This article was originally published here
J Ethnic-racial disparities in health. 2022 Mar 2. doi: 10.1007/s40615-022-01253-2. Online ahead of print.
Within the broader context of health care reforms, I explored racial and ethnic disparities in health insurance coverage as well as potential mechanisms that might contribute to these disparities for a long list of groups. The study used the 2018 National Health Survey to analyze the effects of race/ethnicity on uninsurance, with adjustment for other predisposing characteristics (age, sex, marital status and immigration status), enabling resources (education, income, language proficiency and region) and need (self-reported health status). The study results documented an average uninsured rate of 13%, with substantial variations among different racial and ethnic groups, ranging from more than 30% among Native Americans and Mexicans to less than 10% among Americans. Whites and Asian subgroups. Enabling resources significantly reduced ininsurance among African Americans, Puerto Ricans, and Cubans compared to whites. On the other hand, these confounders only partially contributed to uninsurance among Native Americans, Mexicans, Mexican Americans, Dominicans, and other Central and South Americans. This study found significant racial/ethnic disparities in uninsured rates, with Native Americans and a few Hispanic subgroups (Mexicans, Mexican Americans, and Dominicans) having higher rates and Asian Indians having lower rates than whites. uninsured. Pathways to coverage varied by race/ethnicity. Key findings yielded empirical, theoretical, and policy implications that contributed to health care disparity research.