Changes in use of county public health services following implementation of Alabama’s immigration law

Kari White, Justin Blackburn, Bryn Manzella, Elisabeth Welty, Nir Menachemi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Several states have enacted legislation restricting undocumented immigrants’ access to publicly funded health benefits not protected by federal law. Using electronic health records from 140,856 county health department visits, we assessed the monthly change in Latino patients’ visits compared to non-Latinos 12 months before and after implementation of Alabama’s immigration law. We used ICD-9 diagnosis codes to determine whether visits included services exempt under the law: immunizations, testing and treatment for sexually transmitted infections (STIs) and communicable diseases, and family planning. Differences between groups in the mean percent change were assessed with t-tests. Among children younger than 18 years, there were no significant differences by ethnicity. Visits among Latino adults decreased by 28% for communicable diseases, 25% for STIs, and 13% for family planning; this was significantly different from changes among non-Latino adults (p <.05). State-level legislation may reduce immigrants’ access to protected benefits, which could adversely affect the broader public’s health.

Original languageEnglish (US)
Pages (from-to)1844-1852
Number of pages9
JournalJournal of Health Care for the Poor and Underserved
Volume25
Issue number4
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

United States Public Health Service
Emigration and Immigration
Sexually Transmitted Diseases
Family Planning Services
Legislation
Hispanic Americans
Communicable Diseases
Electronic Health Records
International Classification of Diseases
Insurance Benefits
Immunization
Public Health
Health
Therapeutics

Keywords

  • Access to care
  • Hispanic/Latino
  • Immigrants
  • Immigration policy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Changes in use of county public health services following implementation of Alabama’s immigration law. / White, Kari; Blackburn, Justin; Manzella, Bryn; Welty, Elisabeth; Menachemi, Nir.

In: Journal of Health Care for the Poor and Underserved, Vol. 25, No. 4, 01.01.2014, p. 1844-1852.

Research output: Contribution to journalArticle

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