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