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Erschienen in: Journal of Immigrant and Minority Health 2/2019

09.04.2018 | Original Paper

Health Care Access and Utilization Among U.S. Immigrants Before and After the Affordable Care Act

verfasst von: Arturo Vargas Bustamante, Jie Chen, Ryan M. McKenna, Alexander N. Ortega

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 2/2019

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Abstract

We examine changes in health insurance coverage and access to and utilization of health care before and after the national implementation of the Patient Protection and Affordable Care Act (ACA) among the U.S. adult immigrant population. Data from the 2011–2016 National Health Interview Survey are used to compare adult respondents in 2011–2013 (before the ACA implementation) and 2014–2016 (after the ACA implementation). Multivariable logistic regression analyses are used to compare changes over time. This study shows that the ACA has closed the coverage gap that previously existed between U.S. citizens and non-citizen immigrants. We find that naturalized citizens, non-citizens with more than 5 years of U.S. residency, and non-citizens with 5 years or less of U.S. residency reduced their probability of being uninsured by 5.81, 9.13, and 8.23%, respectively, in the first 3 years of the ACA. Improvements in other measures of access and utilization were also observed.
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Metadaten
Titel
Health Care Access and Utilization Among U.S. Immigrants Before and After the Affordable Care Act
verfasst von
Arturo Vargas Bustamante
Jie Chen
Ryan M. McKenna
Alexander N. Ortega
Publikationsdatum
09.04.2018
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 2/2019
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-018-0741-6

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