Oropesa R S, Landale Nancy S, Hillemeier Marianne M
Department of Sociology, The Pennsylvania State University, University Park, PA 16802, phone: (814) 865-1577, fax: (814) 863-7216.
Department of Sociology, The Pennsylvania State University, University Park, PA 16802.
Popul Res Policy Rev. 2016 Oct;35(5):651-684. doi: 10.1007/s11113-016-9400-6. Epub 2016 Jun 22.
Using restricted data from the 2001-2014 California Health Interview Surveys, this research illuminates the role of legal status in health care among Mexican-origin children. The first objective is to provide a population-level overview of trends in health care access and utilization, along with the legal statuses of parents and children. The second objective is to examine the nature of associations between children's health care and legal status over time. We identify specific status-based distinctions that matter and investigate how their importance is changing. Despite the continuing significance of child nativity for health care, the descriptive analysis shows that the proportion of Mexican-origin children who are foreign born is declining. This trend suggests a potentially greater role of parental legal status in children's health care. Logistic regression analyses demonstrate that the importance of parental legal status varies with the health care indicator examined and the inclusion of child nativity in models. Moreover, variation in some aspects of children's health care coalesced more around parents' citizenship than documentation status in the past. With one exception, the salience of such distinctions has dissipated over time.
利用2001 - 2014年加利福尼亚健康访谈调查的受限数据，本研究阐明了法律身份在墨西哥裔儿童医疗保健中的作用。第一个目标是提供医疗保健获取和利用趋势以及父母和儿童法律身份的人口层面概述。第二个目标是随着时间推移研究儿童医疗保健与法律身份之间关联的性质。我们确定重要的基于身份的特定差异，并调查其重要性如何变化。尽管儿童出生地对医疗保健仍具有重要意义，但描述性分析表明，外国出生的墨西哥裔儿童比例正在下降。这一趋势表明父母的法律身份在儿童医疗保健中可能发挥更大作用。逻辑回归分析表明，父母法律身份的重要性因所考察的医疗保健指标以及模型中是否纳入儿童出生地而异。此外，过去儿童医疗保健某些方面的差异更多地围绕父母的公民身份而非文件身份聚合。除了一个例外，随着时间推移，此类差异的显著性已经消失。
