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AJPH First Look, published online ahead of print Sep 17, 2008
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November 2008, Vol 98, No. 11 | American Journal of Public Health 1996-2003
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.117911

RESEARCH AND PRACTICE

State-Level Health Care Access and Use Among Children in US Immigrant Families

Stella M. Yu, ScD, MPH, Zhihuan J. Huang, PhD, MPH and Michael D. Kogan, PhD

Stella M. Yu and Michael D. Kogan are with the Maternal and Child Health Bureau, HRSA, Rockville, Md. Zhihuan J. Huang is with Georgetown University, Washington, DC.

Correspondence: Reprint requests should be sent to Stella Yu, ScD, MPH, Maternal and Child Health Bureau, 5600 Fishers Lane, 18A-55, Rockville, MD 20857 (e-mail: syu{at}hrsa.gov).

Objectives. We examined the association between children's state of residence and their access to health care among specific types of immigrant families: foreign-born children, US-born children with 1 foreign-born parent, US-born children with both foreign-born parents, and nonimmigrant families.

Methods. We analyzed data from 12 400 children from the 2003 National Survey of Children's Health in the 6 states with the highest proportion of immigrants (California, Florida, Illinois, New York, New Jersey, and Texas).

Results. Multivariable analyses indicated that among foreign-born children, those living in California, Illinois, and Texas were more likely to lack access to health care compared with those living in New York. Among foreign-born children with 1 or 2 US-born parents, Texas children were most likely to lack health insurance. Within nonimmigrant families, children from California, Florida, and Texas had significantly more access and use problems.

Conclusions. Our findings document differential health care access and use among states for specific immigrant family types.






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