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Gilberto Granados, MD, MPH, Jyoti Puvvula, MD, MPH, Nancy Berman, PhD and Patrick T. Dowling, MD, MPH

Gilberto Granados and Jyoti Puvvula are with the Department of Family Medicine, and Nancy Berman is with the Department of Pediatrics, Harbor–UCLA Medical Center, Los Angeles, Calif. At the time of the study, Patrick T. Dowling was with the Department of Family Medicine, Harbor–UCLA Medical Center, Los Angeles, Calif.

Correspondence: Requests for reprints should be sent to Gilberto Granados, Department of Family Medicine, Harbor–UCLA Medical Center, 1403 W. Lomita Blvd, Harbor City, CA 90710 (e-mail: ggranado{at}ucla.edu).

Objectives. This study sought to assess the impact of child and parental birthplace on insurance status and access to health care among Latino children in the United States.

Methods. A cross-sectional, in-person survey of 376 random households with children aged 1 to 12 years was conducted in a predominantly Latino community. Children's insurance status and access to routine health care were compared among 3 child–parent groups: US born–US born (UU), US born–immigrant (UI), and immigrant–immigrant (II).

Results. Uninsured rates for the 3 groups of children were 10% (UU), 23% (UI), and 64% (II). Rates for lack of access to routine health care were 5% (UU), 12% (UI), and 32% (II).

Conclusion. Latino children of immigrant parents are more likely to lack insurance and access to routine health care than are Latino children of US-born parents.

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