Financial burden of raising CSHCN: association with state policy choices

Pediatrics
Susan L ParishRoderick A Rose

Abstract

We examined the association between state Medicaid and State Children's Health Insurance Program (SCHIP) income eligibility and the financial burden reported by low-income families raising children with special health care needs (CSHCN). Data on low-income CSHCN and their families were from the National Survey of Children With Special Health Care Needs (N = 17039), with a representative sample from each state. State Medicaid and SCHIP income-eligibility thresholds were from publicly available sources. The 3 outcomes included whether families had any out-of-pocket health care expenditures during the previous 12 months for their CSHCN, amount of expenditure, and expenditures as a percentage of family income. We used multilevel logistic regression to model the association between Medicaid and SCHIP characteristics and families' financial burden, controlling state median income and child- and family-level characteristics. Overall, 61% of low-income families reported expenditures of >$0. Among these families, 30% had expenses between $250 and $500, and 34% had expenses of more than $500. Twenty-seven percent of the families reporting any expenses had expenditures that exceeded 3% of their total household income. The percentage of lo...Continue Reading

References

Feb 3, 2004·Pediatrics·Michelle L MayerUNKNOWN National Survey of Children With Special Health Care Needs
Jan 5, 2005·Archives of Pediatrics & Adolescent Medicine·Paul W Newacheck, Sue E Kim
May 24, 2005·Medical Care·David LitakerThomas E Love
Jun 21, 2005·Maternal and Child Health Journal·Karen KuhlthauJames M Perrin
Jun 6, 2007·Prevention Science : the Official Journal of the Society for Prevention Research·John W GrahamTamika D Gilreath
Jul 26, 2008·Annual Review of Psychology·John W Graham

❮ Previous
Next ❯

Citations

Feb 9, 2011·Archives of Pediatrics & Adolescent Medicine·Paul T ShattuckMelissa Hensley
May 10, 2011·Journal of Family and Economic Issues·Whitney P WittRonald E Gangnon
Dec 22, 2012·Intellectual and Developmental Disabilities·Susan L ParishPaul T Shattuck
Feb 22, 2016·The Journal of Pediatrics·Joanna ThomsonAndrew F Beck
Dec 29, 2013·Academic Pediatrics·Reem M GhandourMichael D Kogan
Jul 23, 2013·Journal of Pain and Symptom Management·Kira BonaJoanne Wolfe
Apr 3, 2013·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Timothy F PageJanvier Gasana
Jan 18, 2013·The Journal of Pediatrics·Peter M WolfgramJoyce M Lee
Dec 3, 2014·Disability and Health Journal·K S MenearN Menachemi
Feb 26, 2015·American Journal on Intellectual and Developmental Disabilities·Susan L ParishMorgan K Crossman
Jun 26, 2012·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·LeaAnne DeRigne
Apr 20, 2012·Medical Care Research and Review : MCRR·Eric M SarpongG Edward Miller
Jan 6, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Veronica DusselJoanne Wolfe
Nov 21, 2017·Pediatric Pulmonology·Jeffrey D EdwardsPatricia W Stone
Jan 1, 2018·Journal of Immigrant and Minority Health·Consuelo M Beck-SagueJanvier Gasana
Jun 21, 2018·Cardiology in the Young·Justin J ElhoffMark A Scheurer
Mar 22, 2019·Journal for Specialists in Pediatric Nursing : JSPN·Jessica Keim-MalpassPamela DeGuzman
Jul 12, 2019·Journal of UOEH·Shunsuke ArakiMasayuki Shimono
Jun 20, 2020·Developmental Medicine and Child Neurology·Marie-Josephe Saurel-CubizollesPierre-Yves Ancel
Aug 13, 2011·Maternal and Child Health Journal·Kathleen C ThomasMona Kilany
Jul 15, 2015·Maternal and Child Health Journal·Sara S BachmanMelissa Hirschi
Jul 30, 2019·Journal of Psychiatric and Mental Health Nursing·George C T MugoyaMadelyn Youngblood
Apr 27, 2012·Maternal and Child Health Journal·Kimberly G FuldaKristine Lykens
Apr 4, 2018·Pediatrics·Kristy A AndersonPaul T Shattuck

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.