Evidence map›Paper›PMID 29633069›Full record

ArticleJournal of immigrant and minority health2019

Health Care Access and Utilization Among U.S. Immigrants Before and After the Affordable Care Act.

Arturo Vargas Bustamante, Jie Chen, Ryan M McKenna, Alexander N Ortega

Abstract read
In one paragraph

Article in Journal of immigrant and minority health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  3. Unpacking cancer diagnosis among Latin Americans in Canada: disparities and protective patterns.Canadian journal of public health = Revue canadienne de sante publique · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Arturo Vargas BustamanteDepartment of Health Policy & Management, UCLA Fielding School of Public Health, 650 Charles E. Young Drive South Room 31-299C, Box 951772, Los Angeles, CA, 90095, USA. avb@ucla.edu.
Jie ChenDepartment of Health Services Administration, University of Maryland, College Park, 3310A School of Public Health Building, College Park, MD, 20742-2611, USA.
Ryan M McKennaDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Nesbitt Hall, Room 357, 3215 Market Street, Philadelphia, PA, 19104, USA.
Alexander N OrtegaDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, 3215 Market St Nesbitt Hall, Room 335, Philadelphia, PA, 19104, USA.
Drexel University · USUCLA Health · USUniversity of Maryland, College Park · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
Effects of Hospital-Community-Public Health Integration on Racial and Ethnic Disparities in Mental HealthR01MD011523 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI CHEN, JIE · 2017 to 2022
$2.9M
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR001881NIA NIH HHS P30 AG021684NIMHD NIH HHS R01 MD011523
6 · The paper itself

Abstract

We examine changes in health insurance coverage and access to and utilization of health care before and after the national implementation of the Patient Protection and Affordable Care Act (ACA) among the U.S. adult immigrant population. Data from the 2011-2016 National Health Interview Survey are used to compare adult respondents in 2011-2013 (before the ACA implementation) and 2014-2016 (after the ACA implementation). Multivariable logistic regression analyses are used to compare changes over time. This study shows that the ACA has closed the coverage gap that previously existed between U.S. citizens and non-citizen immigrants. We find that naturalized citizens, non-citizens with more than 5 years of U.S. residency, and non-citizens with 5 years or less of U.S. residency reduced their probability of being uninsured by 5.81, 9.13, and 8.23%, respectively, in the first 3 years of the ACA. Improvements in other measures of access and utilization were also observed.

Indexed as

Patient Protection and Affordable Care ActEmigrants and ImmigrantsHealthcare DisparitiesHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthMedically UninsuredOffice VisitsSocioeconomic FactorsUnited StatesACAAccess to careAffordable Care ActHealth care reformHealth insuranceImmigrants

Identifiers

PMID29633069
PMCPMC6177328
OpenAlexW2797180921

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.