Hispanics are one of the most rapidly growing groups in the United States and are now the nation's largest racial/ethnic minority group. As the Hispanic population grows, it is becoming increasingly dispersed geographically. While much of the Hispanic population is concentrated in areas that historically have had a large Hispanic population, smaller urban and rural areas that previously had relatively few Hispanics are now experiencing very high rates of growth. Given their growing numbers and increasing dispersion, it is important to understand and address the health needs of Hispanics. Communities that have little previous experience caring for Hispanics may be less prepared to meet their health needs. The overwhelming majority of Hispanics work, but they are much less likely than other groups to have health coverage because a number are recent immigrants who often are employed in low-wage jobs that do not offer health coverage and may also face language and cultural barriers to care. As a result of their high uninsured rates and other barriers, Hispanics are more likely than other groups to have problems accessing timely and necessary medical care. This report examines coverage and access to care for Hispanics living in "new growth" communities (those with a small but rapidly growing Hispanic population) and those living in "major Hispanic centers" (areas that traditionally have had a large Hispanic population). It also compares Hispanics with non-Hispanic whites in these communities. The primary data for the analysis are from the Community Tracking Study (CTS) Household Surveys, a series of four surveys conducted in 60 nationally representative communities between 1996 and 2003 that include large samples of Hispanics.
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