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Title

Health Care Access and Physical and Behavioral Health Among Undocumented Latinos in California (Medical Care)

Publication Topics

Access to Health Care; Barriers to/Disparities in Health Care; Use of Health Services; California Health Interview Survey; 2011 California Health Interview Survey (CHIS 2011); 2012 California Health Interview Survey (CHIS 2012); 2013 California Health Interview Survey (CHIS 2013); 2014 California Health Interview Survey (CHIS 2014); 2015 California Health Interview Survey (CHIS 2015); Low-Income; Immigrant; Hispanic/Latino; Health Status and Conditions; Chronic Condition Prevalence; Diabetes; General Health; Mental and Emotional Health

Publication Type

CHIS Journal Article

Publication Date

2018-09-12T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=69&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=69&RootFolder=*">Alexander N. Ortega</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1414&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1414&RootFolder=*">Ryan M. McKenna</a>

Author 3

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1557&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1557&RootFolder=*">Jessie Kemmick Pintor</a>

Author 4

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=759&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=759&RootFolder=*">Brent A. Langellier</a>

Author 5

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=202&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=202&RootFolder=*">Dylan H. Roby, PhD</a>

Author 6

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=94&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=94&RootFolder=*">Nadereh Pourat, PhD</a>

Author 7

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=570&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=570&RootFolder=*">Arturo Vargas Bustamante, PhD, MA, MPP</a>

Author 8

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=163&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=163&RootFolder=*">Steven P. Wallace, PhD</a>

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Abstract

​This article provides statewide estimates on health care access and utilization patterns and physical and behavioral health by citizenship and documentation status among Latinos in California.

Using data from the 2011-2015 California Health Interview Survey (CHIS), authors examine health care access and utilization and physical and behavioral health among a representative sample of all nonelderly Latino and U.S.-born non-Latino white adults. Multivariable regressions estimated the associations between the dependent measures and citizenship/documentation status among Latinos (U.S.-born, naturalized citizen, green card holder, and undocumented).

Adjusted results from multivariable analyses observed worse access and utilization patterns among immigrant Latinos comapred with U.S.-born Latinos, with undocumented immigrants using significantly less health care. Undocumented Latinos had lower odds of self-reporting excellent/very good health status compared with U.S.-born Latinos, despite them having lower odds of having several physical and behavioral health outcomes (overweight/obesity, physician-diagnosed hypertension, asthma, self-reported psychological distress, and need for behaviorial health services). Among those reporting a need for behaviorial health services, access was also worse for undocumented Latinos when compared with U.S.-born Latinos.

Patterns of poor health care access and utilization and better physical and behavioral health are observed across the continuum of documentation status, with undocumented immigrants having the worse acces and utilization patterns and less disease. Despite fewer reported diagnoses and better mental health, undocumented Latinos reported poor health status than their U.S.-born counterparts.

 

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Journal Article: Health Care Access and Physical and Behavioral Health Among Undocumented Latinos in California

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Press Release

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California Health Interview Survey (CHIS)

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Created at 9/6/2018 2:12 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 9/17/2018 1:34 PM by i:0#.f|uclachissqlmembershipprovider|venetia