Associations of Expanding Parental Medicaid Eligibility and Parental Health and Family Functioning.
OBJECTIVE: To examine the effects of parental Medicaid eligibility on parental health, parenting practices, and child development in low-income families. METHODS: Longitudinal analysis using data from the Early Child Longitudinal Study-Kindergarten: 2011 to 2016. Outcomes included parental self-rate...
| Publicado en: | Academic Pediatrics Vol. 22; no. 4; pp. 622 - 631 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
May/Jun2022
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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=156823467&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156823467 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: May/Jun2022 vid: 22 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 156823467 156823467 156823467 10.1016/j.acap.2021.07.017 156823467 ppf: 622 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Associations of Expanding Parental Medicaid Eligibility and Parental Health and Family Functioning. aug: au: Brantley, Erin Darden, Michael Ku, Leighton affil: Department of Health Policy and Management, Milken Institute School of Public Health, Washington, DC sug: subj: Medicaid Expansion Parents Health Status Evaluation Parenting Child Development Family Functioning Poverty Human Prospective Studies Self Report Parent-Child Relations Communication Social Skills Insurance Coverage Descriptive Statistics Confidence Intervals Child Health Female Male Child Adult Health Services Accessibility Child: 6-12 years Adult: 19-44 years Female Male ab: OBJECTIVE: To examine the effects of parental Medicaid eligibility on parental health, parenting practices, and child development in low-income families. METHODS: Longitudinal analysis using data from the Early Child Longitudinal Study-Kindergarten: 2011 to 2016. Outcomes included parental self-rated health, parental depressive symptoms, parents' communication and warmth toward children, and children's social skills and externalizing and internalizing behaviors. We estimated 2-way (individual and year) fixed effects models using Medicaid eligibility as a continuous variable, controlling for changing economic conditions, changes in family structure, and state-specific trends. We then estimated triple difference models comparing lower income families to those with higher incomes. Finally, we estimated difference-in-difference models and used entropy weights in order to account for differences in trends prior to 2014 for some outcomes. RESULTS: In fixed effects models, expanding Medicaid eligibility by 100% of the federal poverty line is associated with a 12.7 percentage point reduction in parents' report of having fair or poor health (95% confidence interval [CI], -23.9, -1.5) and a 1.15-point improvement on a 12-point scale of parental warmth towards children (95% CI, 0.15, 2.16). Results were substantively similar in entropy-balanced difference-in-differences models. In triple difference models, expanded Medicaid eligibility is associated with a 0.46 point improvement in warmth (95% CI, 0.10, 0.83) but not improved parental health. No significant effects for child behavior or other outcomes were detected. CONCLUSIONS: Expanding Medicaid for parents may have implications for intergenerational family functioning that could lead to broader social benefits. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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