What's the Difference? Access to Health Insurance and Care for Immigrant Children in the <scp>US</scp>

Evans, Ethan J; Arbeit, Caren A.

doi:10.1111/imig.12307

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…1 These immigrant and mixed-status families face challenges in accessing health care, ranging from language and cultural alignment, to coverage gaps and cost, to racism and discrimination. 2–4 …”

Section: Introductionmentioning

confidence: 99%

“…Families with young children, particularly families of color and with immigrant members, are more likely than those with older children to have low incomes and, consequently, have difficulty accessing and affording health care, food, and housing. 2 , 31–33 Birth to age 4 years is a uniquely sensitive developmental period of rapid body and brain growth that establishes the foundation for a child's future physical, socioemotional, and cognitive health, and school readiness. 34 Frequent contact with the health care system is expected and encouraged in early childhood.…”

Section: Introductionmentioning

confidence: 99%

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Reduced health care utilization among young children of immigrants after Donald Trump's election and proposed public charge rule

Cuba

Miller

Raifman

et al. 2023

Health Affairs Scholar

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Widespread fear among immigrants from hostile 2016 presidential campaign rhetoric decreased social and health care service enrollment (chilling effect). Health care utilization effects among immigrant families with young children are unknown. We examined whether former President Trump’s election had chilling effects on well-child visit (WCV) schedule adherence, hospitalizations, and emergency department (ED) visits among children of immigrant vs. US-born mothers in three US cities. Cross-sectional surveys of children <4 years receiving care in hospitals were linked to 2015-2018 electronic health records. We applied difference-in-difference analysis with a 12-month pre/post-election study period. Trump’s election was associated with a 5 percentage-point decrease (-0.05 (95% CI:-0.08, —0.02)) in WCV adherence for children of immigrant vs. US-born mothers with no difference in hospitalizations or ED visits. Secondary analyses extending the treatment period to a leaked draft of proposed changes to public charge rules also showed significantly decreased WCV adherence among children of immigrant vs. US-born mothers. Findings indicate likely missed opportunities for American Academy of Pediatrics-recommended early childhood vaccinations, health and developmental screenings, and family support. Policies and rhetoric promoting immigrant inclusion create a more just and equitable society for all US children.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Reduced health care utilization among young children of immigrants after Donald Trump's election and proposed public charge rule

Cuba

Miller

Raifman

et al. 2023

Health Affairs Scholar

View full text Add to dashboard Cite

show abstract

Health Without Papers: Immigrants, Citizenship, and Health in the 21st Century

Tuohy

2019

Social Forces

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Public Benefit Use and Social Needs in Hospitalized Children With Undocumented Parents

et al. 2021

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BACKGROUND AND OBJECTIVES Studies supporta recent decline in public benefit enrollment among immigrant families. We aimed to describe health and resource use, barriers to use, and immigration-related fear in families with undocumented parents compared with families without undocumented parents. We also aimed to assess associations with discontinuation of public benefits and fear of deportation. METHODS We assessed immigration concerns and enrollment in Medicaid, Supplemental Nutrition Assistance Program (SNAP), and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) with an 89-item anonymous, cross-sectional survey of English- and Spanish-speaking caregivers of hospitalized children. Multivariable logistic regression was used to assess associations with discontinuation of public benefits and fear of deportation. RESULTS Of 527 families approached, 399 enrolled (105 with 1 or more undocumented parent, 275 with no undocumented parent, and 19 with undisclosed immigration status). Compared with families without undocumented parents, families with undocumented parents had higher levels of poverty and food insecurity. Controlling for perceived eligibility, public benefit use was similar across groups. Of families with undocumented parents, 29% reported public benefit discontinuation because of immigration concerns, and 71% reported fear of deportation. Having an undocumented parent was associated with public benefit disenrollment (odds ratio: 46.7; 95% confidence interval: 5.9–370.4) and fear of deportation (odds ratio: 24.3; 95% confidence interval: 9.6–61.9). CONCLUSIONS Although families with undocumented parents had higher levels of poverty and food insecurity compared with families without undocumented parents, public benefit use was similar between groups. Immigration-related fear may be a barrier to public benefit use in this population.

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What's the Difference? Access to Health Insurance and Care for Immigrant Children in the US

Cited by 3 publications

References 28 publications

Reduced health care utilization among young children of immigrants after Donald Trump's election and proposed public charge rule

Reduced health care utilization among young children of immigrants after Donald Trump's election and proposed public charge rule

Health Without Papers: Immigrants, Citizenship, and Health in the 21st Century

Public Benefit Use and Social Needs in Hospitalized Children With Undocumented Parents

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