Understanding health services utilization and health mechanism among U.S. immigrant children and adolescents
了解美国移民儿童青少年卫生服务利用及健康机制
基本信息
- 批准号:10388593
- 负责人:
- 金额:$ 4.68万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-02-03 至 2023-10-02
- 项目状态:已结题
- 来源:
- 关键词:AddressAdolescentAdultAreaAssimilationsBehavioral ModelCaringCategoriesChildChild HealthChild Health ServicesCommunitiesCountryDataDistrict of ColumbiaEligibility DeterminationEnabling FactorsExcisionFaceFamilyFellowshipFosteringFoundationsFundingGoalsHealthHealth InsuranceHealth PolicyHealth ServicesHealth Services AccessibilityHealth StatusHealthcareImmigrantImmigrant familyImmigrationInsurance CoverageKnowledgeLegalLinkLiteratureLow incomeMediatingMedicaidMental HealthModelingMotivationParentsPatternPoliciesPopulationPredisposing FactorPregnant WomenPreventive serviceReportingResearchResearch PersonnelResearch Project GrantsResourcesRisk FactorsRoleServicesSocial BehaviorSocietiesSociologySourceSurveysTrainingUnited StatesWorkYangadolescent healthdesignhealth care servicehealth care service utilizationhealth disparityhealth service usehigh risklow socioeconomic statusphysical conditioningprogramsresidenceservice utilizationsocial epidemiologysocial structuretheorieswelfare
项目摘要
Project Summary/Abstract Immigrant families’ children make up about one in five children in the United
States. Immigrants historically and persistently face barriers obtaining healthcare, which in turn have lasting
physical and mental health consequences. A theoretical framework of health service utilization among
immigrants have been conceptualized as an extension of the Behavioral Model of Health Services Use. The
theory of immigrant health service utilization includes immigrant-specific factors such as immigration status.
Yet, potential indirect effects posited in the immigrant health service utilization model between immigration
status and children’s health service utilization through the need of services and through insurance status, an
enabling factor, remain unexamined. A critical macrostructural factor that influences health of immigrants
include policies on access to federally funded benefits such as Medicaid and Children’s Health Insurance
Program. The welfare reform in 1996 imposed a five-year waiting period for legal permanent residents before
receiving public benefits. In 2009, states were given the option to expand eligibility by removing the waiting
period. The overall goal of this proposed research project is to address gaps in our knowledge of health
service utilization and health of immigrant children by better understanding the mechanisms of immigration
status on health service utilization and the effects of state-level policy restrictions. In Aim 1, we will estimate
the indirect effects of children’s immigration status on their health service utilization through two hypotheses of
a conceptual model of immigrants’ health services utilization using path analysis – first through children’s need
of health care services, assessed using parent-reported health conditions, and second through children’s
insurance status, an enabling resource. We will also estimate the total effect of the relationship between
immigration status and health services utilization. In Aim 2, we will evaluate the impact of the state-level
removal of restriction to federally funded programs on children’s health across 50 states and the District of
Columbia, using difference-in-difference (DD) design. The DD design provides plausible causal inference of
the impact of the removal of the 5-year waiting period on immigrant children and adolescent health. This
research will use data from two sources: National Survey of Children’s Health (Aim 1: 2016 – 2018; Aim 2:
2007 and 2011/12); and the Henry J. Kaiser Family Foundation data on the year of state’s removal of 5-year
waiting period (both Aims). Understanding mechanisms of immigration status on health service utilization and
macrostructural restrictions may highlight specific needs for healthcare services and policy impacts on health
to better tailor health services to all public needs, including those of immigrant and mixed-status families. This
fellowship will afford me opportunities and training to enrich my understanding of sociological theories,
strengthen my research foundation in social epidemiology, and engage with health disparities scholars to foster
my long-term goal of becoming an independent researcher.
移民家庭的孩子约占美国儿童总数的五分之一
项目成果
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{{ truncateString('Ye Ji Kim', 18)}}的其他基金
Understanding health services utilization and health mechanism among U.S. immigrant children and adolescents
了解美国移民儿童青少年卫生服务利用及健康机制
- 批准号:
10830233 - 财政年份:2022
- 资助金额:
$ 4.68万 - 项目类别:
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