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Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 7/2014

01-09-2014

The Impacts of Health Insurance Coverage on Access to Healthcare in Children Entering Kindergarten

Authors: Amanda Haboush-Deloye, Spencer Hensley, Masaru Teramoto, Tara Phebus, Denise Tanata-Ashby

Published in: Maternal and Child Health Journal | Issue 7/2014

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Abstract

To examine access to healthcare and health outcomes for kindergartners as they relate to insurance status and type. For the 2008, 2009, and 2010 school years, surveys were distributed to parents with a child entering kindergarten in the state of Nevada. Surveys asked parents to provide information about their child concerning their insurance status, routine medical care, medical conditions, and health behaviors. Compared to their insured peers, uninsured kindergartners were less likely to have had a check-up in the previous 12 months (p < .001; OR 6.14; 95 % CI 5.77–6.53), have a primary physician (p < .001; OR 14.32; 95 % CI 13.49–15.20), or have seen a dentist (p < .001; OR 3.93; 95 % CI 3.70–4.16), and were more likely to have a reported unmet medical need (p < .001; OR 2.60; 95 % CI 2.19–3.07). Additionally, compared to children with private insurance, those children with public insurance were less likely to have had a check-up (p < .001; OR 1.73; 95 % CI 1.59–1.89), have a primary care provider (p < .001; OR 3.87; 95 % CI 3.55–4.21), and were more likely to have unmet medical needs (p < .001; OR 2.27; 95 % CI 1.83–2.81). For children in early development—a deeply critical period—insurance status and type are predictors of important access to healthcare variables.
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Metadata
Title
The Impacts of Health Insurance Coverage on Access to Healthcare in Children Entering Kindergarten
Authors
Amanda Haboush-Deloye
Spencer Hensley
Masaru Teramoto
Tara Phebus
Denise Tanata-Ashby
Publication date
01-09-2014
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 7/2014
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-013-1420-9

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