Abstract
Undocumented immigrants face barriers to and discrimination in healthcare, but those with Deferred Action for Childhood Arrivals (DACA) status may fare better. This analysis uses the cross-sectional BRAVE Study of young undocumented Latinx and Asian immigrants to examine differences in barriers to and discrimination in healthcare by DACA status. A majority of respondents experienced financial, language, and cultural barriers, and up to half experienced documentation status barriers, discrimination when seeking healthcare or by a health provider, and negative experiences related to documentation status. In multivariable analyses, DACA recipients have over 90% lower odds of language and cultural barriers, approximately 80% lower odds of discrimination when seeking healthcare and by a health provider, and approximately 70% lower odds of documentation status barriers and negative experience related to documentation status compared to nonrecipients. These findings indicate that DACA recipients experience fewer barriers to healthcare and discrimination in healthcare compared to nonrecipients.
Highlights
Immigrants, undocumented immigrants, face difficulties in accessing healthcare in the United States
Controlling for relevant covariates, Deferred Action for Childhood Arrivals (DACA) recipients had 92% lower odds of language barriers and 91% lower odds of cultural barriers compared to non-recipients
DACA status was not statistically significant in the bivariate test with documentation status barriers, when controlling for relevant covariates, DACA recipients had 71% lower odds of documentation status barriers compared to non-recipients
Summary
Immigrants, undocumented immigrants, face difficulties in accessing healthcare in the United States. Undocumented immigrants are unable to access public insurance or healthcare plans on the insurance marketplace, some states, such as California, provide coverage for some undocumented immigrants. Even those eligible for insurance may not seek it due to difficulties understanding eligibility or navigating enrollment [1]. Cost of healthcare, lack of health literacy, and transportation issues further impact access to care [5, 6]. These barriers result in low healthcare use and worse self-reported health among this population [6–8]
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