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Trends in Uninsurance Among Rural Minority Children
Over the past decade, there have been multiple expansions of Medicaid access for children. Assessments of the effects these expansions have yielded conflicting results. The S-CHIP program reaches the end of its initially legislated funding in 2006; OMB estimates that enrollment will begin to decline in 2005. In order to contribute to probable debate regarding continuation or evolution of S-CHIP, it is necessary to ascertain whether the program has positively affected rural children, and whether all rural children, including minority children, have benefited equally. To provide perspective, and to distinguish, to the extent possible, between year-to-year fluctuations and long term trends, trends in health insurance coverage and health services utilization among rural children will be analyzed. Data will be drawn from the National Health Interview Survey, 1980 through 2001.
Publications
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Trends in Uninsurance among Rural Minority Children
Author(s): Amy Martin, Janice C. Probst, Charity G. Moore, Daniel Patterson, Keith Elder
Date: 10 / 2005
Disparities in health insurance coverage for both minority and rural children persist, with children who are simultaneously minority race/ethnicity and living in rural areas being particularly disadvantaged. Using twenty-one years of data from the National Health Interview Survey to explore trends in health insurance and health services utilization for children between 1980 and 2001, and focusing on non-Hispanic white, non-Hispanic African American, and Hispanic children, the authors found that rural children have been consistently less likely to have insurance than urban children, and minority status adds to the disparity. Several factors consistently influenced the odds that a child would lack health insurance, measured in 1980, 1986, 1994 and 2001. Compared to urban white children, rural white children and Hispanic children, both urban and rural, were more likely to lack insurance. Factors consistently associated with lack of health insurance, such as poverty, low education, and non-parental households, have been more prevalent among minority children since 1979, and remained so in 2001. Rural disadvantages for minority children are marked.
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Trends in Uninsurance Among Rural Minority Children (Fact Sheet)
Date: 2005
Describes childhood disparities found in health insurance, health care utilization, and factors related to acquiring health insurance.
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