Parental immigration status is associated with children's health care utilization: findings from the 2003 new immigrant survey of US legal permanent residents.

TitleParental immigration status is associated with children's health care utilization: findings from the 2003 new immigrant survey of US legal permanent residents.
Publication TypeJournal Article
Year of Publication2013
AuthorsYun K, Fuentes-Afflick E, Curry LA, Krumholz HM, Desai MM
JournalMatern Child Health J
Volume17
Issue10
Pagination1913-21
Date Published2013 Dec
ISSN1573-6628
KeywordsAdolescent, Adult, Child, Child Health Services, Child Welfare, Emigration and Immigration, Female, Health Surveys, Healthcare Disparities, Humans, Male, Parents, Questionnaires, United States
Abstract

Our objective was to examine the association between parental immigration status and child health and health care utilization. Using data from a national sample of immigrant adults who had recently become legal permanent residents (LPR), children (n = 2,170) were categorized according to their parents' immigration status prior to LPR: legalized, mixed-status, refugee, temporary resident, or undocumented. Logistic regression with generalized estimating equations was used to compare child health and health care utilization by parental immigration status over the prior 12 months. Nearly all children in the sample were reported to be in good to excellent health. Children whose parents had been undocumented were least likely to have had an illness that was reported to have required medical attention (5.4 %). Children whose parents had been either undocumented or temporary residents were most likely to have a delayed preventive annual exam (18.2 and 18.7 %, respectively). Delayed dental care was most common among children whose parents had come to the US as refugees (29.1 %). Differences in the preventive annual exam remained significant after adjusting for socioeconomic characteristics. Parental immigration status before LPR was not associated with large differences in reported child health status. Parental immigration status before LPR was associated with the use of preventive annual exams and dental services. However, no group of children was consistently disadvantaged with respect to all measures.

DOI10.1007/s10995-012-1217-2
Alternate JournalMatern Child Health J
PubMed ID23329165
PubMed Central IDPMC4089976
Grant List1U01HL105270-03 / HL / NHLBI NIH HHS / United States
HD33843 / HD / NICHD NIH HHS / United States
U01 HL105270 / HL / NHLBI NIH HHS / United States