Using data from two longitudinal studies on mothers and children (NLSY79 and NLSY79 Children), this study first examined the relationship between mothers’ nonstandard employment and children’s health insurance coverage while adjusting for various compositional characteristics of mothers, children, and families. This study also evaluated whether this relationship differed across family structures. Results from multinomial logistic regression models showed that mothers’ nonstandard work was associated with a higher likelihood of children being uninsured or relying on public programs. In addition, in single-mother families, children’s uninsurance rate was highest if the mother held a nonstandard job, even compared to children of non-employed mothers. These study findings contribute to the literature on access to health insurance for children in the United States.
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It is worth noting that most OECD countries provide universal health care to all of their citizens (Pearson et al. 2016). There would be some variability in terms of health care systems across countries; however, a person’s health insurance status is generally not tied to their employment status in these countries.
Children’s public insurance coverage mainly comes from Medicaid and Children’s Health Insurance Program (CHIP). The eligibility for Medicaid programs is largely determined by household income. Some states take into account other factors such as household size, family status (e.g., pregnancy or caring for young children). If the mother (or household)’s income is above the threshold for Medicaid eligibility, then the child could obtain insurance through CHIP, which is now offered in all states.
It is worth noting that legal marriage in the period of examination (1994–2008) meant heterosexual marriage in most states. In addition, NLSY79 did not collect information on same-sex partners prior to 2000. Therefore, “spouse” or “partner” in this study refers to heterosexual relationships.
It is possible that some of these single-mother families included cohabiting partners. But this family type was not differentiated in this study since the child may not be considered as the cohabiting partner’s dependent and may not be placed on his employer-sponsored health insurance. Also, information on cohabitation in the NLSY79 was not complete (e.g., lack of data on cohabitation in earlier surveys and the loss of a substantial proportion of short-term cohabitations) (Casper and Bianchi 2002). In a supplementary analysis, I estimated models with two-parent families that included either a biological (resident) father or a non-biological, live-in partner. The results were almost identical regardless of the definition of two-parent families.
The NSLY79 Children survey assigned the mother’s race to the child (as recorded in NLSY79 survey).
Family income and nonstandard employment might be jointly determined. In ancillary analyses, I estimated models that excluded family income. The results were very similar to those estimated from models that included family income.
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Lim, S. Mothers’ Nonstandard Employment, Family Structure, and Children’s Health Insurance Coverage. J Fam Econ Iss 40, 148–164 (2019). https://doi.org/10.1007/s10834-018-9596-1
- Health insurance
- Family structure
- Maternal employment
- Nonstandard employment
- Single-mother families