Immigration legal status and use of public programs and prenatal care.
Immigration legal status and use of public programs and prenatal care.
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DOI：
10.1023/a:1021832422075
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发表时间：
1999-04-01
期刊：
影响因子：
--
通讯作者：
Meyers, A F
中科院分区：
文献类型：
--
作者：
Geltman, P L;Meyers, A F
本研究评估了移民的合法身份对非公民妇女利用产前护理和公共项目的影响。在一家城市医院分娩后不到48小时，对171名妇女进行了访谈和图表审查。在非公民中，67%有合法证件。与美国公民相比，作为一个群体，非公民的健康保险较少，社会经济状况较差，项目使用较少，但法律地位在产前护理充分性方面没有发现差异。非公民也不太了解新生儿的公民身份和享受公共项目和福利的资格。非公民使用的项目较少，但报告的经济困难程度高于公民；然而，非公民有选择地使用对怀孕很重要的项目。鉴于联邦项目资格的变化，以及非公民报告的食品不安全和社会经济困难的高发率，有必要监测对产前护理和分娩结果利用的不利影响。
This study assessed impacts of immigrants' legal status on utilization of prenatal care and public programs by non-citizen women. Interviews and chart reviews of 171 women were conducted less than 48 hours after delivery at an urban hospital. Among non-citizens, 67% were legally documented. No differences in prenatal care adequacy by legal status were detected among non-citizens, who as a group had less health insurance, worse socioeconomics, and less program use compared to U.S. citizens. Non-citizens also were less aware of newborn's citizenship and eligibility for public programs and benefits. Non-citizens utilized fewer programs while reporting greater economic hardship than citizens; however, non-citizens selectively used programs important for pregnancy. Given changes in eligibility for federal programs and high rates of reported food insecurity and socioeconomic hardship among non-citizens, monitoring for adverse effects on utilization of prenatal care and birth outcomes is needed.