The Impact of Medical Financial Hardship on Children's Health.

Clinical Pediatrics
Brinda SarathyCierra Buckman

Abstract

Objective. To determine whether living in a family with medical financial hardship decreases children's access to health care. Methods. We identified children aged 4 to 17 years from the 2013 to 2018 National Health Interview Surveys. Medical financial hardship was defined as living in a family where one or more family members had problems paying medical bills in the past 12 months. Results. Of 53 483 children in the analysis, 19% were exposed to medical financial hardship. This was adversely associated with children's health status and health care use, especially greater odds of delaying care (odds ratio [OR] = 5.28; 95% confidence interval [CI] = 4.51-6.19) and having unmet health care needs (OR = 4.43; 95% CI = 4.00-4.91). Conclusions. One fifth of children live in families experiencing medical financial hardship, and this exposure is adversely correlated with child health outcomes even controlling for established measures of socioeconomic status, such as family income, health insurance coverage, and need-based program participation.

References

Apr 5, 2013·Pediatric Obesity·B G Gibbs, R Forste
Jul 24, 2015·International Journal of Methods in Psychiatric Research·Heather RingeisenCatherine Simile
Aug 14, 2015·AMA Journal of Ethics·Erin C Fuse Brown
Oct 12, 2015·The Journal of Pediatrics·Alan E SimonLynn M Olson
Jan 7, 2016·Annual Review of Public Health·Beth C Truesdale, Christopher Jencks
Jan 21, 2016·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Wynn G HunterPeter A Ubel
Dec 13, 2016·Pediatrics·Kandyce LarsonLynn M Olson
Dec 20, 2016·Annual Review of Public Health·Gerald F KominskiAndrea Sorensen
Jan 4, 2017·Journal of Health Economics·Owen Thompson
Aug 17, 2017·Current Opinion in Psychology·April S Masarik, Rand D Conger
Sep 7, 2017·Health Affairs·Julie L Hudson, Asako S Moriya
Sep 16, 2018·Academic Pediatrics·Jessie Kemmick PintorAlexander N Ortega
Feb 7, 2019·American Journal of Public Health·David U HimmelsteinSteffie Woolhandler
May 3, 2019·Journal of General Internal Medicine·K Robin YabroffZhiyuan Zheng

❮ Previous
Next ❯

Software Mentioned

SE
Stata

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.