Department of Dentistry, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA.
Harvard School of Dental Medicine, Harvard University, Boston, MA, USA.
J Immigr Minor Health. 2022 Aug;24(4):819-826. doi: 10.1007/s10903-022-01349-1. Epub 2022 Mar 22.
Depressed enrollment in public benefits among immigrants and their families may occur due to concerns about deportation and obstacles to permanent residency status related to immigration policies.
Using data from the American Community Survey (ACS) from 2014 to 2019, we conducted an interrupted time series analysis to estimate Medicaid enrollment, private insurance enrollment, and uninsured rates among low-income non-citizen adults and their children, compared to U.S. citizens before and after the Trump administration entered office in January 2017.
Compared to U.S. citizen adults, Medicaid enrollment among non-citizen adults decreased and the uninsured rate increased (1.5 percentage points per year, p < 0.05) from 2017 to 2019. Decreases in coverage starting in 2017 were larger among both children with at least one non-citizen parent and non-citizen children.
These findings suggest that the Trump administration immigration policy climate is associated with decreased health insurance enrollment among this population.
移民及其家庭对公共福利的参与度较低，这可能是由于对被驱逐出境的担忧以及与移民政策相关的永久居民身份障碍所致。
我们使用了 2014 年至 2019 年美国社区调查（ACS）的数据，在特朗普政府于 2017 年 1 月上任前后，针对低收入非公民成年人及其子女，与美国公民相比，我们进行了中断时间序列分析，以评估医疗补助计划（Medicaid）参保率、私人保险参保率和无保险率。
与美国公民成年人相比，2017 年至 2019 年期间，非公民成年人的 Medicaid 参保率下降，无保险率上升（每年 1.5 个百分点，p<0.05）。从 2017 年开始，覆盖范围的减少在至少有一位非公民父母的儿童和非公民儿童中更大。
这些发现表明，特朗普政府的移民政策环境与该人群的医疗保险参保率下降有关。
