
Journal Article
Equity in Health Care Access, Utilization, and Experiences for Latino Children in California by Parental Citizenship and Household Language, 2021–2022
This study examines health care access, utilization, and experiences among Latino children in California by parental citizenship and household language analyzing merged data from the 2021–2022 California Health Interview Survey and the follow-up Latino Youth Health Study of the same years. Primary outcomes were parental reports of children's health care access, utilization, and experiences in the past year. The main predictors were variables stratified by parental citizenship status (both citizen parents versus one citizen and one noncitizen parent versus both noncitizen parents) and household language (English-only versus English and Spanish versus Spanish-only). Multivariable analyses adjusted for parental education, family income, parent-reported child's health status, child's age, and child's insurance.
Findings: Findings showed no significant differences in health care access across groups. However, children with both noncitizen parents and from Spanish-only households were more likely to have had well-child visits and general doctor visits than children with both citizen parents and in English-only households. Additionally, parents of children with both noncitizen parents were more likely to feel respected by doctors than those with both citizen parents. Conversely, compared to parents with both citizen parents, parents of children with one citizen and one noncitizen parent were less likely to report that doctors spent enough time with their children and less likely to express high satisfaction with their children's health care.
Patterns of health care access, utilization, and experiences among Latino children in immigrant families in California are improving, which are likely associated with recent inclusive health policies in the state.