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Acad Pediatr. 2016 Mar;16(2):192-9. doi: 10.1016/j.acap.2015.06.009. Epub 2015 Aug 18.

Trends in Type of Health Insurance Coverage for US Children and Their Parents, 1998-2011.

Author information

1
Department of Family Medicine, Oregon Health & Science University, Portland, Ore.
2
Division of Biostatistics, Department of Public Health and Preventive Medicine, Oregon Health & Science University, Portland, Ore.
3
Department of Family Medicine, Oregon Health & Science University, Portland, Ore; Division of Biostatistics, Department of Public Health and Preventive Medicine, Oregon Health & Science University, Portland, Ore.
4
Department of Family Medicine, Oregon Health & Science University, Portland, Ore. Electronic address: angierh@ohsu.edu.
5
Department of Family Medicine, The Ohio State University, Columbus, Ohio.
6
Center for Health Research, Kaiser Permanente Northwest, Portland, Ore.

Abstract

OBJECTIVE:

To examine trends in health insurance type among US children and their parents.

METHODS:

Using the Medical Expenditure Panel Survey (1998-2011), we linked each child (n = 120,521; weighted n ≈ 70 million) with his or her parent or parents and assessed patterns of full-year health insurance type, stratified by income. We examined longitudinal insurance trends using joinpoint regression and further explored these trends with adjusted regression models.

RESULTS:

When comparing 1998 to 2011, the percentage of low-income families with both child and parent or parents privately insured decreased from 29.2% to 19.1%, with an estimated decline of -0.86 (95% confidence interval, -1.10, -0.63) unadjusted percentage points per year; middle-income families experienced a drop from 74.5% to 66.3%, a yearly unadjusted percentage point decrease of -0.73 (95% confidence interval, -0.98, -0.48). The discordant pattern of publicly insured children with uninsured parents increased from 10.4% to 27.2% among low-income families and from 1.4% to 6.7% among middle-income families. Results from adjusted models were similar to joinpoint regression findings.

CONCLUSIONS:

During the past decade, low- and middle-income US families experienced a decrease in the percentage of child-parent pairs with private health insurance and pairs without insurance. Concurrently, there was a rise in discordant coverage patterns-mainly publicly insured children with uninsured parents.

KEYWORDS:

access to care; family health; health insurance; uninsured

PMID:
26297668
PMCID:
PMC4758913
[Available on 2017-03-01]
DOI:
10.1016/j.acap.2015.06.009
[Indexed for MEDLINE]
Free PMC Article

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