美国中东和北非裔美国儿童在医疗保险方面的差异。

IF 3 Q1 PRIMARY HEALTH CARE Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI:10.1177/21501319241255542
Florence J Dallo, Kyrah K Brown, Adebola Obembe, Tiffany Kindratt
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引用次数: 0

摘要

目的估算并比较在外国出生的中东/北非(MENA)儿童与在外国和美国出生的白人儿童以及在美国出生的中东/北非(MENA)儿童中没有医疗保险、公共保险或私人保险的比例:利用 2000 年至 2018 年全国健康访谈调查数据(N = 311 961 名儿童)和 2015 年至 2019 年美国社区调查数据(N = 1 892 255 名儿童),我们进行了多变量逻辑回归,以检验非西班牙裔白人儿童的出生地区(自变量)与医疗保险覆盖类型(因变量)之间的关联:在 NHIS 和 ACS 中,与在美国出生的白人儿童相比,在国外出生的中东和北非儿童没有医疗保险的几率更高(NHIS OR = 1.50,95%CI = 1.10-2.05;ACS OR = 2.11,95%CI = 1.88-2.37)。在 ACS 中,与在美国出生的中东和北非儿童相比,在外国出生的中东和北非儿童没有保险的几率要高出 2.11 倍(95%CI = 1.83-2.45):我们的研究结果对外国出生的中东和北非儿童的健康状况有一定影响,因为他们目前更有可能没有保险。采取干预措施提高医疗保险参保率,更新参保表格以记录种族、民族和出生地等信息,这些策略有助于识别和监测中东和北非地区儿童的主要差异。
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Disparities in Health Insurance Among Middle Eastern and North African American Children in the US.

Objective: To estimate and compare the proportion of foreign-born Middle Eastern/North African (MENA) children without health insurance, public, or private insurance to foreign- and US-born White and US-born MENA children.

Methods: Using 2000 to 2018 National Health Interview Survey data (N = 311 961 children) and 2015 to 2019 American Community Survey data (n = 1 892 255 children), we ran multivariable logistic regression to test the association between region of birth among non-Hispanic White children (independent variable) and health insurance coverage types (dependent variables).

Results: In the NHIS and ACS, foreign-born MENA children had higher odds of being uninsured (NHIS OR = 1.50, 95%CI = 1.10-2.05; ACS OR = 2.11, 95%CI = 1.88-2.37) compared to US-born White children. In the ACS, foreign-born MENA children had 2.11 times higher odds (95%CI = 1.83-2.45) of being uninsured compared to US-born MENA children.

Conclusion: Our findings have implications for the health status of foreign-born MENA children, who are currently more likely to be uninsured. Strategies such as interventions to increase health insurance enrollment, updating enrollment forms to capture race, ethnicity, and nativity can aid in identifying and monitoring key disparities among MENA children.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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