Access to Health Care Across Generational Status for Mexican-Origin Immigrants in California

The Patient Protection and Affordable Care Act (ACA) of 2010 expands health insurance coverage to a substantial number of persons without health insurance. In California, Latinos, especially Mexican immigrants, have one of the highest rates of uninsurance, making the ACA particularly important for t...

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Main Authors: Eva M. Durazo, Steven P. Wallace
Format: Article
Language:English
Published: Institut Veolia Environnement 2014-03-01
Series:Field Actions Science Reports
Subjects:
Online Access:http://journals.openedition.org/factsreports/3206
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author Eva M. Durazo
Steven P. Wallace
author_facet Eva M. Durazo
Steven P. Wallace
author_sort Eva M. Durazo
collection DOAJ
description The Patient Protection and Affordable Care Act (ACA) of 2010 expands health insurance coverage to a substantial number of persons without health insurance. In California, Latinos, especially Mexican immigrants, have one of the highest rates of uninsurance, making the ACA particularly important for that group. Using the 2007 California Health Interview Survey, this study examines how the generation in the U.S. of individuals of Mexican-origin is associated with their access to health insurance, doctor visits, and emergency room visits in California compared to that of U.S.-born non-Latino Whites. Results indicate that third generation Mexican Americans have similar levels of being insured, having a doctor visit, and having an ER visit compared to Whites, controlling for demographic, socioeconomic, and health status. First generation (immigrant) Mexicans have the least access to health care services with lower odds than Whites of accessing care across all measures. Second generation Mexican Americans also have lower odds than Whites, however, the differences are not as pronounced as for the first generation. This study finds that there are important differences in access to health care among Mexican Americans by generational status, with the greatest disparities for the generations closest to the immigrant experience. Implementation of the ACA will benefit Mexican Americans across generational statuses, but gaps will likely remain for first and second generation Mexican Americans.
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spelling doaj.art-453d3daadc7d4ee9aa64c0e573b9b1452022-12-21T17:17:49ZengInstitut Veolia EnvironnementField Actions Science Reports1867-139X1867-85212014-03-01Access to Health Care Across Generational Status for Mexican-Origin Immigrants in CaliforniaEva M. DurazoSteven P. WallaceThe Patient Protection and Affordable Care Act (ACA) of 2010 expands health insurance coverage to a substantial number of persons without health insurance. In California, Latinos, especially Mexican immigrants, have one of the highest rates of uninsurance, making the ACA particularly important for that group. Using the 2007 California Health Interview Survey, this study examines how the generation in the U.S. of individuals of Mexican-origin is associated with their access to health insurance, doctor visits, and emergency room visits in California compared to that of U.S.-born non-Latino Whites. Results indicate that third generation Mexican Americans have similar levels of being insured, having a doctor visit, and having an ER visit compared to Whites, controlling for demographic, socioeconomic, and health status. First generation (immigrant) Mexicans have the least access to health care services with lower odds than Whites of accessing care across all measures. Second generation Mexican Americans also have lower odds than Whites, however, the differences are not as pronounced as for the first generation. This study finds that there are important differences in access to health care among Mexican Americans by generational status, with the greatest disparities for the generations closest to the immigrant experience. Implementation of the ACA will benefit Mexican Americans across generational statuses, but gaps will likely remain for first and second generation Mexican Americans.http://journals.openedition.org/factsreports/3206ACACalifornia health care accessGenerational statusLatino health access
spellingShingle Eva M. Durazo
Steven P. Wallace
Access to Health Care Across Generational Status for Mexican-Origin Immigrants in California
Field Actions Science Reports
ACA
California health care access
Generational status
Latino health access
title Access to Health Care Across Generational Status for Mexican-Origin Immigrants in California
title_full Access to Health Care Across Generational Status for Mexican-Origin Immigrants in California
title_fullStr Access to Health Care Across Generational Status for Mexican-Origin Immigrants in California
title_full_unstemmed Access to Health Care Across Generational Status for Mexican-Origin Immigrants in California
title_short Access to Health Care Across Generational Status for Mexican-Origin Immigrants in California
title_sort access to health care across generational status for mexican origin immigrants in california
topic ACA
California health care access
Generational status
Latino health access
url http://journals.openedition.org/factsreports/3206
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