State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status Families
Children in immigrant families are twice as likely to be uninsured as their counterparts, and states may influence these inequities by facilitating or restricting immigrant families’ access to coverage. Our objective was to measure differences in insurance by mother’s documentation status among a na...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-09-01
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| Series: | Global Pediatric Health |
| Online Access: | https://doi.org/10.1177/2333794X19873535 |
| _version_ | 1818277607038255104 |
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| author | Jessie Kemmick Pintor PhD MPH Kathleen Thiede Call PhD |
| author_facet | Jessie Kemmick Pintor PhD MPH Kathleen Thiede Call PhD |
| author_sort | Jessie Kemmick Pintor PhD MPH |
| collection | DOAJ |
| description | Children in immigrant families are twice as likely to be uninsured as their counterparts, and states may influence these inequities by facilitating or restricting immigrant families’ access to coverage. Our objective was to measure differences in insurance by mother’s documentation status among a nationally representative sample of US-born children in immigrant families and to examine the role of state-level immigrant health care policy—namely, state-level immigrant access to prenatal coverage. Compared with US-born children in immigrant families with citizen mothers, children with undocumented immigrant mothers had a 17.0 percentage point ( P < .001) higher uninsurance rate (8.8 percentage points higher in adjusted models, P < .05). However, in states with nonrestrictive prenatal coverage for immigrants, there were no differences in children’s insurance by mother’s documentation status, while large inequities were observed within states with restrictive policies. Our findings demonstrate the potential for state-level immigrant health care policy to mitigate or exacerbate inequities in children’s insurance. |
| first_indexed | 2024-12-12T23:04:13Z |
| format | Article |
| id | doaj.art-aa5a7d992a0d46c8b6d5ad8a892d551c |
| institution | Directory Open Access Journal |
| issn | 2333-794X |
| language | English |
| last_indexed | 2024-12-12T23:04:13Z |
| publishDate | 2019-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Global Pediatric Health |
| spelling | doaj.art-aa5a7d992a0d46c8b6d5ad8a892d551c2022-12-22T00:08:44ZengSAGE PublishingGlobal Pediatric Health2333-794X2019-09-01610.1177/2333794X19873535State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status FamiliesJessie Kemmick Pintor PhD MPH0Kathleen Thiede Call PhD1Drexel University, Philadelphia, PA, USAUniversity of Minnesota, Minneapolis, MN, USAChildren in immigrant families are twice as likely to be uninsured as their counterparts, and states may influence these inequities by facilitating or restricting immigrant families’ access to coverage. Our objective was to measure differences in insurance by mother’s documentation status among a nationally representative sample of US-born children in immigrant families and to examine the role of state-level immigrant health care policy—namely, state-level immigrant access to prenatal coverage. Compared with US-born children in immigrant families with citizen mothers, children with undocumented immigrant mothers had a 17.0 percentage point ( P < .001) higher uninsurance rate (8.8 percentage points higher in adjusted models, P < .05). However, in states with nonrestrictive prenatal coverage for immigrants, there were no differences in children’s insurance by mother’s documentation status, while large inequities were observed within states with restrictive policies. Our findings demonstrate the potential for state-level immigrant health care policy to mitigate or exacerbate inequities in children’s insurance.https://doi.org/10.1177/2333794X19873535 |
| spellingShingle | Jessie Kemmick Pintor PhD MPH Kathleen Thiede Call PhD State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status Families Global Pediatric Health |
| title | State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status Families |
| title_full | State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status Families |
| title_fullStr | State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status Families |
| title_full_unstemmed | State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status Families |
| title_short | State-Level Immigrant Prenatal Health Care Policy and Inequities in Health Insurance Among Children in Mixed-Status Families |
| title_sort | state level immigrant prenatal health care policy and inequities in health insurance among children in mixed status families |
| url | https://doi.org/10.1177/2333794X19873535 |
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