Family income gradients in the health and health care access of US children.
This study sought to examine the shape and magnitude of family income gradients in US children's health, access to care, and use of services. We analyzed cross-sectional data from the 2003 National Survey of Children's Health, a telephone survey of 102,353 parents of children aged 0-17 years. Associ...
| Publicado en: | Maternal & Child Health Journal Vol. 14; no. 3; pp. 332 - 343 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105196345&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105196345 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: May2010 vid: 14 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105196345 2010650179 10.1007/s10995-009-0477-y NLM19499315 PMC2862175 105196345 ppf: 332 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Family income gradients in the health and health care access of US children. aug: au: Larson K Halfon N affil: UCLA Center for Healthier Children, Families, and Communities, 10990 Wilshire Boulevard, Suite 900, Los Angeles, CA 90024, USA; kandyce@ucla.edu sug: subj: Health Resource Utilization In Infancy and Childhood Health Services Accessibility In Infancy and Childhood Health Status In Infancy and Childhood Income Adolescence Bivariate Statistics Child Child Development Child, Preschool Confidence Intervals Cross Sectional Studies Data Analysis Software Demography Descriptive Statistics Funding Source Human Infant Infant, Newborn Interviews Logistic Regression Multivariate Analysis Odds Ratio Oral Health Parents Physical Activity Socioeconomic Factors Stratified Random Sample Survey Research Surveys Telephone Adolescent: 13-18 years Child: 6-12 years Child, Preschool: 2-5 years Infant: 1-23 months Infant, Newborn: birth-1 month ab: This study sought to examine the shape and magnitude of family income gradients in US children's health, access to care, and use of services. We analyzed cross-sectional data from the 2003 National Survey of Children's Health, a telephone survey of 102,353 parents of children aged 0-17 years. Associations between family income [Below 100% Federal Poverty Level (FPL), 100-199% FPL, 200-299% FPL, 300-399% FPL, 400% FPL or Greater] and a set of 32 health and health care indicators were examined using linear polynomial testing and multivariate logistic regression. The percentage of children in better health increased with family income for 15 health outcomes. In multivariate logistic regression models that controlled for health insurance coverage and socio-demographic confounders, odds ratios >2 comparing the lowest to the highest income groups were noted for health conditions across both physical and developmental domains (diabetes, headaches, ear infections, learning disabilities, behavior/conduct problems, speech problems). Parent-reported global child health status, activity limitation, and oral health status showed steeper gradients than specific chronic and acute conditions. Ten measures of health care access and utilization were associated with family income in multivariate logistic regression models. Income gradients are pervasive across many health indicators at an early age. Social and health policy interventions are needed to address the multitude of factors that can affect children's health and initiate disparities in development. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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