...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of immigrant and minority health >Health insurance and access to care for families with young children in California, 2001-2005: differences by immigration status.
【24h】

Health insurance and access to care for families with young children in California, 2001-2005: differences by immigration status.

机译：2001-2005年，加利福尼亚州有年幼子女的家庭的健康保险和获得照料的情况：移民身份的差异。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVES: To examine differences and trends in health insurance coverage and access to care for California families by immigration status. METHODS: Cross-sectional data on 37,236 families with young children <18 years of age from the 2001, 2003 and 2005 California Health Interview Survey are used to assess trends in health insurance and access to care for children and their parents by four immigration dyads: (1) both are Citizens; (2) child is a legal resident/citizen, and parent is legal resident (Documented); (3) child is a citizen, and parent is undocumented (Mixed); and (4) both are Undocumented. RESULTS: Before and after adjustment for covariates, only children in Undocumented dyads were less likely than Citizen dyads to have insurance (OR = 0.20, CI: 0.16-0.26) and all three measures of access: physician visits (OR = 0.69, CI: 0.52-0.91), dental visits (OR = 0.47, CI: 0.35-0.63), and a regular source of care (OR = 0.51, CI: 0.37-0.69). Parents in all non-Citizen dyads had poorer access than Citizen dyads across all measures, with the exception of dental visits and a regular source for parents in Documented dyads. Children of all dyads except Citizens were more likely to be insured in 2005 vs. 2001. The largest gain was for undocumented dyad children with 2.77 times higher odds (CI: 1.62-4.75) of being insured in 2005 vs. 2001. All children dyads except Mixed were also more likely to have a physician visit. For parents, there was only a decrease in insurance coverage for Citizen dyads (OR = 0.79, CI: 0.67-0.93) and few changes in access. Conclusions While there were relatively few disparities and some improvements in insurance coverage and access for children in California (except for undocumented children), concomitant changes for parents were not observed. Without attention to the family in health care reforms, disparities may not fully resolve for children and may continue or even increase for parents.
机译：目的：根据移民身份，检查健康保险覆盖率和加利福尼亚家庭获得医疗服务的差异和趋势。方法：采用2001年，2003年和2005年加州健康访问调查中37,236个有18岁以下幼儿的家庭的横断面数据，通过以下四个移民群体评估健康保险的趋势以及儿童及其父母获得医疗服务的趋势： （1）都是公民; （2）子女是合法居民/公民，父母是合法居民（有证件）; （3）子女是公民，父母无证件（混合）;和（4）均未记录。结果：在对协变量进行调整之前和之后，只有无证双胞胎儿童比公民双胞胎更有可能获得保险（OR = 0.20，CI：0.16-0.26）和所有三种访问指标：医师就诊（OR = 0.69，CI： 0.52-0.91），牙科就诊（OR = 0.47，CI：0.35-0.63）和常规护理来源（OR = 0.51，CI：0.37-0.69）。在所有指标中，所有非公民双胞胎的父母比公民双胞胎的访问能力较差，除了牙科访问和有证双胞胎的父母的常规来源外。与公民相比，除公民之外的所有双子代的孩子在2005年比2001年更有可能获得保险。最大的收益是2005年与2001年相比，无证双子星的被保险几率是2.77倍（CI：1.62-4.75）。除了混合，也更有可能去看医生。对于父母来说，公民二元组的保险覆盖率只有下降（OR = 0.79，CI：0.67-0.93），访问权限的变化很小。结论虽然加利福尼亚州的儿童（无证儿童除外）之间的差异相对较小，并且保险范围和可及性有所改善，但未观察到父母的伴随变化。如果在医疗保健改革中不注意家庭，则差距可能无法完全解决儿童的问题，甚至可能会加剧甚至加剧父母的差距。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号