wow-inequalities/02-data/intermediate/wos_sample/43a59e9ab69e9bbf408b0e2a0cce5912-flores-glenn-and-ab/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'BACKGROUND. Latinos continue to be the most uninsured racial/ethnic
group of US children, but not enough is known about the risk factors for
and consequences of not being insured in Latino children.
OBJECTIVE. The objective of this study was to identify the risk factors
for and consequences of being uninsured in Latino children.
METHODS. A cross-sectional survey was conducted of parents at urban,
predominantly Latino community sites, including supermarkets, beauty
salons, and laundromats. Parents were asked 76 questions on access and
health insurance.
RESULTS. Interviews were conducted of 1100 parents, 900 of whom were
Latino. Uninsured Latino children were significantly more likely than
insured Latino children to be older (mean age: 9 vs 7 years) and poor
(89\% vs 72\%) and to have parents who are limited in English
proficiency (86\% vs 65\%), non-US citizens (87\% vs 64\%), and both
employed (35\% vs 27\%). Uninsured Latinos were significantly less
likely than their insured counterparts to have a regular physician (84\%
vs 99\%) and significantly more likely not to be brought in for needed
medical care because of expense, lack of insurance, difficulty making
appointments, inconvenient office hours, and cultural issues. In
multivariable analyses, parents who are undocumented or documented
immigrants, both parents working, the child''s age, and the \$4000 to
\$9999 and \$15 000 to \$19 999 family income quintiles were the only
factors that were significantly associated with a child''s being
uninsured; neither Latino ethnicity nor any other of 6 variables were
associated with being uninsured. Compared with insured Latino children,
uninsured Latino children had 23 times the odds of having no regular
physician and were significantly more likely not to be brought in for
needed medical care because of expense, lack of health insurance,
difficulty making appointments, and cultural barriers.
CONCLUSIONS. After adjustment, parental noncitizenship, having 2 parents
work, low family income, and older child age are associated with being
an uninsured child, but Latino ethnicity is not. The higher prevalence
of other risk factors seems to account for Latino children''s high risk
for being uninsured. Uninsured Latino children are significantly more
likely than insured Latino children to have no regular physician and not
to get needed medical care because of expense, lack of health insurance,
difficulty making appointments, and cultural barriers. These findings
indicate specific high-risk populations that might benefit most from
targeted Medicaid and State Child Health Insurance Program outreach and
enrollment efforts.'
affiliation: 'Flores, G (Corresponding Author), Med Coll Wisconsin, Dept Pediat, Ctr
Adv Underserved Children, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USA.
Med Coll Wisconsin, Dept Pediat, Ctr Adv Underserved Children, Milwaukee, WI 53226
USA.
Med Coll Wisconsin, Hlth Policy Inst, Dept Epidemiol, Milwaukee, WI 53226 USA.
Childrens Hosp Wisconsin, Childrens Res Inst, Milwaukee, WI 53201 USA.
Boston Univ, Sch Publ Hlth, Boston, MA 02215 USA.'
author: Flores, Glenn and Abreu, Milagros and Tomany-Korman, Sandra C.
author-email: gflores@mcw.edu
author_list:
- family: Flores
given: Glenn
- family: Abreu
given: Milagros
- family: Tomany-Korman
given: Sandra C.
da: '2023-09-28'
doi: 10.1542/peds.2005-2599
files: []
issn: 0031-4005
journal: PEDIATRICS
keywords: 'uninsured; Hispanic Americans; children; pediatrics; health services
research; health status; medical home'
keywords-plus: 'HEALTH-INSURANCE; UNITED-STATES; PRIMARY-CARE; ACCESS; PARENTS;
LANGUAGE; SERVICES; BARRIERS; COVERAGE; INCOME'
language: English
month: SEP
number: '3'
number-of-cited-references: '30'
pages: E730-E740
papis_id: d52d8898f6bd26bd465eb574ce9d8e10
ref: Flores2006whyare
times-cited: '45'
title: Why are Latinos the most uninsured racial/ethnic group of US children? A community-based
study of risk factors for and consequences of being an uninsured Latino child
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000240959100100
usage-count-last-180-days: '0'
usage-count-since-2013: '13'
volume: '118'
web-of-science-categories: Pediatrics
year: '2006'