Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California
Background To examine how legal status and past undocumented status are associated with healthcare access and health outcomes.Methods Data were collected between 2018 and 2020 as a follow-on, cross-sectional survey to the California Health Interview Survey (N=2010). We used multiple regression model...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-04-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000800.full |
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| author | Lei Chen Michelle Kao Nakphong May Sudhinaraset Nadereh Pourat Maria-Elena De Trinidad Young |
| author_facet | Lei Chen Michelle Kao Nakphong May Sudhinaraset Nadereh Pourat Maria-Elena De Trinidad Young |
| author_sort | Lei Chen |
| collection | DOAJ |
| description | Background To examine how legal status and past undocumented status are associated with healthcare access and health outcomes.Methods Data were collected between 2018 and 2020 as a follow-on, cross-sectional survey to the California Health Interview Survey (N=2010). We used multiple regression models to assess associations between past and current legal status and usual source of care, delayed medical care and psychological distress.Results Overall, 26.2% of the sample had ever been undocumented. Compared with citizens who have always held lawful status (CLS), non-citizens who were previously undocumented (adjusted OR (aOR)=0.48, p<0.05) and non-citizens who have always held lawful status (NLS) (aOR=0.41, p<0.01) were less likely to have a usual source of care. Citizens who were previously undocumented were more likely to delay medical care (aOR=2.32, p<0.05) compared with CLS. NLS were more likely to have moderate and above distress (aOR=2.31, p<0.01) compared with CLS.Conclusion Public health efforts are needed to address the burden of trauma and disadvantage among those experiencing persistent effects of undocumented status. |
| format | Article |
| id | doaj-art-e381f0a97af047daa775af9f099808be |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-e381f0a97af047daa775af9f099808be2025-01-29T01:05:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000800Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in CaliforniaLei Chen0Michelle Kao Nakphong1May Sudhinaraset2Nadereh Pourat3Maria-Elena De Trinidad Young41 State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis andTherapy, Sun Yat-sen University Cancer Center, GuangZhou, ChinaUniversity of California San Francisco, San Francisco, California, USAUniversity of California Los Angeles, Los Angeles, California, USAUCLA Center for Health Policy Research, Los Angeles, California, USADepartment of Public Health, Humanities, and Arts, University of California, Merced, California, USABackground To examine how legal status and past undocumented status are associated with healthcare access and health outcomes.Methods Data were collected between 2018 and 2020 as a follow-on, cross-sectional survey to the California Health Interview Survey (N=2010). We used multiple regression models to assess associations between past and current legal status and usual source of care, delayed medical care and psychological distress.Results Overall, 26.2% of the sample had ever been undocumented. Compared with citizens who have always held lawful status (CLS), non-citizens who were previously undocumented (adjusted OR (aOR)=0.48, p<0.05) and non-citizens who have always held lawful status (NLS) (aOR=0.41, p<0.01) were less likely to have a usual source of care. Citizens who were previously undocumented were more likely to delay medical care (aOR=2.32, p<0.05) compared with CLS. NLS were more likely to have moderate and above distress (aOR=2.31, p<0.01) compared with CLS.Conclusion Public health efforts are needed to address the burden of trauma and disadvantage among those experiencing persistent effects of undocumented status.https://bmjpublichealth.bmj.com/content/2/1/e000800.full |
| spellingShingle | Lei Chen Michelle Kao Nakphong May Sudhinaraset Nadereh Pourat Maria-Elena De Trinidad Young Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California BMJ Public Health |
| title | Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California |
| title_full | Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California |
| title_fullStr | Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California |
| title_full_unstemmed | Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California |
| title_short | Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California |
| title_sort | persistent effects of legal status on healthcare access and outcomes findings from a state wide representative cross sectional survey in california |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000800.full |
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