title: Health insurance instability among older immigrants: region of origin disparities in coverage.
abstract: OBJECTIVE
  We provide a detailed analysis of how the dynamics of health insurance coverage (HIC) at older ages differs among Latino, Asian, and European immigrants in the United States.
  
  
  METHODS
  Using Survey of Income and Program Participation data from the 2004 and 2008 panels, we estimate discrete-time event history models to examine first and second transitions into and out of HIC, highlighting substantial differences in hazard rates among immigrants aged 50-64 from Asia, Latin America, and Europe.
  
  
  RESULTS
  We find that the likelihood of having HIC at first observation and the rates of gaining and losing coverage within a relatively short time frame are least favorable for older Latino immigrants, although immigrants from all three regions are at a disadvantage relative to native-born non-Hispanic Whites. This disparity among immigrant groups persists even when lower rates of citizenship, greater difficulty with English, and low-skill job placements are taken into account.
  
  
  CONCLUSIONS
  Factors that have contributed to the lower rates and shorter durations of HIC among older immigrants, particularly those from Latin America, may not be easily resolved by the Affordable Care Act. The importance of region of origin and assimilation characteristics for the risk of being uninsured in later life argues that immigration and health care policy should be jointly addressed.
authors: Department of Sociology and Population Research Institute, The Pennsylvania State University, University Park. amr5763@psu.edu.
authors: Adriana M
authors: AM
authors: Reyes
authors: Department of Sociology and Population Research Institute, The Pennsylvania State University, University Park.
authors: Melissa
authors: M
authors: Hardy
mesh_terms: D001208:Asia / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D004641:Emigration and Immigration / Q000706:statistics & numerical data*; D005060:Europe / Q000208:ethnology; D005260:Female; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D007843:Latin America / Q000208:ethnology; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D014481:United States / Q000208:ethnology
keywords: Citizenship; Health Insurance; Immigration; Region of origin.
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