Access to and use of health services among undocumented Mexican immigrants in a US urban area

Arijit Nandi, Sandro Galea, Gerald Lopez, Vijay Nandi, Stacey Strongarone, Danielle C. Ompad

Research output: Contribution to journalArticle

Abstract

Objectives. We assessed access to and use of health services among Mexican-born undocumented immigrants living in New York City in 2004. Methods. We used venue-based sampling to recruit participants from locations where undocumented immigrants were likely to congregate. Participants were 18 years or older, born in Mexico, and current residents of New York City. The main outcome measures were health insurance coverage, access to a regular health care provider, and emergency department care. Results. In multivariable models, living in a residence with fewer other adults, linguistic acculturation, higher levels of formal income, higher levels of social support, and poor health were associated with health insurance coverage. Female gender, fewer children, arrival before 1997, higher levels of formal income, health insurance coverage, greater social support, and not reporting discrimination were associated with access to a regular health care provider. Higher levels of education, higher levels of formal income, and poor health were associated with emergency department care. Conclusions. Absent large-scale political solutions to the challenges of undocumented immigrants, policies that address factors shown to limit access to care may improve health among this growing population.

Original languageEnglish (US)
Pages (from-to)2011-2020
Number of pages10
JournalAmerican Journal of Public Health
Volume98
Issue number11
DOIs
StatePublished - Nov 1 2008

Fingerprint

Insurance Coverage
Health Insurance
Health Services
Emergency Medical Services
Social Support
Health Personnel
Hospital Emergency Service
Health
Acculturation
Linguistics
Mexico
Outcome Assessment (Health Care)
Education
Population
Undocumented Immigrants

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Access to and use of health services among undocumented Mexican immigrants in a US urban area. / Nandi, Arijit; Galea, Sandro; Lopez, Gerald; Nandi, Vijay; Strongarone, Stacey; Ompad, Danielle C.

In: American Journal of Public Health, Vol. 98, No. 11, 01.11.2008, p. 2011-2020.

Research output: Contribution to journalArticle

Nandi, Arijit ; Galea, Sandro ; Lopez, Gerald ; Nandi, Vijay ; Strongarone, Stacey ; Ompad, Danielle C. / Access to and use of health services among undocumented Mexican immigrants in a US urban area. In: American Journal of Public Health. 2008 ; Vol. 98, No. 11. pp. 2011-2020.
@article{1e00cda56c7045a09734414516268b1c,
title = "Access to and use of health services among undocumented Mexican immigrants in a US urban area",
abstract = "Objectives. We assessed access to and use of health services among Mexican-born undocumented immigrants living in New York City in 2004. Methods. We used venue-based sampling to recruit participants from locations where undocumented immigrants were likely to congregate. Participants were 18 years or older, born in Mexico, and current residents of New York City. The main outcome measures were health insurance coverage, access to a regular health care provider, and emergency department care. Results. In multivariable models, living in a residence with fewer other adults, linguistic acculturation, higher levels of formal income, higher levels of social support, and poor health were associated with health insurance coverage. Female gender, fewer children, arrival before 1997, higher levels of formal income, health insurance coverage, greater social support, and not reporting discrimination were associated with access to a regular health care provider. Higher levels of education, higher levels of formal income, and poor health were associated with emergency department care. Conclusions. Absent large-scale political solutions to the challenges of undocumented immigrants, policies that address factors shown to limit access to care may improve health among this growing population.",
author = "Arijit Nandi and Sandro Galea and Gerald Lopez and Vijay Nandi and Stacey Strongarone and Ompad, {Danielle C.}",
year = "2008",
month = "11",
day = "1",
doi = "10.2105/AJPH.2006.096222",
language = "English (US)",
volume = "98",
pages = "2011--2020",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "11",

}

TY - JOUR

T1 - Access to and use of health services among undocumented Mexican immigrants in a US urban area

AU - Nandi, Arijit

AU - Galea, Sandro

AU - Lopez, Gerald

AU - Nandi, Vijay

AU - Strongarone, Stacey

AU - Ompad, Danielle C.

PY - 2008/11/1

Y1 - 2008/11/1

N2 - Objectives. We assessed access to and use of health services among Mexican-born undocumented immigrants living in New York City in 2004. Methods. We used venue-based sampling to recruit participants from locations where undocumented immigrants were likely to congregate. Participants were 18 years or older, born in Mexico, and current residents of New York City. The main outcome measures were health insurance coverage, access to a regular health care provider, and emergency department care. Results. In multivariable models, living in a residence with fewer other adults, linguistic acculturation, higher levels of formal income, higher levels of social support, and poor health were associated with health insurance coverage. Female gender, fewer children, arrival before 1997, higher levels of formal income, health insurance coverage, greater social support, and not reporting discrimination were associated with access to a regular health care provider. Higher levels of education, higher levels of formal income, and poor health were associated with emergency department care. Conclusions. Absent large-scale political solutions to the challenges of undocumented immigrants, policies that address factors shown to limit access to care may improve health among this growing population.

AB - Objectives. We assessed access to and use of health services among Mexican-born undocumented immigrants living in New York City in 2004. Methods. We used venue-based sampling to recruit participants from locations where undocumented immigrants were likely to congregate. Participants were 18 years or older, born in Mexico, and current residents of New York City. The main outcome measures were health insurance coverage, access to a regular health care provider, and emergency department care. Results. In multivariable models, living in a residence with fewer other adults, linguistic acculturation, higher levels of formal income, higher levels of social support, and poor health were associated with health insurance coverage. Female gender, fewer children, arrival before 1997, higher levels of formal income, health insurance coverage, greater social support, and not reporting discrimination were associated with access to a regular health care provider. Higher levels of education, higher levels of formal income, and poor health were associated with emergency department care. Conclusions. Absent large-scale political solutions to the challenges of undocumented immigrants, policies that address factors shown to limit access to care may improve health among this growing population.

UR - http://www.scopus.com/inward/record.url?scp=55249126607&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=55249126607&partnerID=8YFLogxK

U2 - 10.2105/AJPH.2006.096222

DO - 10.2105/AJPH.2006.096222

M3 - Article

VL - 98

SP - 2011

EP - 2020

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 11

ER -