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Unfriendly shores: how immigrant children fare in the U.S. health system

S Guendelman1, H H Schauffler, M Pearl

  • 1Division of Health Policy and Management and Maternal and Child Health Program, School of Public Health, University of California, Berkeley, USA.

Health Affairs (Project Hope)
|February 24, 2001
PubMed

Insights

Poor immigrant children in the U.S. face significant barriers to healthcare access. Uninsured foreign-born children are less likely to have a regular doctor, highlighting the need for policy reform.

Area of Science:

  • Pediatrics
  • Public Health
  • Health Services Research

Background:

  • The increasing population of impoverished immigrant children in the U.S. is associated with high rates of uninsurance.
  • Access to consistent healthcare services for this demographic remains a critical public health concern.

Purpose of the Study:

  • To investigate the combined impact of health insurance status and place of birth on healthcare utilization among children from low-income immigrant families.
  • To identify disparities in regular care source access and healthcare seeking behaviors.

Main Methods:

  • Analysis of health insurance coverage and regular care source availability.
  • Comparison of healthcare access between foreign-born and native-born children within the working poor demographic.
  • Examination of factors influencing healthcare service utilization.

Main Results:

  • Foreign-born children were significantly more likely to be uninsured (52%) compared to native-born children (20%).
  • While 66% of foreign-born children had a regular care source, this figure rose to 92% for native-born children.
  • Uninsured foreign-born children demonstrated lower rates of having a regular care source and seeking medical attention.

Conclusions:

  • Health insurance and immigration policies are intertwined and require coordinated efforts to improve healthcare access for foreign-born children.
  • Addressing the unique challenges faced by uninsured, foreign-born children is crucial for achieving health equity.

Keywords:
Empirical ApproachHealth Care and Public Health

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