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Chilling Effects on Immigrants’ Health Insurance Coverage After the 2016 Presidential Election

Background Depressed enrollment in public benefits among immigrants and their families may occur due to concerns about deportation and obstacles to permanent residency status related to immigration policies. Methods Using data from the American Community Survey (ACS) from 2014 to 2019, we conducted...

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Published in:Journal of immigrant and minority health 2022-08, Vol.24 (4), p.819-826
Main Authors: Lambert, R. Frederick, Discepolo, Keri E., Elani, Hawazin W.
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Elani, Hawazin W.
description Background Depressed enrollment in public benefits among immigrants and their families may occur due to concerns about deportation and obstacles to permanent residency status related to immigration policies. Methods Using data from the American Community Survey (ACS) from 2014 to 2019, we conducted an interrupted time series analysis to estimate Medicaid enrollment, private insurance enrollment, and uninsured rates among low-income non-citizen adults and their children, compared to U.S. citizens before and after the Trump administration entered office in January 2017. Results Compared to U.S. citizen adults, Medicaid enrollment among non-citizen adults decreased and the uninsured rate increased (1.5 percentage points per year, p 
doi_str_mv 10.1007/s10903-022-01349-1
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Frederick ; Discepolo, Keri E. ; Elani, Hawazin W.</creator><creatorcontrib>Lambert, R. Frederick ; Discepolo, Keri E. ; Elani, Hawazin W.</creatorcontrib><description>Background Depressed enrollment in public benefits among immigrants and their families may occur due to concerns about deportation and obstacles to permanent residency status related to immigration policies. Methods Using data from the American Community Survey (ACS) from 2014 to 2019, we conducted an interrupted time series analysis to estimate Medicaid enrollment, private insurance enrollment, and uninsured rates among low-income non-citizen adults and their children, compared to U.S. citizens before and after the Trump administration entered office in January 2017. Results Compared to U.S. citizen adults, Medicaid enrollment among non-citizen adults decreased and the uninsured rate increased (1.5 percentage points per year, p &lt; 0.05) from 2017 to 2019. Decreases in coverage starting in 2017 were larger among both children with at least one non-citizen parent and non-citizen children. Discussion These findings suggest that the Trump administration immigration policy climate is associated with decreased health insurance enrollment among this population.</description><identifier>ISSN: 1557-1912</identifier><identifier>EISSN: 1557-1920</identifier><identifier>DOI: 10.1007/s10903-022-01349-1</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adults ; Children ; Citizens ; Comparative Law ; Deportation ; Elections ; Enrollments ; Health insurance ; Immigrants ; Immigration ; Immigration policy ; Insurance ; Insurance coverage ; International &amp; Foreign Law ; Low income groups ; Medicaid ; Medicine ; Medicine &amp; Public Health ; Noncitizens ; Original Paper ; Patient Protection &amp; Affordable Care Act 2010-US ; Presidential elections ; Presidents ; Private International Law ; Public Health ; Sociology ; Time series ; Uninsured people</subject><ispartof>Journal of immigrant and minority health, 2022-08, Vol.24 (4), p.819-826</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c282t-fcf29f4c20e4fa6cbf29024990a34b69032c0257e4a798105ed7ebe316041b623</citedby><cites>FETCH-LOGICAL-c282t-fcf29f4c20e4fa6cbf29024990a34b69032c0257e4a798105ed7ebe316041b623</cites><orcidid>0000-0003-1057-8124</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2684788125/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2684788125?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,11688,12846,21394,21395,27344,27924,27925,30999,33611,33612,33774,34530,34531,36060,36061,43733,44115,44363,74221,74639,74895</link.rule.ids></links><search><creatorcontrib>Lambert, R. Frederick</creatorcontrib><creatorcontrib>Discepolo, Keri E.</creatorcontrib><creatorcontrib>Elani, Hawazin W.</creatorcontrib><title>Chilling Effects on Immigrants’ Health Insurance Coverage After the 2016 Presidential Election</title><title>Journal of immigrant and minority health</title><addtitle>J Immigrant Minority Health</addtitle><description>Background Depressed enrollment in public benefits among immigrants and their families may occur due to concerns about deportation and obstacles to permanent residency status related to immigration policies. Methods Using data from the American Community Survey (ACS) from 2014 to 2019, we conducted an interrupted time series analysis to estimate Medicaid enrollment, private insurance enrollment, and uninsured rates among low-income non-citizen adults and their children, compared to U.S. citizens before and after the Trump administration entered office in January 2017. Results Compared to U.S. citizen adults, Medicaid enrollment among non-citizen adults decreased and the uninsured rate increased (1.5 percentage points per year, p &lt; 0.05) from 2017 to 2019. Decreases in coverage starting in 2017 were larger among both children with at least one non-citizen parent and non-citizen children. 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subjects Adults
Children
Citizens
Comparative Law
Deportation
Elections
Enrollments
Health insurance
Immigrants
Immigration
Immigration policy
Insurance
Insurance coverage
International & Foreign Law
Low income groups
Medicaid
Medicine
Medicine & Public Health
Noncitizens
Original Paper
Patient Protection & Affordable Care Act 2010-US
Presidential elections
Presidents
Private International Law
Public Health
Sociology
Time series
Uninsured people
title Chilling Effects on Immigrants’ Health Insurance Coverage After the 2016 Presidential Election
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