The Impact of Restrictive Policies on Mexican Immigrant Parents and Their Children's Access to Health Care

Abraham Aragones, Carolina Zamore, Eva M Moya, Jacquelin I Cordero, Francesca Gany, Denise M Bruno, Abraham Aragones, Carolina Zamore, Eva M Moya, Jacquelin I Cordero, Francesca Gany, Denise M Bruno

Abstract

Background: This study assessed whether policies that limit Mexican immigrants' access to care affects their children's access to a regular source of care, health insurance, and timely preventive health visits. Method: This was a cross-sectional study among Mexican immigrant parents who attended a health promotion program in Texas, Nevada, New York, and Illinois. A sociodemographic survey, including parental and child variables, was administered. Results: Children of parents without health insurance were almost four times more likely to be uninsured and eight times more likely to lack a regular source of care. Children of parents without a regular source of care were less than half as likely to have their own regular source of care than children whose parents had a regular source of care. Discussion: Findings suggest when parents are uninsured/lack a regular source of care, a child's health disparity is created. Reducing disparities in health care coverage, affecting foreign-born parents, positively impacts their children's access to care. Clinical Trial Registration number: NCT03209713.

Keywords: Latinos; children; health care access; health disparities; immigrant parents; primary care.

Conflict of interest statement

No competing financial interests exist.

© Abraham Aragones et al., 2021; Published by Mary Ann Liebert, Inc.

References

    1. Cooley WC, McAllister JW, Sherrieb K, Kuhlthau K. Improved outcomes associated with medical home implementation in pediatric primary care. Pediatrics. 2009;124:358–364.
    1. Lichstein JC, Ghandour RM, Mann MY. Access to the medical home among children with and without special health care needs. Pediatrics. 2018;142:e20181795.
    1. Long WE, Bauchner H, Sege RD, et al. . The value of the medical home for children without special health care needs. Pediatrics. 2012;129:87–98.
    1. Shi L, Lebrun-Harris LA, Parasuraman SR, et al. . The quality of primary care experienced by health center patients. Pediatrics. 2013;26:768–777.
    1. Van Cleave J, Okumura MJ, Swigonski N, et al. . Medical homes for children with special health care needs: primary care or subspecialty service? Acad Pediatr. 2016;16:366–372.
    1. Javier JR, Wise PH, Mendoza FSJAP. The relationship of immigrant status with access, utilization, and health status for children with asthma. Ambul Pediatr. 2007;7:421–430.
    1. Newacheck PW, Stoddard JJ, Hughes DC, Pearl M. Health insurance and access to primary care for children. N Engl J Med. 1998;338:513–519.
    1. Blewett LA, Johnson PJ, Lee B, Scal PBJJoGIM. When a usual source of care and usual provider matter: adult prevention and screening services. J Gen Intern Med. 2008;23:1354.
    1. DeVoe JE, Petering R, Krois L. A usual source of care: supplement or substitute for health insurance among low-income children? Med Care. 2008;46:1041–1048.
    1. Rodriguez MA, Bustamante AV, Ang A. Perceived quality of care, receipt of preventive care, and usual source of health care among undocumented and other Latinos. J Gen Intern Med. 2009;24 Suppl 3:508–513.
    1. Kan K, Choi H, Davis M. Immigrant families, children with special health care needs, and the medical home. Pediatrics. 2016;137:e20153221.
    1. Linton JM, Green A. Providing care for children in immigrant families. Pediatrics. 2019;144:e20192077.
    1. Javier JR, Huffman LC, Mendoza FS, et al. . Children with special health care needs: how immigrant status is related to health care access, health care utilization, and health status. Matern Child Health J. 2010;14:567–579.
    1. Ortega AN, McKenna RM, Kemmick Pintor J, et al. . Health care access and physical and behavioral health among undocumented Latinos in California. Med Care. 2018;56:919–926.
    1. Vargas Bustamante A, Fang H, Garza J, et al. . Variations in healthcare access and utilization among Mexican immigrants: the role of documentation status. J Immigr Minor Health. 2012;14:146–155.
    1. Atkins DN, Held ML, Lindley LCJPHN. The impact of expanded health insurance coverage for unauthorized pregnant women on prenatal care utilization. Public Health. 2018;35:459–465.
    1. Cervantes L, Tuot D, Raghavan R, et al. . Association of emergency-only vs standard hemodialysis with mortality and health care use among undocumented immigrants with end-stage renal disease. JAMA Intern Med. 2018;178:188–195.
    1. Ross J, Felsen UR, Cunningham CO, et al. . Outcomes along the HIV care continuum among undocumented immigrants in clinical care. AIDS Res Hum Retroviruses. 2017;33:1038–1044.
    1. Swartz JJ, Hainmueller J, Lawrence D, et al. . Expanding prenatal care to unauthorized immigrant women and the effects on infant health. Obstet Gynecol. 2017;130:938–945.
    1. Garfield RO, Kendal; Damico, Anthony. The Uninsured and the ACA: A Primer-Key Facts about Health Insurance and the Uninsured amidst Changes to the Affordable Care Act. 2019. Available at Accessed December 17, 2019.
    1. Zong J, Batalova J, Burrows M. Migration Policy Institute: Frequently requested statistics on immigrants and immigration in the United States. 2019. Available at Accessed December 17, 2019.
    1. Kaiser Family Foundation. Health Coverage of Immigrants. 2019. Available at Accessed December 17, 2019.
    1. Urban Institute. Part of Us: A Data-Driven Look at Children of Immigrants: Shedding light on the children of immigrants who are shaping this country's future. 2019. Available at Accessed December 17, 2019.
    1. Reyes AM, Miranda PYJJoI, Health M. Trends in cancer screening by citizenship and health insurance, 2000–2010. J Immigr Minor Health. 2015;17:644–651.

Source: PubMed

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