The enigma of higher income immigrants with lower rates of health insurance coverage in the United States.
The enigma of higher income immigrants with lower rates of health insurance coverage in the United States.
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DOI：
10.1007/s10903-006-6337-6
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发表时间：
2006-01-01
影响因子：
1.9
通讯作者：
Bass, Elizabeth
中科院分区：
文献类型：
--
作者：
Bass, Elizabeth
本研究使用1996年3月至2000年3月的当前人口调查补充数据，比较了中产阶级非老年移民与本土出生的美国成年人的健康保险覆盖率。概率回归显示，在控制经济、人口和移民相关特征的情况下，收入超过5万美元的移民没有保险的可能性是其他移民的三倍。与工作有关的特征、收入、婚姻状况和出生地对所有成年人的健康保险状况有很大影响，但与工作有关的因素对移民的保险率影响最大。在其他条件不变的情况下，为什么移民的保险覆盖率较低还不清楚。由于法律的地位或工作部门，许多低收入和新移民在获得服务方面面临障碍。但是，长期居住在较高收入水平的居民中的医疗保险覆盖率较低，不能用这些障碍来解释，这一发现与政策制定者高度相关。鼓励没有保险的移民自愿选择加入健康计划仍然是一个挑战。
This research compares rates of health insurance coverage among middle-class non-elderly immigrants to native-born American adults using data from the March 1996-2000 Supplements to the Current Population Survey. Probit regressions reveal that immigrants were three times as likely to be uninsured at income levels exceeding $50,000, controlling for economic, demographic and immigrant-related characteristics. Work-related characteristics, income, martial status and nativity considerably influenced health insurance status for all adults, but work-related factors had the strongest effect on immigrants' rates of coverage. Why, ceteris paribus, immigrants have lower coverage rates is unclear. Many low-income and recent immigrants face barriers to access due to legal status or job sector. But lower rates of health insurance coverage which persist among long-time residents at higher income levels cannot be explained by such barriers, a finding highly relevant for policy makers. Encouraging uninsured immigrants to opt into health plans voluntarily will remain a challenge.