PURPOSE: Insured children in the United States have better access to health care services; less is known about how parental coverage affects children's access to care. We examined the association between parent-child health insurance coverage patterns and children's access to health care and preventive counseling services. METHODS: We conducted secondary analyses of nationally representative, cross-sectional, pooled 2002-2006 data from children (n = 43,509), aged 2 to 17 years, in households responding to the Medical Expenditure Panel Survey (MEPS). We assessed 9 outcome measures pertaining to children's unmet health care and preventive counseling needs. RESULTS: Cross-sectionally, among US children (aged 2 to 17 years) living with at least 1 parent, 73.6% were insured with insured parents, 8.0% were uninsured with uninsured parents, and the remaining 18.4% had discordant family insurance coverage patterns. In multivariable analyses, insured children with uninsured parents had higher odds of an insurance coverage gap (odds ratio [OR] = 2.45; 95% confidence interval [CI], 2.02-2.97), no usual source of care (OR = 1.31; 95% CI, 1.10-1.56), unmet health care needs (OR = 1.11; 95% CI, 1.01-1.22), and having never received at least 1 preventive counseling service (OR = 1.20; 95% CI, 1.04-1.39) when compared with insured children with insured parents. Insured children with mixed parental insurance coverage had similar vulnerabilities. CONCLUSIONS: Uninsured children had the highest rates of unmet needs overall, with fewer differences based on parental insurance status. For insured children, having uninsured parents was associated with higher odds of going without necessary services when compared with having insured parents.
PURPOSE: Insured children in the United States have better access to health care services; less is known about how parental coverage affects children's access to care. We examined the association between parent-child health insurance coverage patterns and children's access to health care and preventive counseling services. METHODS: We conducted secondary analyses of nationally representative, cross-sectional, pooled 2002-2006 data from children (n = 43,509), aged 2 to 17 years, in households responding to the Medical Expenditure Panel Survey (MEPS). We assessed 9 outcome measures pertaining to children's unmet health care and preventive counseling needs. RESULTS: Cross-sectionally, among US children (aged 2 to 17 years) living with at least 1 parent, 73.6% were insured with insured parents, 8.0% were uninsured with uninsured parents, and the remaining 18.4% had discordant family insurance coverage patterns. In multivariable analyses, insured children with uninsured parents had higher odds of an insurance coverage gap (odds ratio [OR] = 2.45; 95% confidence interval [CI], 2.02-2.97), no usual source of care (OR = 1.31; 95% CI, 1.10-1.56), unmet health care needs (OR = 1.11; 95% CI, 1.01-1.22), and having never received at least 1 preventive counseling service (OR = 1.20; 95% CI, 1.04-1.39) when compared with insured children with insured parents. Insured children with mixed parental insurance coverage had similar vulnerabilities. CONCLUSIONS: Uninsured children had the highest rates of unmet needs overall, with fewer differences based on parental insurance status. For insured children, having uninsured parents was associated with higher odds of going without necessary services when compared with having insured parents.
Authors: Jennifer E DeVoe; Courtney Crawford; Heather Angier; Jean O'Malley; Charles Gallia; Miguel Marino; Rachel Gold Journal: Matern Child Health J Date: 2015-08
Authors: Heather Angier; Rachel Gold; Courtney Crawford; Jean P O'Malley; Carrie J Tillotson; Miguel Marino; Jennifer E DeVoe Journal: Matern Child Health J Date: 2014-11
Authors: Steffani R Bailey; Miguel Marino; Megan Hoopes; John Heintzman; Rachel Gold; Heather Angier; Jean P O'Malley; Jennifer E DeVoe Journal: Matern Child Health J Date: 2016-05
Authors: Jennifer E Devoe; Rachel Gold; Patti McIntire; Jon Puro; Susan Chauvie; Charles A Gallia Journal: Ann Fam Med Date: 2011 Jul-Aug Impact factor: 5.166
Authors: Jennifer E DeVoe; Carrie J Tillotson; Lorraine S Wallace; Heather Angier; Matthew J Carlson; Rachel Gold Journal: Ann Fam Med Date: 2011 Nov-Dec Impact factor: 5.166