Choi Sunha
GWB School of Social Work, Washington University in St Louis, Missouri 63130, USA.
J Immigr Minor Health. 2006 Apr;8(2):149-61. doi: 10.1007/s10903-006-8523-3.
Following the 1996 welfare reform, newly arrived older immigrants with less than 5 years of residence (NOIs) have been barred from Medicaid benefits. Neither are they eligible for Medicare due to lack of work history. This study examines the relationship between immigrant status (NOIs or not), health insurance, and health service use among older immigrants; whether insurance mediates the relationship between immigrant status and health service use. The 2000 National Health Interview Survey was analyzed. The sample includes respondents aged 65 or older who are foreign-born (N=1, 178). The adapted Andersen model was used. A series of logistic regressions show insurance is a complete mediator between immigrant status and health service use among older immigrants. Immigrant status was significantly related to the mediator, health insurance; older immigrants with longer than 5 years of residence were 31 times more likely than NOIs to have health insurance in terms of odds. Also, different from health service use among U.S.-born older adults, older immigrants' service use is significantly related to their insurance status. There was no direct relationship between immigrant status and health service use.
1996年福利改革后，居住年限不足5年的新抵达老年移民被禁止享受医疗补助福利。由于缺乏工作经历，他们也没有资格享受医疗保险。本研究探讨老年移民的移民身份（是否为居住年限不足5年的新抵达移民）、医疗保险和医疗服务使用之间的关系；保险是否在移民身份和医疗服务使用之间起中介作用。对2000年全国健康访谈调查进行了分析。样本包括65岁及以上的外国出生受访者（N = 1178）。使用了经过调整的安德森模型。一系列逻辑回归表明，保险在老年移民的移民身份和医疗服务使用之间起完全中介作用。移民身份与中介因素医疗保险显著相关；居住年限超过5年的老年移民拥有医疗保险的几率比居住年限不足5年的新抵达移民高31倍。此外，与美国出生的老年人的医疗服务使用情况不同，老年移民的服务使用情况与他们的保险状况显著相关。移民身份与医疗服务使用之间没有直接关系。
