Blewett Lynn A, Johnson Pamela Jo, Mach Annie L
University of Minnesota, School of Public Health, Division of Health Policy and Management, USA.
J Health Care Poor Underserved. 2010 May;21(2 Suppl):13-31. doi: 10.1353/hpu.0.0315.
We use data from the National Health Interview Survey (2000-2006) to examine the social determinants of health insurance coverage and access to care for immigrant children by 10 global regions of birth. We find dramatic differences in the social and economic characteristics of immigrant children by region of birth. Children from Mexico and Latin America fare worse than immigrant children born in the U.S. with significantly lower incomes and little or no education. These social determinants, along with U.S. public health policies regarding new immigrants, create significant barriers to access to health insurance coverage, and increase delayed or foregone care. Uninsured immigrant children had 6.5 times higher odds of delayed care compared with insured immigrant children.
我们使用来自国家健康访谈调查(2000 - 2006年)的数据,按出生的10个全球区域来研究移民儿童医疗保险覆盖情况和获得医疗服务的社会决定因素。我们发现,按出生区域划分,移民儿童的社会和经济特征存在巨大差异。来自墨西哥和拉丁美洲的儿童比在美国出生的移民儿童境遇更差,他们的收入显著更低,几乎没有接受过教育或完全没有受过教育。这些社会决定因素,连同美国针对新移民的公共卫生政策,构成了获得医疗保险覆盖的重大障碍,并增加了延迟就医或放弃就医的情况。与有保险的移民儿童相比,未参保的移民儿童延迟就医的几率高出6.5倍。