Identifying health insurance predictors and the main reported reasons for being uninsured among US immigrants by legal authorization status
Identifying health insurance predictors and the main reported reasons for being uninsured among US immigrants by legal authorization status
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DOI：
10.1002/hpm.2214
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发表时间：
2014-01-01
影响因子：
2.7
通讯作者：
Ortega, Alexander N.
中科院分区：
文献类型：
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作者：
Bustamante, Arturo Vargas;Chen, Jie;Ortega, Alexander N.
本研究确定了健康保险预测因素的差异，并调查了短期（10年）美国移民成年人之间缺乏健康保险的主要原因，以分析《平价医疗法案》在移民中的可能后果。来自2009年加州健康访谈调查的外国出生的成年人（18-64岁）是研究人群。健康保险覆盖预测因素和没有保险的主要原因是跨队列和文件状态进行比较。使用逻辑回归两部分多变量模型调整混杂因素。分析确定，法律的地位是一个强有力的健康保险预测，特别是在长期居留的无证移民。据报告，移民身份是缺乏健康保险的主要原因。虽然长期居留的有证移民可能受益于《平价医疗法》的实施，但无证移民和短期居留的有证移民可能难以获得医疗保险。版权所有（c）2013约翰威利父子有限公司
This study identifies differences in health insurance predictors and investigates the main reported reasons for lacking health insurance coverage between short-stayed (10 years) US immigrant adults to parse the possible consequences of the Affordable Care Act among immigrants by length of stay and documentation status. Foreign-born adults (18-64 years of age) from the 2009 California Health Interview Survey are the study population. Health insurance coverage predictors and the main reasons for being uninsured are compared across cohorts and by documentation status. A logistic-regression two-part multivariate model is used to adjust for confounding factors. The analyses determine that legal status is a strong health insurance predictor, particularly among long-stayed undocumented immigrants. Immigration status is the main reported reason for lacking health insurance. Although long-stayed documented immigrants are likely to benefit from the Affordable Care Act implementation, undocumented immigrants and short-stayed documented immigrants may encounter difficulties getting health insurance coverage. Copyright (c) 2013 John Wiley & Sons, Ltd.