Alexander N Ortega
Datos Biográficos
| ID | 238337 |
|---|---|
| NOMBRE | Alexander N Ortega |
| NOMBRES | Alexander N |
| APELLIDO | Ortega |
| FIRMA | ORTEGA A N |
| AFILIACIONES | Drexel University |
| ORCID | 0000-0001-6861-6993 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 47 |
| TOTAL DE CITAS | 23 |
| TOTAL COMO AUTOR | 47 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 3 |
Measuring county-level immigration policy contexts that may influence Latino health in California
Studies have examined the impact of federal and state immigration policies on Latino immigrant health. Few studies have investigated the effects of local policies that shape access to services, resources, and opportunities among Latino and immigrant populations. This article presents a framework and measures to describe county-level immigration policy contexts. We developed multisectoral indicators of immigration policy contexts by linking polici…
Expanding Medicaid for Undocumented Immigrants
Perceived Health Misinformation on Social Media and Public Trust in Health Care
OBJECTIVES: Investigate the association between perceptions of health misinformation on social media and trust in the health care system among US adults, and to assess whether this association varies by frequency of health care visits, perceived health care quality and experiences of medical care discrimination. METHODS: Cross-sectional survey study using data from the 2022 Health Information National Trends Survey 6 (HINTS 6). Analysis was condu…
The American Rescue Plan Act and Access to Health Care for Latinos According to Citizenship Status
OBJECTIVE: We studied patterns in health care access between Latino and non-Latino White adults according to citizenship status before and after the American Rescue Plan Act (ARPA) of 2021 was enacted to determine whether inequities changed. METHODS: This study used 2019-2022 National Health Survey Interview data. Differences in predicted probabilities from logistic regression models were used to estimate changes in health care access outcomes (a…
Prevalence of Chronic Pain by Immigration Status and Latino Ethnicity
United States Federal Policies Contributing to Health and Health Care Inequities in Puerto Rico
Puerto Rico, a territory of the United States since 1898, has recently experienced an increasing frequency and intensity of natural disasters and public health emergencies. In 2022, Hurricane Fiona became the latest storm to attract media attention and cast a light on Puerto Rico’s deteriorating conditions, including infrastructural failings, health care provider shortages, and high levels of chronic illness. Although recent events have been uniq…
Health Care Access and Utilization and the Latino Health Paradox
BACKGROUND: The Latino health paradox is the phenomenon whereby recent Latino immigrants have, on average, better health outcomes on some indicators than Latino immigrants who have lived in the United States longer and US-born Latinos and non-Latino Whites. This study examined whether the paradox holds after accounting for health care access and utilization. METHODS: The 2019-2020 National Health Interview Survey data were used. The main predicto…
Is use of a smuggler to cross the US-Mexico border associated with mental health problems among undocumented immigrants from Mexico
Although numerous studies have found that Latine immigrants to the United States (US) have better health outcomes on average than persons born in the US, studies of persons living in Mexico have found that undocumented immigrants have worse health, especially those that were deported, compared to Mexican citizens that never migrated or migrated with authorization. However, the health outcomes of Mexican migrants using a smuggler to cross the US-M…
State-Level Legislation During the Covid-19 Pandemic to Offset the Exclusion of Undocumented Immigrants From Federal Relief Efforts
New Directions for Public Health Research on the Health and Health Care of Undocumented Immigrants
New Directions for Public Health Research on the Health and Health Care of Undocumented Immigrants Alexander N. Ortega PhD, Arturo Vargas Bustamante PhD, and Dylan H. Roby PhD Affiliation Alexander N. Ortega is with the Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. Arturo Vargas Bustamante is with the Department of Health Policy and Management, Fielding School of Public Health, …
The Affordable Care Act and Health Care Access and Utilization Among White, Asian, and Latino Immigrants in California
OBJECTIVE: The objective of this study was to examine changes in health care access and utilization for White, Asian, and Latino immigrants associated with the implementation of the Patient Protection and Affordable Care Act (ACA) in California. STUDY DESIGN: Using the 2011-2013 and 2015-2017 California Health Interview Survey, we examined changes in 2 health care access and 2 utilization measures among 3 immigrant racial/ethnic groups. We estima…
Inequities in Access to Care and Health Care Spending for Asian Americans With Cancer
BACKGROUND: Asian Americans have lower cancer screening rates than non-Latino "Whites," suggesting inequities in cancer prevention among Asian Americans. Little is known about inequities in cancer treatment between Whites and Asian Americans with cancer. METHODS: Using the 2002-2017 Medical Expenditure Panel Survey, we examined inequities in access to care and health care spending between Whites and Asian Americans with and without cancer. Our ou…
Cardiovascular disease behavioral risk factors among Latinos by citizenship and documentation status
This study observes that the healthy Latino immigrant advantage seems to apply to undocumented female immigrants, but it does not necessarily extend to undocumented male immigrants who had similar behavioral risk profiles to US-born Latinos
Health Care Access and Utilization for Latino Youth in the United States
OBJECTIVES: We sought to determine the associations between maternal citizenship and health care access and utilization for US-born Latino youth and to determine whether maternal distress is a moderator of the associations. METHODS: Using 2010-2017 Integrated Public Use Microdata Series National Health Interview Survey data, multivariable logistic regressions were run to examine the associations among maternal citizenship and health care access a…
The Effects of the Affordable Care Act on Health Care Access and Utilization Among Asian American Subgroups
OBJECTIVES: We examined changes in health care access and utilization associated with the Patient Protection and Affordable Care Act (ACA) for different Asian American subgroups relative to non-Latino whites (whites). RESEARCH DESIGN: Using 2003-2017 California Health Interview Survey data, we examined changes in 4 health care access measures and 2 utilization measures among whites and 7 Asian American subgroups. We estimated the unadjusted and a…
Health Care Access and Utilization Among U.S. Immigrants Before and After the Affordable Care Act
The Affordable Care Act Attenuates Financial Strain According to Poverty Level
We use data from the 2011-2016 National Health Interview Survey to examine how the Patient Protection and Affordable Care Act (ACA) has influenced disparities in health care-related financial strain, access to care, and utilization of services by categories of the Federal Poverty Level (FPL). We use multivariable regression analyses to determine the ACA's effects on these outcome measures, as well as to determine how changes in these measures var…
Insurance Type and Access to Health Care Providers and Appointments Under the Affordable Care Act
BACKGROUND: Millions of adults have gained insurance through the Affordable Care Act (ACA). However, disparities in access to care persist. OBJECTIVE: This study examined differences in access to primary and specialty care among patients insured by private individual market insurance plans (both on-exchange and off-exchange) and Medicaid compared with those with employer-sponsored insurance. RESEARCH DESIGN: Using data from the 2014 and 2015 Cali…
Insurance Coverage and Utilization Improve for Latino Youth but Disparities by Heritage Group Persist Following the ACA
OBJECTIVE: Latino youth experience worse access to and utilization of health care compared with non-Latino "white" youth, with inequities persisting following the implementation of the Affordable Care Act (ACA). To better understand these disparities, we examine changes in youth's access and utilization associated with the ACA for different Latino heritage groups relative to whites. STUDY DESIGN: We use 6 years (2011-2016) of National Health Inte…
Health Care Access and Physical and Behavioral Health Among Undocumented Latinos in California
BACKGROUND: This paper provides statewide estimates on health care access and utilization patterns and physical and behavioral health by citizenship and documentation status among Latinos in California. METHODS: This study used data from the 2011-2015 California Health Interview Survey to examine health care access and utilization and physical and behavioral health among a representative sample of all nonelderly Latino and US-born non-Latino whit…
A corner store intervention to improve access to fruits and vegetables in two Latino communities
Objective Investments have been made to alter the food environment of neighbourhoods that have a disproportionate number of unhealthy food venues. Corner store conversions are one strategy to increase access to fruits and vegetables (F&V). Although the literature shows modest success, the effectiveness of these interventions remains equivocal. The present paper reports on the evaluation of Proyecto MercadoFRESCO, a corner store conversion interve…
The Affordable Care Act Reduces Hypertension Treatment Disparities for Mexican-heritage Latinos
OBJECTIVES: Mexican-heritage Latinos have lower prevalence of hypertension, but have worse patterns of treatment and control compared with non-Latino whites. This study examined the impact of the Affordable Care Act (ACA) insurance expansion on reducing disparities in treatment and medication use among Mexican-heritage Latinos with hypertension. RESEARCH DESIGN: Using the 2009-2014 waves of the California Health Interview Survey, we examine healt…
Substantial improvements not seen in health behaviors following corner store conversions in two Latino food swamps
Results suggest limited effectiveness of food retail interventions on improving health behaviors. Future research should focus on other strategies to reduce community-level obesity
Comparing Lay Community and Academic Survey Center Interviewers in Conducting Household Interviews in Latino Communities
With a lower cost per completed survey and lower item nonresponse rates, lay community interviewers are a viable alternative to professional interviewers for fieldwork in community-based research. Additional research is needed to assess other important aspects of data quality interviewer such as interviewer effects and response error
Racial and Ethnic Disparities in Health Care Access and Utilization Under the Affordable Care Act
OBJECTIVE: To examine racial and ethnic disparities in health care access and utilization after the Affordable Care Act (ACA) health insurance mandate was fully implemented in 2014. RESEARCH DESIGN: Using the 2011-2014 National Health Interview Survey, we examine changes in health care access and utilization for the nonelderly US adult population. Multivariate linear probability models are estimated to adjust for demographic and sociodemographic …
Asthma disparities in the prevalence, morbidity, and treatment of Latino children
Calling for a Bold New Vision of Health Disparities Intervention Research
State-Level Legislation During the Covid-19 Pandemic to Offset the Exclusion of Undocumented Immigrants From Federal Relief Efforts
United States Federal Policies Contributing to Health and Health Care Inequities in Puerto Rico
Puerto Rico, a territory of the United States since 1898, has recently experienced an increasing frequency and intensity of natural disasters and public health emergencies. In 2022, Hurricane Fiona became the latest storm to attract media attention and cast a light on Puerto Rico’s deteriorating conditions, including infrastructural failings, health care provider shortages, and high levels of chronic illness. Although recent events have been uniq…
Comparing Lay Community and Academic Survey Center Interviewers in Conducting Household Interviews in Latino Communities
With a lower cost per completed survey and lower item nonresponse rates, lay community interviewers are a viable alternative to professional interviewers for fieldwork in community-based research. Additional research is needed to assess other important aspects of data quality interviewer such as interviewer effects and response error
Transdisciplinary Cardiovascular and Cancer Health Disparities Training
The Centers for Population Health and Health Disparities program promotes multilevel and multifactorial health equity research and the building of research teams that are transdisciplinary. We summarized 5 areas of scientific training for empowering the next generation of health disparities investigators with research methods and skills that are needed to solve disparities and inequalities in cancer and cardiovascular disease. These areas include…
Use of Health Services by Insurance Status Among Children With Asthma
OBJECTIVES: It is well known that asthmatic children receiving Medicaid use the emergency department (ED) more frequently than otherwise-insured asthmatic children. However, the extent to which this difference is attributable to provider characteristics, medication use, access to primary care, and symptomatology is poorly understood. These factors were explored as independent predictors of health care utilization. METHODS: Baseline data from a pr…
Mental Health Care for Latinos
OBJECTIVE: The authors investigated whether there are disparities in the rates of specialty mental health care for Latinos and African Americans compared with non-Latino whites in the United States. METHODS: Data were analyzed from the 1990-1992 National Comorbidity Survey, which surveyed a probability sample of 8,098 English-speaking respondents aged 15 to 54 years. Respondents self-identified their race or ethnicity, yielding a sample of 695 La…
Oral Health and Use of Dental Services Among Hispanics
While dental insurance and education appear to be the most important factors for determining both use of dental cleaning services and use of dental care in all three samples, acculturation also had some impact for determining use of dental care
Having Issues with Parental Psychopathology and Children’s Mental Health Risk and Service Use
From the Division of Health Policy & Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut. Address correspondence to: Alexander N. Ortega, PhD, Division of Health Policy & Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, 60 College St., P.O. Box 208034, New Haven, CT 06520-8034. E-mail: [email protected]
Hispanic Healthcare Disparities
BACKGROUND: Hispanic Americans are often treated as a monolithic ethnic group with a single pattern of healthcare utilization. However, there could be considerable differences within this population. We examine the association between use of healthcare services and Hispanic Americans'country of ancestry or origin, language of interview, and length of time lived in the United States. METHODS: Our data come from the Medical Expenditure Panel Survey…
Effective Recruitment and Retention of Minority Research Participants
Our ability, as leaders in public health scholarship and practice, to achieve and measure progress in addressing racial/ethnic disparities in health status and health care is severely constrained by low levels of participation of racial/ethnic minority populations in health-related research. Confining our review to those minority groups federally defined as underrepresented (African Americans/blacks, Latinos/Hispanics, and Native Americans/Americ…
Asthma disparities in the prevalence, morbidity, and treatment of Latino children
Mental health and substance use disorders among Latino and Asian American lesbian, gay, and bisexual adults.
Growing evidence suggests that lesbian, gay, and bisexual adults may be at elevated risk for mental health and substance use disorders, possibly due to anti-gay stigma. Little of this work has examined putative excess morbidity among ethnic/racial minorities resulting from the experience of multiple sources of discrimination. The authors report findings from the National Latino and Asian American Survey (NLAAS), a national household probability p…
Health Care Access, Use of Services, and Experiences Among Undocumented Mexicans and Other Latinos
BACKGROUND: We compared access to health care, use of services, and health care experiences for Mexicans and other Latinos by citizenship and immigrant authorization status. METHODS: We acquired data from the 2003 California Health Interview Survey, with 42,044 participants representative of noninstitutionalized households. Participants were differentiated by ethnicity/race, national origin, and citizenship/immigration authorization status. Outco…
Health Status of Mexican-Origin Persons
Lifetime and 12-month intermittent explosive disorder in Latinos
This study examined the occurrence, correlates, and psychiatric co-morbidities of lifetime and 12-month intermittent explosive disorder (IED) and whether impairment due to IED differed across Latino groups. We used data on 2,554 Latino adults (75.5% response rate) from the National Latino and Asian American Study (NLAAS). Lifetime and 12-month prevalence of IED among Latinos were 5.8% and 4.1%, respectively. Unemployment was a common risk factor …
Access to and Utilization of Health Care by Subgroups of Latino Children
BACKGROUND: Latinos make up the largest group of minority children in the United States. Despite great diversity among Latino children, studies have traditionally treated them as a monolithic group. Few studies have examined patterns and determinants of access to and use of health care for different subgroups of Latino children. OBJECTIVES: To delineate differences in access and utilization patterns between white and subgroups of Latino children,…
Variations in Healthcare Access and Utilization Among Mexican Immigrants
The objective of this study is to identify differences in healthcare access and utilization among Mexican immigrants by documentation status. Cross-sectional survey data are analyzed to identify differences in healthcare access and utilization across Mexican immigrant categories. Multivariable logistic regression and the Blinder-Oaxaca decomposition are used to parse out differences into observed and unobserved components. Mexican immigrants ages…
The Effect of Neonatal Intensive Care Level and Hospital Volume on Mortality of Very Low Birth Weight Infants
OBJECTIVE: To determine the adjusted effect of hospital level of care and volume on mortality of very low birth weight (VLBW) infants in the state of California, where deregionalization of perinatal care has occurred. RESEARCH DESIGN: Secondary data analysis of California maternal-infant hospital discharge data from 1997 to 2002 was performed. Logistic regression was used to evaluate the odds of mortality among VLBW infants by hospital level of n…
Racial and Ethnic Disparities in Pediatric Experiences of Family-Centered Care
BACKGROUND: Previous studies have examined racial and ethnic disparities in the receipt of family-centered care among children with special health care needs and health plan enrollees, but the extent of disparities in the general pediatric population remains unclear. OBJECTIVE: To examine racial and ethnic disparities in the receipt of family-centered care among a general population of US children. METHODS: Linked data from the Medical Expenditur…
Immigration Disparities in Cardiovascular Disease Risk Factor Awareness
Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act
The changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and racial groups. The implementation of the Affordable Care Act (ACA) of 2010 may ameliorate some of these disparities. However, even with the ACA, it i…
Trends in racial/ethnic disparities in overweight self-perception among US adults, 1988–1994 and 1999–2008
Objective Weight self-perceptions, or how a person perceives his/her weight status, may affect weight outcomes. We use nationally representative data from 1988–1994 and 1999–2008 to examine racial/ethnic disparities in weight self-perceptions and understand how disparities have changed over time. Design Using data from two time periods, 1988–1994 and 1999–2008, we calculated descriptive statistics, multivariate logistic regression models and pred…
Access to and Use of Health Care Services Among Latinos in East Los Angeles and Boyle Heights
This study examined differences in access, utilization, and barriers to health care by nativity, language spoken at home, and insurance status in East Los Angeles and Boyle Heights, California. Data from household interviews of neighborhood residents conducted as part of a corner store intervention project were used. Binary and multinomial logistic regression models were fitted. Results showed that uninsured and foreign-born individuals were diff…
Latino Population Growth and Hospital Uncompensated Care in California
Objectives. We examined the association between the size and growth of Latino populations and hospitals’ uncompensated care in California. Methods. Our sample consisted of general acute care hospitals in California operating during 2000 and 2010 (n = 251). We merged California hospital data with US Census data for each hospital service area. We used spatial analysis, multivariate regression, and fixed-effect models. Results. We found a significan…
Transdisciplinary Cardiovascular and Cancer Health Disparities Training
The Centers for Population Health and Health Disparities program promotes multilevel and multifactorial health equity research and the building of research teams that are transdisciplinary. We summarized 5 areas of scientific training for empowering the next generation of health disparities investigators with research methods and skills that are needed to solve disparities and inequalities in cancer and cardiovascular disease. These areas include…
Calling for a Bold New Vision of Health Disparities Intervention Research
Substantial improvements not seen in health behaviors following corner store conversions in two Latino food swamps
Results suggest limited effectiveness of food retail interventions on improving health behaviors. Future research should focus on other strategies to reduce community-level obesity
Comparing Lay Community and Academic Survey Center Interviewers in Conducting Household Interviews in Latino Communities
With a lower cost per completed survey and lower item nonresponse rates, lay community interviewers are a viable alternative to professional interviewers for fieldwork in community-based research. Additional research is needed to assess other important aspects of data quality interviewer such as interviewer effects and response error
Racial and Ethnic Disparities in Health Care Access and Utilization Under the Affordable Care Act
OBJECTIVE: To examine racial and ethnic disparities in health care access and utilization after the Affordable Care Act (ACA) health insurance mandate was fully implemented in 2014. RESEARCH DESIGN: Using the 2011-2014 National Health Interview Survey, we examine changes in health care access and utilization for the nonelderly US adult population. Multivariate linear probability models are estimated to adjust for demographic and sociodemographic …
Medicine (44 obras) · Health care (29 obras) · Environmental health (27 obras) · Gerontology (27 obras) · Public health (26 obras) · Migration, Health and Trauma (24 obras) · Demography (22 obras) · Gerontology (22 obras) · Nursing (22 obras) · Political science (22 obras)