Health coverage of low-income citizen and noncitizen wage earners: sources and disparities.
Health coverage of low-income citizen and noncitizen wage earners: sources and disparities.
复制标题
低收入公民和非公民工薪人员的健康保险：来源和差异。
DOI：
10.1007/s10903-007-9059-5
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发表时间：
2008
影响因子：
1.9
通讯作者：
Brown,ERichard
中科院分区：
文献类型：
--
作者：
Ponce,NinezA;Cochran,SusanD;Mays,VickieM;Chia,Jenny;Brown,ERichard
低收入工人的健康覆盖是美国健康保险制度中持续存在差异的一个领域。利用2001年加州健康访谈调查，我们估计了低收入工资者的公民身份和性别对获得基于基本就业的健康保险（EBHI）、依赖的EBHI、公共计划覆盖面和任何来源的覆盖面的几率的影响。我们发现，占加州低收入劳动力40%的非公民男性和女性，与归化公民和美国出生的公民相比，他们的保险覆盖率要低得多。然而，非公民男性的低覆盖率，无论永久居留身份，是由于在获得依赖的EBHI和公共保险方面的累积劣势。如果旨在提供医疗保障网络的公共政策不能满足低收入非公民的医疗保险需求，那么在这个对美国经济做出重要贡献的群体中，健康差距将继续扩大。
The health coverage of low-income workers represents an area of continuing disparities in the United States system of health insurance. Using the 2001 California Health Interview Survey, we estimate the effect of low-income wage earners’ citizenship and gender on the odds of obtaining primary employment-based health insurance (EBHI), dependent EBHI, public program coverage, and coverage from any source. We find that noncitizen men and women who comprise 40% of California’s low-income workforce, share the disadvantage of much lower rates of insurance coverage, compared to naturalized and U.S.-born citizens. However, poor coverage rates of noncitizen men, regardless of permanent residency status, result from the cumulative disadvantage in obtaining dependent EBHI and public insurance. If public policies designed to provide a health care safety net fail to address the health care coverage needs of low-wage noncitizens, health disparities will continue to increase in this group that contributes essentially to the U.S. economy.