Medicaid enrollment and health services access by Latino children in inner-city Los Angeles

Neal Halfon, David L. Wood, R. Burciaga Valdez, Margaret Pereyra, Naihua Duan

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Objectives.-To understand the role of parental immigration status on Medicaid enrollment and access to health services for young Latino children. Design.-A cross-sectional household survey of the parents of inner-city Latino children. Setting.-South Central and East Los Angeles, Calif, 1992. Population.-Children 12 to 36 months old and their parents from 817 Latino families. Main Outcome Variables.-Continuous Medicaid enrollment, continuity of care, deferral of care, and number of visits. Methods.-Univariate analysis, logistic and linear regression by demographic and socioeconomic characteristics, residency status, and language use. Results.-Children were primarily born in the United States (96%), but most parents were not citizens (80%). Only 40.0% of eligible children had continuous Medicaid coverage since birth, 18.6% had never been insured, and 20.7% had received episodic Medicaid coverage. Continuous Medicaid coverage was negatively associated with either the caregiver (odds ratio [OR], 0.32; 95% confidence interval [CI], 0.19-0.56) or their partner (OR = 0.33, 95% CI=0.20-0.55) working. Residency status, language preference, and length of US residency were not associated with continuous Medicaid enrollment. Insurance coverage was associated with more physician visits, greater continuity of care, and fewer deferrals of care. Conclusion.-While most (84%) young Latino children in inner-city Los Angeles were eligible for Medicaid, a substantial proportion (39.3%) have episodic or no coverage. Insurance status and provider type were more consistently associated with access rather than residency and language preference. In the aftermath of California's Proposition 187 and federal welfare reform, insurance status and ac are likely to worsen for these young children unless the wave of anti- immigration sentiments is held in check.

Original languageEnglish
Pages (from-to)636-641
Number of pages6
JournalJournal of the American Medical Association
Volume277
Issue number8
StatePublished - Feb 26 1997
Externally publishedYes

Fingerprint

Los Angeles
Medicaid
Hispanic Americans
Health Services
Internship and Residency
Insurance Coverage
Continuity of Patient Care
Language
Parents
Emigration and Immigration
Odds Ratio
Confidence Intervals
Caregivers
Linear Models
Cross-Sectional Studies
Logistic Models
Demography
Parturition
Physicians
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Halfon, N., Wood, D. L., Valdez, R. B., Pereyra, M., & Duan, N. (1997). Medicaid enrollment and health services access by Latino children in inner-city Los Angeles. Journal of the American Medical Association, 277(8), 636-641.

Medicaid enrollment and health services access by Latino children in inner-city Los Angeles. / Halfon, Neal; Wood, David L.; Valdez, R. Burciaga; Pereyra, Margaret; Duan, Naihua.

In: Journal of the American Medical Association, Vol. 277, No. 8, 26.02.1997, p. 636-641.

Research output: Contribution to journalArticle

Halfon, N, Wood, DL, Valdez, RB, Pereyra, M & Duan, N 1997, 'Medicaid enrollment and health services access by Latino children in inner-city Los Angeles', Journal of the American Medical Association, vol. 277, no. 8, pp. 636-641.
Halfon, Neal ; Wood, David L. ; Valdez, R. Burciaga ; Pereyra, Margaret ; Duan, Naihua. / Medicaid enrollment and health services access by Latino children in inner-city Los Angeles. In: Journal of the American Medical Association. 1997 ; Vol. 277, No. 8. pp. 636-641.
@article{9bf5839d15ac4dc39988589e524beb45,
title = "Medicaid enrollment and health services access by Latino children in inner-city Los Angeles",
abstract = "Objectives.-To understand the role of parental immigration status on Medicaid enrollment and access to health services for young Latino children. Design.-A cross-sectional household survey of the parents of inner-city Latino children. Setting.-South Central and East Los Angeles, Calif, 1992. Population.-Children 12 to 36 months old and their parents from 817 Latino families. Main Outcome Variables.-Continuous Medicaid enrollment, continuity of care, deferral of care, and number of visits. Methods.-Univariate analysis, logistic and linear regression by demographic and socioeconomic characteristics, residency status, and language use. Results.-Children were primarily born in the United States (96{\%}), but most parents were not citizens (80{\%}). Only 40.0{\%} of eligible children had continuous Medicaid coverage since birth, 18.6{\%} had never been insured, and 20.7{\%} had received episodic Medicaid coverage. Continuous Medicaid coverage was negatively associated with either the caregiver (odds ratio [OR], 0.32; 95{\%} confidence interval [CI], 0.19-0.56) or their partner (OR = 0.33, 95{\%} CI=0.20-0.55) working. Residency status, language preference, and length of US residency were not associated with continuous Medicaid enrollment. Insurance coverage was associated with more physician visits, greater continuity of care, and fewer deferrals of care. Conclusion.-While most (84{\%}) young Latino children in inner-city Los Angeles were eligible for Medicaid, a substantial proportion (39.3{\%}) have episodic or no coverage. Insurance status and provider type were more consistently associated with access rather than residency and language preference. In the aftermath of California's Proposition 187 and federal welfare reform, insurance status and ac are likely to worsen for these young children unless the wave of anti- immigration sentiments is held in check.",
author = "Neal Halfon and Wood, {David L.} and Valdez, {R. Burciaga} and Margaret Pereyra and Naihua Duan",
year = "1997",
month = "2",
day = "26",
language = "English",
volume = "277",
pages = "636--641",
journal = "JAMA - Journal of the American Medical Association",
issn = "0002-9955",
publisher = "American Medical Association",
number = "8",

}

TY - JOUR

T1 - Medicaid enrollment and health services access by Latino children in inner-city Los Angeles

AU - Halfon, Neal

AU - Wood, David L.

AU - Valdez, R. Burciaga

AU - Pereyra, Margaret

AU - Duan, Naihua

PY - 1997/2/26

Y1 - 1997/2/26

N2 - Objectives.-To understand the role of parental immigration status on Medicaid enrollment and access to health services for young Latino children. Design.-A cross-sectional household survey of the parents of inner-city Latino children. Setting.-South Central and East Los Angeles, Calif, 1992. Population.-Children 12 to 36 months old and their parents from 817 Latino families. Main Outcome Variables.-Continuous Medicaid enrollment, continuity of care, deferral of care, and number of visits. Methods.-Univariate analysis, logistic and linear regression by demographic and socioeconomic characteristics, residency status, and language use. Results.-Children were primarily born in the United States (96%), but most parents were not citizens (80%). Only 40.0% of eligible children had continuous Medicaid coverage since birth, 18.6% had never been insured, and 20.7% had received episodic Medicaid coverage. Continuous Medicaid coverage was negatively associated with either the caregiver (odds ratio [OR], 0.32; 95% confidence interval [CI], 0.19-0.56) or their partner (OR = 0.33, 95% CI=0.20-0.55) working. Residency status, language preference, and length of US residency were not associated with continuous Medicaid enrollment. Insurance coverage was associated with more physician visits, greater continuity of care, and fewer deferrals of care. Conclusion.-While most (84%) young Latino children in inner-city Los Angeles were eligible for Medicaid, a substantial proportion (39.3%) have episodic or no coverage. Insurance status and provider type were more consistently associated with access rather than residency and language preference. In the aftermath of California's Proposition 187 and federal welfare reform, insurance status and ac are likely to worsen for these young children unless the wave of anti- immigration sentiments is held in check.

AB - Objectives.-To understand the role of parental immigration status on Medicaid enrollment and access to health services for young Latino children. Design.-A cross-sectional household survey of the parents of inner-city Latino children. Setting.-South Central and East Los Angeles, Calif, 1992. Population.-Children 12 to 36 months old and their parents from 817 Latino families. Main Outcome Variables.-Continuous Medicaid enrollment, continuity of care, deferral of care, and number of visits. Methods.-Univariate analysis, logistic and linear regression by demographic and socioeconomic characteristics, residency status, and language use. Results.-Children were primarily born in the United States (96%), but most parents were not citizens (80%). Only 40.0% of eligible children had continuous Medicaid coverage since birth, 18.6% had never been insured, and 20.7% had received episodic Medicaid coverage. Continuous Medicaid coverage was negatively associated with either the caregiver (odds ratio [OR], 0.32; 95% confidence interval [CI], 0.19-0.56) or their partner (OR = 0.33, 95% CI=0.20-0.55) working. Residency status, language preference, and length of US residency were not associated with continuous Medicaid enrollment. Insurance coverage was associated with more physician visits, greater continuity of care, and fewer deferrals of care. Conclusion.-While most (84%) young Latino children in inner-city Los Angeles were eligible for Medicaid, a substantial proportion (39.3%) have episodic or no coverage. Insurance status and provider type were more consistently associated with access rather than residency and language preference. In the aftermath of California's Proposition 187 and federal welfare reform, insurance status and ac are likely to worsen for these young children unless the wave of anti- immigration sentiments is held in check.

UR - http://www.scopus.com/inward/record.url?scp=0031029224&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031029224&partnerID=8YFLogxK

M3 - Article

C2 - 9039881

AN - SCOPUS:0031029224

VL - 277

SP - 636

EP - 641

JO - JAMA - Journal of the American Medical Association

JF - JAMA - Journal of the American Medical Association

SN - 0002-9955

IS - 8

ER -