Declining health insurance access among US Hispanic workers: Not all jobs are created equal

Kathryn E. McCollister, Kristopher L. Arheart, David J. Lee, Lora E. Fleming, Evelyn P. Davila, William C. Leblanc, Sharon L. Christ, Alberto J. Caban-Martinez, Jonathan P. West, John E. Clark, Michael J. Erard

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Introduction Approximately 18% of the U.S. population are uninsured, aproportion that may continue to rise, particularly among Hispanics, as the cost of medical care increases faster than the growth in wages. Methods Health insurance trends were analyzed by race-ethnic category, and among Hispanic workers by occupation type and industrial sector, using data on employed respondents ≥18 years from 1997 to 2007 National Health Interview Survey (NHIS) (mean annual n = 17,392, representing 123 million US workers on average over this 11 year period). Results From 1997 to 2007, the relative decline in health insurance coverage for US workers was greatest among Hispanics (7.0%). Hispanic workers in the Construction and Services industries had the greatest overall decline in coverage (24.9% and 14.7%), as well as Hispanic blue collar workers (14.0%). Conclusion Hispanic workers in general, and those employed in blue collar, construction, and services sectors in particular, are at greater risk for poor access to health care due to a lack of health insurance coverage.

Original languageEnglish (US)
Pages (from-to)163-170
Number of pages8
JournalAmerican Journal of Industrial Medicine
Issue number2
StatePublished - Feb 1 2010


  • Health disparities
  • Health insurance
  • Healthcare utilization
  • Hispanic workers
  • Occupation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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