State-level health care access and use among children in US immigrant families.
OBJECTIVE
We examined the association between children's state of residence and their access to health care among specific types of immigrant families: foreign-born children, US-born children with 1 foreign-born parent, US-born children with both foreign-born parents, and nonimmigrant families.


METHODS
We analyzed data from 12 400 children from the 2003 National Survey of Children's Health in the 6 states with the highest proportion of immigrants (California, Florida, Illinois, New York, New Jersey, and Texas).


RESULTS
Multivariable analyses indicated that among foreign-born children, those living in California, Illinois, and Texas were more likely to lack access to health care compared with those living in New York. Among foreign-born children with 1 or 2 US-born parents, Texas children were most likely to lack health insurance. Within nonimmigrant families, children from California, Florida, and Texas had significantly more access and use problems.


CONCLUSIONS
Our findings document differential health care access and use among states for specific immigrant family types.
Yu
Stella M
SM
Maternal and Child Health Bureau, Rockville, MD 20857, USA. syu@hrsa.gov
Huang
Zhihuan J
ZJ
Kogan
Michael D
MD
D000293:Adolescent; D002140:California; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D002669:Child Welfare / Q000208:ethnology* / Q000706:statistics & numerical data; D002675:Child, Preschool; D003466:Cultural Characteristics; D004608:Eligibility Determination; D054242:Emigrants and Immigrants / Q000145:classification / Q000706:statistics & numerical data*; D005191:Family Characteristics; D005260:Female; D005431:Florida; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006306:Health Surveys; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D007087:Illinois; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009515:New Jersey; D009518:New York; D013221:State Health Plans; D013781:Texas; D014481:United States
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