Evidence map›Paper›PMID 26297668›Full record

ArticleAcademic pediatrics2016

Trends in Type of Health Insurance Coverage for US Children and Their Parents, 1998-2011.

Jennifer E DeVoe, Carrie J Tillotson, Miguel Marino, Jean O'Malley, Heather Angier, Lorraine S Wallace, Rachel Gold

2 registry-linked trialsAbstract read
In one paragraph

Article in Academic pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02298361 completednot on this map

Innovative Methods for Parents And Clinics to Create Tools (IMPACCT) for Kids' Care

TypeobservationalSponsorOCHIN, Inc.Ran2013 to 2016Enrolled27,251ConditionsInsurance Status/StabilityArmsHealth insurance outreach IT tools
NCT02355262 completednot on this map

Community-Based HIT Tools for Cancer Screening and Health Insurance Promotion (CATCH-UP)

TypeobservationalSponsorOHSU Knight Cancer InstituteRan2014 to 2020Enrolled45ConditionsBreast Carcinoma, Cervical Carcinoma, Colorectal Carcinoma, Health Status UnknownArmsInformational Intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jennifer E DeVoeDepartment of Family Medicine, Oregon Health & Science University, Portland, Ore.
Carrie J TillotsonDivision of Biostatistics, Department of Public Health and Preventive Medicine, Oregon Health & Science University, Portland, Ore.
Miguel MarinoDepartment of Family Medicine, Oregon Health & Science University, Portland, Ore; Division of Biostatistics, Department of Public Health and Preventive Medicine, Oregon Health & Science University, Portland, Ore.
Jean O'MalleyDivision of Biostatistics, Department of Public Health and Preventive Medicine, Oregon Health & Science University, Portland, Ore.
Heather AngierDepartment of Family Medicine, Oregon Health & Science University, Portland, Ore. Electronic address: angierh@ohsu.edu.
Lorraine S WallaceDepartment of Family Medicine, The Ohio State University, Columbus, Ohio.
Rachel GoldCenter for Health Research, Kaiser Permanente Northwest, Portland, Ore.

Funding

Community-based HIT Tools for Cancer Screening and Health Insurance PromotionR01CA181452 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DEVOE, JENNIFER E · 2014 to 2018
$3.1M
How do Changes in Families' Health Insurance Affect Children's Healthcare?R01HS018569 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI DEVOE, JENNIFER E · 2010 to 2013
$2.0M
AHRQ HHS 1 R01 HS018569AHRQ HHS R01 HS018569NCI NIH HHS 1 R01 CA181452 01NCI NIH HHS R01 CA181452
6 · The paper itself

Abstract

objectiveTo examine trends in health insurance type among US children and their parents.

methodsUsing the Medical Expenditure Panel Survey (1998-2011), we linked each child (n = 120,521; weighted n ≈ 70 million) with his or her parent or parents and assessed patterns of full-year health insurance type, stratified by income. We examined longitudinal insurance trends using joinpoint regression and further explored these trends with adjusted regression models.

resultsWhen comparing 1998 to 2011, the percentage of low-income families with both child and parent or parents privately insured decreased from 29.2% to 19.1%, with an estimated decline of -0.86 (95% confidence interval, -1.10, -0.63) unadjusted percentage points per year; middle-income families experienced a drop from 74.5% to 66.3%, a yearly unadjusted percentage point decrease of -0.73 (95% confidence interval, -0.98, -0.48). The discordant pattern of publicly insured children with uninsured parents increased from 10.4% to 27.2% among low-income families and from 1.4% to 6.7% among middle-income families. Results from adjusted models were similar to joinpoint regression findings.

conclusionsDuring the past decade, low- and middle-income US families experienced a decrease in the percentage of child-parent pairs with private health insurance and pairs without insurance. Concurrently, there was a rise in discordant coverage patterns-mainly publicly insured children with uninsured parents.

Indexed as

Medically UninsuredParentsAdolescentAdultChildChild, PreschoolChildren's Health Insurance ProgramFemaleHealth Services AccessibilityHumansInfantInfant, NewbornInsurance CoverageInsurance, HealthMaleMiddle Agedaccess to carefamily healthhealth insuranceuninsured

Identifiers

PMID26297668
PMCPMC4758913

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.