ArticleJournal of racial and ethnic health disparities2022
Predictors of Interrupted Healthcare Coverage in a National Sample of US Refugees.
Article in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- Reframing trauma-informed care for refugee and (im)migrant health systems: from interpersonal practice to structurally embedded care.Frontiers in health services · 2026Article
- Funding for Refugee Health Research From the National Institutes of Health Between 2000 and 2020.JAMA network open · 2024Article
- Sociodemographic Characteristics and Inadequate Usual Sources of Healthcare in a National Sample of US Refugees.International journal of environmental research and public health · 2022Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMany refugees that resettled into the United States (US) arrive with psychological and physical distress. Their health needs are often met with inadequate healthcare. A variety of barriers negatively affect their healthcare access. Knowledge of demographic and social predictors related to key healthcare access components among refugees is limited. This study examines potential predictors of interrupted healthcare coverage-one key component of healthcare access-among refugees living in the US.
methodsUsing the 2016 Annual Survey of Refugees (ASR)nation-wide data collected from 4037 refugees, multiple logistic regression methods were utilized to identify socio-demographic predictors of interrupted healthcare coverage. Interrupted healthcare coverage was defined as one or more months in the past 12 months without coverage by Refugee Medical Assistance (RMA), Medicaid, or private health insurance.
resultsThe following five socio-demographic factors were associated with a higher likelihood of interrupted healthcare coverage: Male gender, 20-49 years of age, lack of marriage, resettlement into the south or Midwest, and poor or no current English proficiency. Refugees with no job were less likely to have interrupted coverage compared to employed refugees. DISCUSSION: The increased likelihood of interrupted coverage among refugees with poor or no English proficiency supports the belief that limited English proficiency is a barrier to healthcare insurance enrollment. The increased likelihood of interrupted coverage for refugees resettled in the South is consistent with prior literature. In view of clear regional differences, further consideration of the effect of policy differences on refugees living in the US is worthwhile. The findings may help early refugee contacts risk stratify and more effectively allocate limited resources and assist policy makers as they amend and update programs linked to refugee healthcare access (e.g., RMA).
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