ArticleJournal of racial and ethnic health disparities2021
Changes in Insurance Coverage and Healthcare Use Among Immigrants and US-Born Adults Following the Affordable Care Act.
Article in Journal of racial and ethnic health disparities, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
The trial behind it
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Use of Antihyperglycemic Medications Among US People with Limited English Proficiency.Journal of general internal medicine · 2025Article
- Public health, policy, and clinical interventions to improve perinatal care for migrant women and infants in high-income countries: a systematic review.EClinicalMedicine · 2024Article
- Differences in modifiable cancer risk behaviors by nativity (US-born v. Non-US-born) and length of time in the US.PloS one · 2024Article
- The Intersection of State-Level Immigrant Policy Climates and Medicaid Expansion: an Examination Among Immigrants.Journal of racial and ethnic health disparities · 2023Article
- Immigrants and the Affordable Care Act: Changes in Coverage and Access to Care by Documentation Status.Journal of immigrant and minority health · 2022Article
- Health insurance, healthcare utilization and language use among populations who experience risk for tuberculosis, California 2014-2017.PloS one · 2022Article
- Utilization of Maternal Health Care Among Immigrant Mothers in New York City, 2016-2018.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesImmigrants to the USA have disparate access to health insurance coverage and healthcare services. We evaluate the effects of gaining insurance following the January 2014 Affordable Care Act's (ACA) key provisions implementation on health services use among foreign- (FB) and US-born (USB) adults.
methodsLongitudinal data from two panels (2013/2014 and 2014/2015) of the Medical Expenditure Panel Survey on FB and USB adults, ages 26-64 (unweighted n = 15,232), and difference-in-differences analysis using generalized estimating equations were used to estimate the effects of insurance gain. The primary outcomes were five measures of healthcare utilization including yearly routine care appointment, annual number of physician office visits, annual number of prescription medications filled or refilled, use of the emergency department (ED) during the year, and having an inpatient hospital stay during the year.
resultsImmigrants were more likely to gain health insurance between 2013 and 2015 relative to USB adults (6.3% vs. 4.4%) but remained much more likely to be continuously uninsured by 2015 (20.8% vs. 6.4%). Controlling for sociodemographic and health characteristics, FB and USB adults who gained insurance increased their use of health services, including routine care (absolute change Δ
conclusionsUS immigrants had notable gains in health insurance after the ACA provisions took full effect, but major disparities in coverage persist. If insurance continues to expand among immigrants, then the gains may reduce longstanding disparities in health services use and enhance primary and preventive healthcare.
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