TY - JOUR
AU - R. Dedania
AU - G. Gonzales
A1 - 
AB - Objectives. To compare access to care between US-born and foreign-born US adults by mental health status. Methods. We analyzed data on nonelderly adults (n = 100 428) from the 2013-2016 National Health Interview Survey. We used prevalence estimates and multivariable logistic regression models to compare issues of affordability and accessibility between US-born and foreign-born individuals. Results. Approximately 22.2% of US-born adults and 18.1% of foreign-born adults had symptoms of moderate to severe psychological distress. Compared with US-born adults with no psychological distress, and after adjustment for sociodemographic characteristics, US-born and foreign-born adults with psychological distress were much more likely to report multiple emergency room visits and unmet medical care, mental health care, and prescription medications because of cost. Conclusions. Our study found that adults with moderate to severe psychological distress, regardless of their immigration status, were at greater risk for reporting issues of affordability when accessing health care compared with US-born adults with no psychological distress. Public Health Implications. Health care and mental health reforms should focus on reducing health care costs and establishing innovative efforts to broaden access to care to diverse populations.
BT - American Journal of Public Health
C5 - Financing & Sustainability; Healthcare Disparities
CP - S3
CY - United States
DO - 10.2105/AJPH.2019.305149
IS - S3
JF - American Journal of Public Health
N2 - Objectives. To compare access to care between US-born and foreign-born US adults by mental health status. Methods. We analyzed data on nonelderly adults (n = 100 428) from the 2013-2016 National Health Interview Survey. We used prevalence estimates and multivariable logistic regression models to compare issues of affordability and accessibility between US-born and foreign-born individuals. Results. Approximately 22.2% of US-born adults and 18.1% of foreign-born adults had symptoms of moderate to severe psychological distress. Compared with US-born adults with no psychological distress, and after adjustment for sociodemographic characteristics, US-born and foreign-born adults with psychological distress were much more likely to report multiple emergency room visits and unmet medical care, mental health care, and prescription medications because of cost. Conclusions. Our study found that adults with moderate to severe psychological distress, regardless of their immigration status, were at greater risk for reporting issues of affordability when accessing health care compared with US-born adults with no psychological distress. Public Health Implications. Health care and mental health reforms should focus on reducing health care costs and establishing innovative efforts to broaden access to care to diverse populations.
PP - United States
PY - 2019
SN - 1541-0048; 0090-0036
SP - S221
EP - S227
EP - 
T1 - Disparities in Access to Health Care Among US-Born and Foreign-Born US Adults by Mental Health Status, 2013-2016
T2 - American Journal of Public Health
TI - Disparities in Access to Health Care Among US-Born and Foreign-Born US Adults by Mental Health Status, 2013-2016
U1 - Financing & Sustainability; Healthcare Disparities
U2 - 31242018
U3 - 10.2105/AJPH.2019.305149
VL - 109
VO - 1541-0048; 0090-0036
Y1 - 2019
ER -