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Title: Health Care Access and Receipt of Family Centered Care Among Latino Youth: The Roles of Maternal Characteristics and State Immigrant Policies

Citation Type: Dissertation/Thesis

Publication Year: 2020

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Abstract: This dissertation examined the roles of maternal characteristics and state-level immigrant policies on youth uninsurance and receipt of family centered care (FCC) among US-born Latino youth. For the analyses of this dissertation, we relied on three nationally representative databases (National Health Interview Survey, Medical Expenditure Panel Survey, and American Community Survey). The first aim examined the direct effect of maternal citizenship and health insurance coverage status on Latino youth health care access. Using generalized structural equation modeling, compared to citizen Latina mothers, noncitizen Latina mothers had higher odds of being uninsured (aOR, 4.75). Maternal uninsurance was associated with youth uninsurance and there was an indirect pathway in the association between maternal citizenship and youth uninsurance that operates via maternal uninsurance. The second aim assessed the association between Latina maternal-provider ethnic concordance and youth receipt of FCC. Relying on a series of multivariable logistic regressions, maternal-provider ethnic concordance was positively associated with reports of the medical care provider listening carefully to the parent (aOR, 1.71), explaining things in a way the parent could understand (aOR, 1.75), showing respect for what the parent had to say (aOR, 1.98), and spending enough time with the patient (aOR, 1.45). Lastly, the third aim studied the association of maternal citizenship and state-level integration and criminalization immigrant policies on uninsurance for US-born Latino youth. We performed average marginal effects methods and found that youth uninsurance for youth with noncitizen mothers is 3.3% higher than youth with citizen mothers within states with few inclusive immigrant policies. For youth who have noncitizen mothers, the difference in the predicted probability in uninsurance between those who resided in states with few inclusive versus high level of inclusive immigrant policies is 2.1%. Youth with noncitizen mothers who resided in states with a high level of criminalizing immigrant policies had a 2.6% higher probability of being uninsured compared to youth with citizen mothers. The difference in the predicted probability in uninsurance among youth with noncitizen mothers between those who resided in states with a low level versus a high level of criminalizing immigrant policies is 1.7%.

Url: https://search-proquest-com.ezp3.lib.umn.edu/docview/2420186509?pq-origsite=primo

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Authors: Alberto, Cinthya K

Institution: Drexel University

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Pages: 1-116

Data Collections: IPUMS Health Surveys - NHIS

Topics: Health, Migration and Immigration, Reproductive and Sexual Health

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