@article{Hamilton_47_16, author = {Hamilton, Christal and Bachmeier, James and Altman, Claire and Spence, Cody}, title={{Legal status and health disparities: An examination of health insurance coverage among the foreign-born}}, journal = {Demographic Research}, volume = {47}, number = {16}, pages = {453--488}, doi = {10.4054/DemRes.2022.47.16}, year = {2022}, abstract = {Objective: This paper employs a statistical matching procedure to impute the legal status of foreign-born adults in US Census surveys in order to estimate migration status disparities in health insurance coverage. Methods: Using data from the Survey of Income and Program Participation, we impute the legal/citizenship (migration) status of immigrants in the National Health Interview Survey. Results: Results from the pooled data document disparities in health insurance coverage among four citizen/legal status groups: naturalized citizens, lawful permanent residents, legal nonimmigrants, and unauthorized immigrants. Naturalized citizens had the highest rate of health insurance coverage, followed by legal immigrants, legal nonimmigrants, and unauthorized immigrants. Contribution: The paper presents revised pre–Affordable Care Act (ACA) estimates of health insurance coverage among the foreign-born that are crucial for evaluating the impact of the ACA on reducing or exacerbating disparities in health coverage among migration status groups. }, URL = {https://www.demographic-research.org/volumes/vol47/16/}, eprint = {https://www.demographic-research.org/volumes/vol47/16/47-16.pdf} }