 
          
            31
          
        
        
          
            Mexican immigrantswith low incomes
          
        
        
          
            aremore likely to lackhealth insurance
          
        
        
          Mexican and Central American immigrants with low
        
        
          incomesare thegroupsmost lacking inhealth insurance
        
        
          coverage: over sixoutof tenareuninsured. This isover
        
        
          twice theproportionof immigrants fromother regions
        
        
          and three times that of non-Hispanic US-born whi-
        
        
          tes and African Americans. This disadvantage among
        
        
          low-wage Mexican and Central American immigrants
        
        
          has remainedstableduring theperiodanalyzed (Figure
        
        
          17). In a context of economic precariousness and ex-
        
        
          clusion from the health care system, these lowwage
        
        
          immigrantswill faceseverebarriers toobtaininghealth
        
        
          serviceswhen theyneed it.
        
        
          
            Constructionworkers are theMexican
          
        
        
          
            immigrantswith the least protection
          
        
        
          Employment in construction, agriculture and unskilled
        
        
          services, sectors which employ Mexican immigrants
        
        
          at a high rate, is related to lackof protection in terms
        
        
          of health insurance coverage. Indeed, 72% of Mexi-
        
        
          can constructionworkers and 66% of those engaged
        
        
          in agriculture and unskilled service jobs do not have
        
        
          health insurance, according to data for 2013 (Figure
        
        
          18). This is alarming, as figures from theDepartment
        
        
          of Labor of theUnitedStates show that the construc-
        
        
          tion sector had the highest number of fatal accidents
        
        
          in 2012, while agriculture, forestry, fishing and hun-
        
        
          ting showed the highest rate of non-fatal work acci-
        
        
          Note:
        
        
          1/Incomeunder 150%of the federal poverty line for theUnitedStates.
        
        
          Source: Migration Policy Bureau, SEGOB, based on U.S. Census Bureau,
        
        
          
            Current Population Survey
          
        
        
          (CPS), for March
        
        
          2004and2013. IntegratedPublicUseMicrodataSeries (IPUMS)USA,Minneapolis: UniversityofMinnesota.
        
        
          
            Figure17. Low-incomepopulation
          
        
        
          
            1
          
        
        
          
            in theUnitedStateswithout health insurance
          
        
        
          
            by regionof originandethnicityor race, 2004and2013
          
        
        
          
            chapter i i •
          
        
        
          
            access to health insurance and service use