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Home > Funded Research Home > All > Sort by Author (A-Z) > McGuire, Alegria, Cao & Takeuchi

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Author: McGuire, Thomas ; Alegria, Margerita ; Cao, Zhun ; Takeuchi, David
Working Paper: Health Insurance for Vulnerable Populations: Understanding Differences across Asian American and Latino Subgroups in the United States (PDF) ; February 2005

Objectives: This study contrasts insurance outcomes (private, public, uninsured) for subgroups of Asian Americans and Latinos using the National Latino and Asian American Study (NLAAS).

Methods: The NLAAS is a national probability sample of Latinos and Asian Americans (18 + years) in the United States. Measures included insurance coverage, demographic and socioeconomic characteristics, and health and mental health status. To evaluate differences in insurance outcomes across ethnic subgroups, weighted multinomial logistic regression models were run .

Results: Uninsurance rates for Latinos (37%) were strikingly different across subgroups (p < 0.001), with the highest uninsurance rate observed among Mexicans (45%). All Asian subgroups had similar adjusted uninsured rates (about 13%), but Vietnamese had slightly double the adjusted rate of public insurance.

Conclusions: The NLAAS results confirm that Latinos are disproportional uninsured. Extensive differences in insurance coverage between subgroups of Latinos and Asian Americans cannot be eliminated even after controlling for a range of factors. Policies affecting access to public coverage function differentially across groups, suggesting that to close the gap in coverage will require targeting factors particular to each group.