Impact of the Affordable Care Act on health care access and utilization among Latinos.
Open accessAbstract
INTRODUCTION: In the United States, Latinos have poorer access to and utilization of health care than non-Latino whites. The Patient Protection and Affordable Care Act (ACA) may reduce these disparities. The ACA's impact among Latino subgroups is unknown. METHODS: Using the 2011 to 2015 National Health Interview Survey, we examined access to and utilization of health care by Latino subgroups (18-64 years old). Subgroups were defined by Latino heritage group, citizenship status, and language use. Measures of access and utilization included insurance status, delaying medical care, forgoing medical care, visiting the emergency department, and visiting a physician. Logistic regression models were used to estimate the odds of the outcomes. Time period and subgroup interaction terms were used to test the effects of the ACA. RESULTS: Mexicans and Central Americans had lower odds of being insured than did non-Latino whites. After ACA implementation, most reductions in disparities occurred between Puerto Ricans and non-Latino whites. Limited impact of the ACA was observed by language and citizenship status. CONCLUSIONS: The ACA has reduced gaps in access to and utilization of health care for some Latino population subgroups. Remaining disparities necessitate policy solutions that move beyond the ACA, particularly for groups excluded from coverage options, such as noncitizens.
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Self-rated health status is associated with comorbidity burden, including physical functional status.
“Self-rated health status is associated with comorbidity burden-including physical functional status-and lower selfrated health is associated with increased mortality.25,26”
From Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999–2018 (2021) · cites this paper as [25]
Lower self-rated health is associated with higher mortality.
“Self-rated health status is associated with comorbidity burden-including physical functional status-and lower selfrated health is associated with increased mortality.25,26”
From Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999–2018 (2021) · cites this paper as [25]
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To Address Health Disparities for Latino Youth, Promote Their Engagement in Health Care
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Racial and ethnic differences in the availability of community medical services after leaving prison
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Adult Immigrants’ Utilization of Physician Visits, Dentist Visits, and Prescription Medication
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Forgoing Care in Southernmost Texas
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Advancing the Science of Cancer in Latinos
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Health Insurance Reform and the Latinx Population
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A Meta-Analysis of Mental Health among Latino Adults: Elucidating Disparities from DifferencesPreprint
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Medicaid expansion and adolescents' readiness for transition to adult health insurance
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Content Usage and the Most Frequently Read Articles of 2017
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Public Reimbursement Mandates and Healthcare Supply: Evidence from Nurse MidwivesPreprint
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Population Health Challenges for Latinos in the United States
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Applying an intersectional lens to alcohol inequities: A conceptual framework
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- Authors
- Alcalá, H. E., Chen, J., Langellier, B. A., Roby, D. H., & Ortega, A. N.
- Affiliations
- University of Virginia (US)
- Venue
- The Journal of the American Board of Family Medicine
- Published
- 2017-01
- Volume
- 30
- Issue
- 1
- Pages
- 52-62
- ISSN
- 1557-2625 (ISSN-L)
- 1558-7118
- OpenAlex
- W2568650947
- Cited by
- 96
- References
- 43
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 8 · 2023: 4 · 2022: 11 · 2021: 14 · 2020: 14 · 2019: 15 · 2018: 15 · 2017: 5
- FWCI
- 24.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of the American Board of Family Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Cultural Studies › Latin American and Latino Studies
- Keywords
- Affordable Care Act, Latino health disparities, health care access, health care utilization, health insurance coverage, delayed care, emergency department utilization, physician visits, citizenship status, language use, Mexican Americans, Central Americans, Puerto Ricans, health policy evaluation
- MeSH terms
- Professional Practice Gaps, Adult, Female, Health Policy, Health Services Accessibility, Health Surveys, Hispanic or Latino, Humans, Male, Middle Aged, Patient Acceptance of Health Care, United States, Insurance Coverage, White People, Healthcare Disparities, Young Adult, Patient Protection and Affordable Care Act
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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