142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Parental Documentation Status and Coverage Disparities among the Children of Latino Immigrants

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Jessie Kemmick Pintor, MPH , Division of Health Policy & Management, University of Minnesota, Minneapolis, MN
Objective: To measure the effect of parental documentation status and children’s own status on health insurance among the 10 million children of Latino immigrants. These children experience the highest uninsurance rate among their peers, and 60% belong to mixed-status families where parents and children have different documentation statuses. Immigrant adults face significant barriers related to documentation status, and policies that restrict access for immigrant adults may ultimately exclude their children, most of whom are U.S.-born citizens.

Methods: I examine measures of documentation status, insurance, and child-/family-level controls among a nationally-representative cross-section of 4244 children with Latino immigrant parents in the Survey of Income & Program Participation. My pooled sample includes data collected in September 2007 (1263 children) and December 2008 (2981 children). I estimate uninsurance by parental status (naturalized citizen, permanent resident, or undocumented) and children’s status (citizen vs. non-citizen). I then estimate the marginal effect of children’s documentation status, and compare this over categories of parental documentation status to examine how parental status alters the effect of children’s status. 

Findings: Among children of Latino immigrants, non-citizen children have nearly twice the uninsurance rate of citizen children (53.0% vs. 27.2%). Yet, adjusted models reveal that even though citizen children overall have better insurance rates than non-citizen children, having at least one undocumented parent significantly diminishes these advantages.

Conclusions: In developing and evaluating healthcare (e.g., the ACA) and immigration policies, policymakers must consider both the impact of restrictive policies for immigrant adults themselves, and the indirect, detrimental effects on their children.

Learning Areas:

Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Public health or related research

Learning Objectives:
Describe health insurance coverage disparities related to parental documentation status among the children of Latino immigrants.

Keyword(s): Immigrant Health, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator on an AHRQ R36 Dissertation Grant ("Parental documentation status, state policy, and coverage among Latino children"), from which this abstract originates. During my several years of experience as a research assistant I have gained in-depth knowledge of federal survey data and its use for estimating coverage trends, and prior to graduate school spent several years working in the Latino immigrant community.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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