Health Affairs, 26, no. 5 (2007): 1258-1268
doi: 10.1377/hlthaff.26.5.1258
© 2007 by Project HOPE
 
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Definitions & Determinants

Immigrants And Health Care: Sources Of Vulnerability

Kathryn Pitkin Derose, José J. Escarce and Nicole Lurie

Immigrants have been identified as a vulnerable population, but there is heterogeneity in the degree to which they are vulnerable to inadequate health care. Here we examine the factors that affect immigrants’ vulnerability, including socioeconomic background; immigration status; limited English proficiency; federal, state, and local policies on access to publicly funded health care; residential location; and stigma and marginalization. We find that, overall, immigrants have lower rates of health insurance, use less health care, and receive lower quality of care than U.S.-born populations; however, there are differences among subgroups. We conclude with policy options for addressing immigrants’ vulnerabilities.


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