Thamer M, Richard C, Casebeer A W, Ray N F
Medical Technology and Practice Patterns Institute, Washington, DC 20007, USA.
Am J Public Health. 1997 Jan;87(1):96-102. doi: 10.2105/ajph.87.1.96.
This study examined the health insurance status of the US foreign-born population and the influence of race, ethnicity, and length of residence on health insurance status.
Data were obtained from the 1989 and 1990 National Health Interview Surveys, including the Insurance and Family Resource Supplements.
In 1989 and 1990, the foreign-born population was twice as likely as the US-born population to be uninsured (26.2% vs 13.0%). The highest rate of uninsured status, 40.8%, was found among foreign-born Hispanics. Persons who had lived in the United States for less than 15 years were 1.5 to 4.7 times more likely to be uninsured than were US-born Whites.
Foreign-born US residents-especially Hispanics and persons residing in the United States for less than 15 years-are vulnerable to not having health insurance, which may limit their access to medical services. The administrative criteria for public programs may explain the high rates of uninsured status among recent immigrants. Recently enacted federal legislation could substantially increase the number of uninsured among the US foreign-born population, with profound public health implications.
本研究调查了美国外国出生人口的健康保险状况，以及种族、族裔和居住时长对健康保险状况的影响。
数据来自1989年和1990年的全国健康访谈调查，包括保险和家庭资源补充调查。
在1989年和1990年，外国出生人口未参保的可能性是美国本土出生人口的两倍（26.2%对13.0%）。未参保率最高的是外国出生的西班牙裔，为40.8%。在美国居住不到15年的人未参保的可能性是美国本土出生的白人的1.5至4.7倍。
美国的外国出生居民，尤其是西班牙裔和在美国居住不到15年的人，很容易没有健康保险，这可能会限制他们获得医疗服务的机会。公共项目的管理标准可能解释了新移民中未参保率高的原因。最近颁布的联邦立法可能会大幅增加美国外国出生人口中未参保的人数，对公共卫生产生深远影响。
