Abstract:
:In the United States (US), a parent's health insurance status affects their children's access to health care making it critically important to examine trends in coverage for both children and parents. To gain a better understanding of these health insurance trends, we assessed the coverage status for both children and their parents over an 11-year time period (1998-2008). We conducted secondary analysis of data from the nationally-representative Medical Expenditure Panel Survey. We examined frequency distributions for full-year child/parent insurance coverage status by family income, conducted Chi-square tests of association to assess significant differences over time, and explored factors associated with full-year insurance coverage status in 1998 and in 2008 using logistic regression. When considering all income groups together, the group with both child and parent insured decreased from 72.4 % in 1998 to 67.2 % in 2008. When stratified by income, the percentage of families with an insured child, but an uninsured parent increased for low-income families from 12.4 to 25.1 % and from 3.8 to 7.1 % for middle-income families when comparing 1998-2008. In regression analyses, family income remained the strongest characteristic associated with a lack of full-year health insurance. As future policy reforms take shape, it will be important to look beyond children's coverage patterns to assess whether gains have been made in overall family coverage.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Angier H,DeVoe JE,Tillotson C,Wallace L,Gold Rdoi
10.1007/s10995-012-1142-4subject
Has Abstractpub_date
2013-11-01 00:00:00pages
1550-8issue
9eissn
1092-7875issn
1573-6628journal_volume
17pub_type
杂志文章abstract::Introduction Hispanics/Latinos are disproportionately affected by obesity in the U.S. Multiple factors place Hispanic/Latino children at risk for overweight, warranting guidance of a socio-ecologic approach to examine causes of obesity. The purpose of this study was to increase understanding of the factors that influe...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-02696-y
更新日期:2019-06-01 00:00:00
abstract:UNLABELLED:Randomized trials of bacterial vaginosis (BV) treatment among pregnant women to reduce preterm birth have had mixed results. Among non-pregnant women, BV recurs frequently after treatment. Randomized trials of early BV treatment for pregnant women in which recurrence was retreated have shown promise in reduc...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0661-0
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:A large body of research has established an association between parental support for children's physical activity (PA) and children's PA. However, there has been little attention to the relative influences of parent and child perceptions of that parental support. PURPOSE:To examine agreement among parent an...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1873-0
更新日期:2016-03-01 00:00:00
abstract::Objectives Despite an increase in the female work force and recent increase in childhood obesity, the association between working hours of mothers and childhood obesity as well as how such association differs according to mothers' weight and intake frequency of energy-dense, nutrition-poor (EDNP) foods remain unclear....
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2413-x
更新日期:2018-04-01 00:00:00
abstract::Objective To assess differences in the rates of preeclampsia among a multiethnic population in Hawaii. Methods We performed a retrospective study on statewide inpatient data for delivery hospitalizations in Hawaii between January 1995 and December 2013. Multivariable logistic regression was used to assess the impact o...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1984-2
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:Increasingly, the public and private sectors are turning to "service integration" efforts to reduce, if not eliminate, barriers to needed care created by categorical programs. In 1991, the Robert Wood Johnson Foundation established a new national demonstration project, called the Child Health Initiative, int...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022374728615
更新日期:1997-12-01 00:00:00
abstract::This study investigated the mediating roles of sleep and depression on the relationships between stress, fat intake, and fruit and vegetable intake among low-income overweight and obese pregnant women by trimesters. Participants (N = 213) completed a self-administered survey including stress (exogenous variable), depr...
journal_title:Maternal and child health journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s10995-014-1604-y
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVES:To examine rates and correlates of depressive symptoms among pregnant reservation-based American Indian (AI) adolescents from the Southwestern United States (N = 53). METHODS:Data were derived from a study evaluating a home-visiting program designed to promote positive parenting among young families. Partic...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0352-2
更新日期:2008-07-01 00:00:00
abstract::To investigate the relationship between pregnancy intendedness and utilization of recommended prenatal care for mothers and vaccinations for children against six vaccine preventable diseases in rural India using a prospective dataset. To examine the association between pregnancy intention and neonatal and infant morta...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1023-x
更新日期:2013-04-01 00:00:00
abstract::This study extends mediation analysis techniques to explore whether and to what extent differential access to a medical home explains the black/white disparity in unmet healthcare needs among children with special healthcare needs (CSHCN). Data were obtained from the 2007 National Survey of Children's Health, with ana...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1131-7
更新日期:2012-12-01 00:00:00
abstract::To examine breastfeeding outcomes and factors associated with breastfeeding <8 weeks among preterm infants. Pregnancy Risk Assessment Monitoring System (PRAMS) data for seven sites from 2004 to 2007 were used. Logistic regression was used to identify correlates of short breastfeeding duration among preterm infants. Am...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1178-5
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:Few studies examine the consequences of unwanted pregnancy on child development, and most of those that do, use measures of pregnancy intention. Here we use measures of pregnancy wantedness, together with measures of maternal motivation, to examine the potential effect of wantedness on the child's attachment...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0254-8
更新日期:2008-07-01 00:00:00
abstract::The objectives of this study were to determine risk factors for early (less than 34 weeks gestation) and late (34-36 weeks gestation) preterm singleton birth, by assisted reproductive technology (ART) status. We linked data from Massachusetts birth records and ART records representing singleton live births from 1997 t...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0787-8
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:Depression profoundly impairs psychosocial functioning. Depression can have disruptive effects on a person's family, with significant impact on the psychosocial development of the children. Recent research suggests that a mother's depressive symptoms may increase parenting stress and that parenting stress may...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/b:maci.0000037646.01017.b9
更新日期:2004-09-01 00:00:00
abstract::We aimed to investigate the association of recreational physical activity before pregnancy with gestational diabetes mellitus (GDM). A cross-sectional study was performed using self-reported data from the Pregnancy Risk Assessment and Monitoring System. The study population included 1,052 self-reported GDM cases and 1...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0586-7
更新日期:2011-05-01 00:00:00
abstract::Introduction Postpartum hemorrhage (PPH) is the leading cause of maternal mortality worldwide. The largest barriers to treating PPH are symptom recognition and timely diagnosis. The SAPHE (Signaling a Postpartum Hemorrhage Emergency) Mat was constructed so that each square on the Mat absorbs up to 50 mL of blood. The ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2135-5
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To examine attitudes and knowledge about vaccinations in postpartum mothers. METHODS:This cross-sectional study collected data via written survey to postpartum mothers in a large teaching hospital in Connecticut. We used multivariable analysis to identify mothers who were less trusting with regard to vaccine...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0302-4
更新日期:2008-11-01 00:00:00
abstract::Background Telephone helplines providing 24-h specialist-nurse contact present a source of immediate support for women encountering challenges with breastfeeding and may serve to prolong breastfeeding duration by building self-efficacy. To date there is little evidence on interaction effectiveness and still less on th...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2573-3
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVES:To determine if the Pregnancy Risk Assessment Monitoring System (PRAMS) is a unique and valuable MCH data source and an effective mechanism for states to collect MCH data, and to assess if recent changes in it have improved efficiency and flexibility. METHODS:Each component of the PRAMS methodology is descr...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022325421844
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVES:The pattern of gestational weight gain (GWG) reflects general nutrient availability to support growing fetal and maternal compartments and may contribute to later health, but how it relates to changes in maternal body composition is unknown. We evaluated how the pattern of GWG related to changes in maternal ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1747-5
更新日期:2015-10-01 00:00:00
abstract::A lower bodyweight may be associated with adverse birth outcomes, such as low birth weight and being small for a given gestational age. In Japan, the rate of low birth weight has been increasing over the last two decades, such that both low pre-pregnancy weight and inadequate weight gain during pregnancy are viewed as...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1213-6
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:This study examines health care access for children with special health care needs (CSHCN) in California, one of the nation's most populous and diverse states. METHODS:Data are from the National Survey of Children with Special Health Care Needs (NS-CSHCN), a nationally representative survey of access for U....
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-4351-2
更新日期:2005-06-01 00:00:00
abstract::Objective To describe associated perinatal behaviors among women using fertility treatment. Methods Data were obtained for 12,197 Maryland women who delivered live neonates from 2004 to 2011 and completed the Pregnancy Risk Assessment Monitoring System survey postpartum. We conducted weighted descriptive and multivari...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2056-3
更新日期:2016-11-01 00:00:00
abstract::Beginning childbearing during adolescence is consistently linked with negative outcomes for both children and parents. Many have attributed this association to maternal background characteristics which are often difficult to change through policy. Though maternal educational attainment is often a side effect of adoles...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0585-8
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:The purpose of the MCH Certificate Program was threefold: to develop a new educational initiative in response to national and local demands for increased MCH workforce capacity, to eliminate key financial and nonfinancial barriers to advanced MCH academic preparation, and to improve rates of recruitment and r...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1011349902582
更新日期:2001-03-01 00:00:00
abstract::Objectives Folate plays a vital role in biologic functions yet women often do not meet the recommended dietary intake in pregnancy. It has been suggested that high folic acid intake during pregnancy may increase the risk of respiratory diseases in offspring. However, findings from observational studies in human popula...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2360-6
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Reproductive health inequalities tend to be more marked in large cities because they include neighbourhoods with unequal social and community networks, resources and opportunities. The aim was to describe social inequalities in fertility patterns among women who gave birth between 2007 and 2016 in the city o...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02875-w
更新日期:2020-03-01 00:00:00
abstract::Objectives This study sought to explore how sexual minority women (SMW) and heterosexual women compare in terms of reproductive history, with a particular focus on examining within-group differences among SMW. Methods Women were predominantly recruited through consecutive sampling during presentation for prenatal care...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02741-4
更新日期:2019-08-01 00:00:00
abstract::Turning a ship requires small but steady and deliberate efforts over time. During the past 9 years, Wisconsin's Maternal and Child Health (MCH) Program has begun to utilize the life-course perspective as its framework for guiding efforts around women's health, early childhood systems, children and youth with special h...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1225-x
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:To examine characteristics related to drinking during pregnancy among a population-based sample of women. METHOD:We analyzed data related to third-trimester drinking collected from the Alaska Pregnancy Risk Assessment Monitoring System (PRAMS). PRAMS used a population-based, stratified sampling design to su...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1026221412765
更新日期:1997-09-01 00:00:00