐Walt, Proctor, and Smith, 2007; Schur and Feldman, 2001). In this article, we focus specifically on the labor force explanations and examine the extent to which low rates of coverage among Mexican‐origin workers reflect the characteristics of the employment sectors, industries, and occupations in which they are employed, in addition to family and personal characteristics.…”

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“…In this article, we focus specifically on the labor force explanations and examine the extent to which low rates of coverage among Mexican‐origin workers reflect the characteristics of the employment sectors, industries, and occupations in which they are employed, in addition to family and personal characteristics. The focus on occupations is motivated by the fact that minority Americans, including the Mexican‐origin population, are more likely than majority Americans to be employed in occupations that do not offer health insurance coverage (Angel and Angel, 2007; Hall, Collins, and Glied, 1999).…”

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The Work/Health Insurance Nexus: A Weak Link for Mexican‐Origin Men^*

Angel

Montez

2009

Social Science Quarterly

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Objectives-The employment based health insurance system of the United States means that those individuals who are disadvantaged in the labor market are also disadvantaged in terms of health insurance coverage. The Mexican-origin population has historically been disadvantaged in both domains. We examine the extent to which low rates of health insurance coverage among Mexican-origin adult male workers are the result of overrepresentation in the types of employment in which coverage is low for everyone. Results-The results suggest that although such overrepresentation contributes to low rates of coverage among Mexican-origin workers, even within employment sectors, industries, and occupations Mexican-origin workers are less likely to have coverage than non-Hispanic whites or African Americans. Methods-WeConclusions-These results make it clear that the health insurance vulnerabilit y of the Mexican-origin population reflects multiple barriers to coverage in addition to those related to employment.In 2007 nearly forty-six million U.S. residents, or over 15 percent of the population, had no health insurance coverage, and many more had only episodic or inadequate coverage (DeNavas-Walt, Proctor, and Smith, 2008). The failure of our health care financing system to cover everyone has serious implications for the health of the most vulnerable among us, who consist disproportionately of minority group members, the poor, and children (Quadagno, 2005). The large number of uninsured has far-reaching negative implications for individuals, families, and entire communities ( NIH Public Access Author ManuscriptSoc Sci Q. Author manuscript; available in PMC 2010 December 1. . In this paper we investigate the role of employment in explaining the lack of health insurance coverage among employed Mexican-origin adult males, and compare their patterns of employment-based coverage to those of African-American and non-Hispanic white adult males. The comparison is intended to identify unique health insurance coverage vulnerabilities of Mexican-origin workers and is motivated by several considerations. In addition to having the lowest rates of health insurance coverage of any racial or ethnic group, the Mexican-origin population is the largest Hispanic subgroup and has persistently been the most likely to be uninsured (Fronstin, Goldberg, and Robins, 1997). Although recent migration has dispersed this population to states in which there were very few Hispanics just two decades ago, for the most part it is concentrated in specific labor markets and sectors where health insurance coverage is limited. In addition, the Mexican-origin population has an immigration experience that is distinct from that of other Hispanic groups such as Puerto Ricans, who are U. S. citizens by birth, and Cubans, who arrived as political refugees.We confine the analysis to men since women's labor force experiences are fundamentally different than those of men and require separate analyses that include issues related to child care and other gender-based fac...

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The Work/Health Insurance Nexus: A Weak Link for Mexican‐Origin Men^*

Angel

Montez

2009

Social Science Quarterly

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Crises and Old Age Policy

Estes

2011

Handbooks of Sociology and Social Research

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Emotional and cognitive health correlates of leisure activities in older Latino and Caucasian women

Herrera

Meeks

Dawes

et al. 2011

Psychology, Health & Medicine

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This study examined differences in the frequency of leisure activity participation and relationships to depressive symptom burden and cognition in Latino and Caucasian women. Cross-sectional data were obtained from a demographically matched subsample of Latino and Caucasian (n = 113 each) post-menopausal women (age ≥60), interviewed in 2004–06 for a multi-ethnic cohort study of successful aging in San Diego County. Frequencies of engagement in 16 leisure activities and associations between objective cognitive performance and depressive symptom burden by ethnicity were identified using bivariate and linear regression, adjusted for physical functioning and demographic covariates. Compared to Caucasian women, Latinas were significantly more likely to be caregivers and used computers less often. Engaging in organized social activity was associated with fewer depressive symptoms in both groups. Listening to the radio was positively correlated with lower depressive symptom burden for Latinas, and better cognitive functioning in Caucasians. Cognitive functioning was better in Latinas who read and did puzzles. Housework was negatively associated with Latinas’ emotional health and Caucasians’ cognitive functioning. Latino and Caucasian women participate in different patterns of leisure activities. Additionally, ethnicity significantly affects the relationship between leisure activities and both emotional and cognitive health.

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The Health Care Safety Net for Hispanics

Cited by 3 publications

References 27 publications

The Work/Health Insurance Nexus: A Weak Link for Mexican‐Origin Men^*

The Work/Health Insurance Nexus: A Weak Link for Mexican‐Origin Men^*

Crises and Old Age Policy

Emotional and cognitive health correlates of leisure activities in older Latino and Caucasian women

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The Health Care Safety Net for Hispanics

Cited by 3 publications

References 27 publications

The Work/Health Insurance Nexus: A Weak Link for Mexican‐Origin Men*

The Work/Health Insurance Nexus: A Weak Link for Mexican‐Origin Men*

Crises and Old Age Policy

Emotional and cognitive health correlates of leisure activities in older Latino and Caucasian women

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Product

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The Work/Health Insurance Nexus: A Weak Link for Mexican‐Origin Men^*

The Work/Health Insurance Nexus: A Weak Link for Mexican‐Origin Men^*