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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 |
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container_end_page | 826 |
container_issue | 4 |
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container_title | Journal of immigrant and minority health |
container_volume | 24 |
creator | Lambert, R. Frederick Discepolo, Keri E. 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 |
format | article |
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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 < 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 & 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</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 < 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><subject>Adults</subject><subject>Children</subject><subject>Citizens</subject><subject>Comparative Law</subject><subject>Deportation</subject><subject>Elections</subject><subject>Enrollments</subject><subject>Health insurance</subject><subject>Immigrants</subject><subject>Immigration</subject><subject>Immigration policy</subject><subject>Insurance</subject><subject>Insurance coverage</subject><subject>International & Foreign Law</subject><subject>Low income groups</subject><subject>Medicaid</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Noncitizens</subject><subject>Original Paper</subject><subject>Patient Protection & Affordable Care Act 2010-US</subject><subject>Presidential elections</subject><subject>Presidents</subject><subject>Private International Law</subject><subject>Public Health</subject><subject>Sociology</subject><subject>Time series</subject><subject>Uninsured people</subject><issn>1557-1912</issn><issn>1557-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>BHHNA</sourceid><sourceid>HEHIP</sourceid><sourceid>M0C</sourceid><sourceid>M2S</sourceid><recordid>eNp9kE1OwzAQhSMEEqVwAVaW2LAJjCfO3xJVhVaqBAtYG9cdp6kSp9gpEjuuwfU4CYYgkFiwmh9972nmRdEphwsOkF96DiUkMSDGwBNRxnwvGvE0zWNeIuz_9BwPoyPvNwCCFwij6HGyrpumthWbGkO696yzbN62deWU7f376xubkWr6NZtbvws7TWzSPZNTFbEr05Nj_ZoYAs_YnSNfr8j2tWrYtAludWePowOjGk8n33UcPVxP7yezeHF7M59cLWKNBfax0QZLIzQCCaMyvQwjoChLUIlYZuE51IBpTkLlZcEhpVVOS0p4Fj5ZZpiMo_PBd-u6px35Xra119Q0ylK38xIzgQmmwTOgZ3_QTbdzNlwXqELkRcExDRQOlHad946M3Lq6Ve5FcpCfocshdBlCl1-hSx5EySDyAbYVuV_rf1QfkiWDoQ</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Lambert, R. Frederick</creator><creator>Discepolo, Keri E.</creator><creator>Elani, Hawazin W.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7T2</scope><scope>7U4</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWI</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>L.-</scope><scope>LD-</scope><scope>LD.</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>WZK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1057-8124</orcidid></search><sort><creationdate>20220801</creationdate><title>Chilling Effects on Immigrants’ Health Insurance Coverage After the 2016 Presidential Election</title><author>Lambert, R. Frederick ; Discepolo, Keri E. ; Elani, Hawazin W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c282t-fcf29f4c20e4fa6cbf29024990a34b69032c0257e4a798105ed7ebe316041b623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adults</topic><topic>Children</topic><topic>Citizens</topic><topic>Comparative Law</topic><topic>Deportation</topic><topic>Elections</topic><topic>Enrollments</topic><topic>Health insurance</topic><topic>Immigrants</topic><topic>Immigration</topic><topic>Immigration policy</topic><topic>Insurance</topic><topic>Insurance coverage</topic><topic>International & Foreign Law</topic><topic>Low income groups</topic><topic>Medicaid</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Noncitizens</topic><topic>Original Paper</topic><topic>Patient Protection & Affordable Care Act 2010-US</topic><topic>Presidential elections</topic><topic>Presidents</topic><topic>Private International Law</topic><topic>Public Health</topic><topic>Sociology</topic><topic>Time series</topic><topic>Uninsured people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lambert, R. Frederick</creatorcontrib><creatorcontrib>Discepolo, Keri E.</creatorcontrib><creatorcontrib>Elani, Hawazin W.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>ABI-INFORM Complete</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Sociological Abstracts</collection><collection>ProQuest Central</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>Ethnic NewsWatch</collection><collection>Ethnic NewsWatch (Alumni)</collection><collection>ABI/INFORM Global (ProQuest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>ProQuest research library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of immigrant and minority health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lambert, R. Frederick</au><au>Discepolo, Keri E.</au><au>Elani, Hawazin W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chilling Effects on Immigrants’ Health Insurance Coverage After the 2016 Presidential Election</atitle><jtitle>Journal of immigrant and minority health</jtitle><stitle>J Immigrant Minority Health</stitle><date>2022-08-01</date><risdate>2022</risdate><volume>24</volume><issue>4</issue><spage>819</spage><epage>826</epage><pages>819-826</pages><issn>1557-1912</issn><eissn>1557-1920</eissn><abstract>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 < 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.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s10903-022-01349-1</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1057-8124</orcidid></addata></record> |
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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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