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Maternal and Child Health Journal

, Volume 18, Issue 7, pp 1753–1764 | Cite as

The Impacts of Health Insurance Coverage on Access to Healthcare in Children Entering Kindergarten

  • Amanda Haboush-DeloyeEmail author
  • Spencer Hensley
  • Masaru Teramoto
  • Tara Phebus
  • Denise Tanata-Ashby
Article

Abstract

To examine access to healthcare and health outcomes for kindergartners as they relate to insurance status and type. For the 2008, 2009, and 2010 school years, surveys were distributed to parents with a child entering kindergarten in the state of Nevada. Surveys asked parents to provide information about their child concerning their insurance status, routine medical care, medical conditions, and health behaviors. Compared to their insured peers, uninsured kindergartners were less likely to have had a check-up in the previous 12 months (p < .001; OR 6.14; 95 % CI 5.77–6.53), have a primary physician (p < .001; OR 14.32; 95 % CI 13.49–15.20), or have seen a dentist (p < .001; OR 3.93; 95 % CI 3.70–4.16), and were more likely to have a reported unmet medical need (p < .001; OR 2.60; 95 % CI 2.19–3.07). Additionally, compared to children with private insurance, those children with public insurance were less likely to have had a check-up (p < .001; OR 1.73; 95 % CI 1.59–1.89), have a primary care provider (p < .001; OR 3.87; 95 % CI 3.55–4.21), and were more likely to have unmet medical needs (p < .001; OR 2.27; 95 % CI 1.83–2.81). For children in early development—a deeply critical period—insurance status and type are predictors of important access to healthcare variables.

Keywords

Insurance coverage Medicaid Healthcare disparities Kindergarten Child 

Notes

Acknowledgments

Thank you to all the community partners that made this project possible such as all 17 county school districts, the Nevada State Health Division, Southern Nevada Health Department, and the staff at the UNLV Nevada Institute for Children’s Research and Policy. Funding for this project was provided by the Nevada State Health Division.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Amanda Haboush-Deloye
    • 1
    Email author
  • Spencer Hensley
    • 2
  • Masaru Teramoto
    • 3
  • Tara Phebus
    • 1
  • Denise Tanata-Ashby
    • 4
  1. 1.Nevada Institute for Children’s Research and PolicyUniversity of Nevada, Las VegasLas VegasUSA
  2. 2.Division of Public Behavioral Health and Justice PolicyUniversity of WashingtonSeattleUSA
  3. 3.Department of Health Sciences, College of Nursing and Health ProfessionsDrexel UniversityPhiladelphiaUSA
  4. 4.Children’s Advocacy AllianceLas VegasUSA

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