 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Natasha K. Sriraman, MD, MPH1, Matilde Irigoyen, MD2, Raymond R. Arons, DrPH3, and David Bateman, MD2. (1) Division of General Pediatrics, Columbia-Presbyterian Medical Center, 622 West 168th Street, Suite VC-402, New York, NY 10031, 212-305-6227, NS2048@columbia.edu, (2) Division of General Pediatrics, Columbia University, 622 W. 168th St., VC4-402, New York, NY 10032, (3) School of Public Health, Columbia University, 600 West 168th Street, New York, NY 10032
In this study, our objective was to examine insurance status and usual source of care among the Asian-American/Pacific Islander (AAPI) children in the US, and the effect of immigration (foreign-birth) on insurance status. We conducted a secondary data analysis of the 1999 Child data set of the National Survey of America's Families (NSAF) of the Urban Institute (www.urban.org). We compared outcomes for AAPI children to the total US sample.
Among AAPI children, one in five was foreign-born compared to 2.9% in the total US sample. Foreign-born AAPI children were 2.2 times more likely to be uninsured than US-born AAPI children (13.5% vs. 6.2%, respectively). Foreign-born AAPI children were 1.6 times less likely to have a usual source of care than foreign-born children in the US (17.8% vs. 11.1%, respectively). Foreign-born AAPI children were almost 3 times more likely to be living in extreme poverty (<100% FPL) than all foreign-born children in the US (14.5% vs. 4.9%, respectively). Among the extremely poor children, 16.4% of AAPI children were uninsured at some time during the year.
A significant proportion of immigrant Asian-American/Pacific Islander (AAPI) children are uninsured and lack a usual source of care. Compared to all foreign-born children in the US, foreign-born AAPI children were less likely to be uninsured. However, foreign-born AAPI children are more likely to be living in extreme poverty than other foreign-born children in the US. Although eligible, many foreign-born AAPI children living in extreme poverty remain uninsured.
Learning Objectives:
Keywords: Asian and Pacific Islander, Child/Adolescent Mental Health
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.