Project III uses a longitudinal research design to analyze Mexican children of immigrants'access to and use of health care. The project will evaluate how immigrant documentation status creates health care access vulnerabilities and how institutional and sociopolitical contexts in new and traditional immigrant destination communities may reduce health care barriers. While nearly one-third (29%) of Mexican children lack health insurance and an estimated 16% do not get regular medical checkups, little is known about the effects on health care access and use of the immigration and settlement process or the legal status of parents and children. This study will address these research gaps using pooled longitudinal data from four nationally representative cohorts from the 1996, 2001, 2004 and 2008 panels ofthe SIPP merged with contextual data on public and school-based health facilities, economic conditions, and largely restrictive local area immigration-related laws and policies. Rates and types of insurance coverage, gaps in coverage over time (e.g., by year), and receipt of routine medical and dental care will be examined by race-ethnicity, nativity, and legal status, and across new versus traditional immigrant destination contexts. The proposed analysis will advance public health scholarship regarding multiple dimensions of new and traditional destination contexts that are related to health care access and utilization (i.e., health- and work-related institutional contexts, the immigrant receptivity context). Methodological innovations address several challenges inherent in the study of immigrant populations, including the development and validation of an algorithm to estimate immigrant documentation status;development of propensity scores for use in sensitivity tests for bias in model estimates due to selection into new/traditional destination communities and for use in creating emigration adjusted weights;and the multi-source measurement of immigrant receptivity """"""""climate,"""""""" including local area enacted immigration-related laws and policies and media-documented records of immigration-related community social actions.
Child and human development experts agree that child health promotes healthy functioning in adulthood, through its role in child educational success and in future adult health. Equitable access to health care resources is important for reducing current rates of adult minority health disparities and to ensure a population of productive citizens for America's future (Shields and Behrman, 2004).
|Martin, Molly A; Lippert, Adam M; Chandler, Kelly D et al. (2018) Does mothers' employment affect adolescents' weight and activity levels? Improving our empirical estimates. SSM Popul Health 4:291-300|
|Noah, Aggie J; Landale, Nancy S (2018) Parenting Strain among Mexican-origin Mothers: Differences by Parental Legal Status and Neighborhood. J Marriage Fam 80:317-333|
|Altman, Claire E; Van Hook, Jennifer; Gonzalez, Jonathan (2017) Becoming Overweight Without Gaining a Pound: Weight Evaluations and the Social Integration of Mexicans in the United States. Int Migr Rev 51:3-36|
|Landale, Nancy S; Oropesa, R S; Noah, Aggie J (2017) Experiencing discrimination in Los Angeles: Latinos at the intersection of legal status and socioeconomic status. Soc Sci Res 67:34-48|
|Oropesa, R S; Landale, Nancy S; Hillemeier, Marianne M (2017) How does legal status matter for oral health care among Mexican-origin children in California? SSM Popul Health 3:730-739|
|Oropesa, R S; Landale, Nancy S; Hillemeier, Marianne M (2017) SEARCHING FOR THE FAMILY LEGAL STATUS OF MEXICAN-ORIGIN CHILDREN: A PRIMER ON DIFFERENT MEASUREMENT STRATEGIES. J Fam Issues 38:700-727|
|Oropesa, R S; Landale, Nancy S; Hillemeier, Marianne M (2016) Legal Status and Health Care: Mexican-Origin Children in California, 2001-2014. Popul Res Policy Rev 35:651-684|
|Landale, Nancy S; Oropesa, R S; Noah, Aggie J et al. (2016) Early cognitive skills of Mexican-origin children: The roles of parental nativity and legal status. Soc Sci Res 58:198-209|
|Van Hook, Jennifer; Quiros, Susana; Frisco, Michelle L et al. (2016) It is Hard to Swim Upstream: Dietary Acculturation Among Mexican-Origin Children. Popul Res Policy Rev 35:177-196|
|Frisco, Michelle L; Quiros, Susana; Van Hook, Jennifer (2016) One Size May Not Fit All: How Obesity Among Mexican-Origin Youth Varies by Generation, Gender, and Age. Demography 53:2031-2043|
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