Changes in Use of County Public Health Services Following Implementation of Alabama’s Immigration Law

dc.creatorWhite, Kari
dc.creatorBlackburn, Justin
dc.creatorManzella, Bryn
dc.creatorWelty, Elisabeth
dc.creatorMenachemi, Nir
dc.date.accessioned2018-04-03T17:42:37Z
dc.date.available2018-04-03T17:42:37Z
dc.date.issued2014
dc.description.abstractSeveral 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.en_US
dc.description.departmentPopulation Research Centeren_US
dc.identifierdoi:10.15781/T2DB7W69P
dc.identifier.urihttp://hdl.handle.net/2152/64160
dc.language.isoengen_US
dc.relation.ispartofTxPEPen_US
dc.rights.restrictionOpenen_US
dc.subjectPubMeden_US
dc.subjectfunded healthen_US
dc.subjectAlabamaen_US
dc.subjectimmigration lawen_US
dc.titleChanges in Use of County Public Health Services Following Implementation of Alabama’s Immigration Lawen_US
dc.typeArticleen_US

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