Evidence map›Paper›PMID 31873831›Full record

ArticleMaternal and child health journal2020

Disparities in Health Insurance Coverage and Access to Care for Children By Mother's Sexual Orientation.

Gilbert Gonzales, Tara McKay, Christopher S Carpenter

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 26% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

3 authors at 1 institution in 1 country.

Gilbert GonzalesCenter for Medicine, Health & Society, Vanderbilt University, 2301 Vanderbilt Place PMB #351665, Nashville, TN, 37235-1665, USA. gilbert.gonzales@vanderbilt.edu.
Tara McKayCenter for Medicine, Health & Society, Vanderbilt University, 2301 Vanderbilt Place PMB #351665, Nashville, TN, 37235-1665, USA.
Christopher S CarpenterDepartment of Economics, Vanderbilt University, 306 Calhoun Hall, Nashville, TN, 37240, USA.
Vanderbilt University · US

Funding

Robert Wood Johnson Foundation 74174
6 · The paper itself

Abstract

objectiveFew population-based studies have examined the health care experiences of children with sexual minority parents. The purpose of this study was to compare health insurance status, access to care, and health services utilization for children by mother's sexual orientation.

methodsWe used data on children with lesbian mothers (n = 195), bisexual mothers (n = 299), and heterosexual mothers (n = 23,772) in the 2013-2017 National Health Interview Survey. Logistic regression models were used to compare health insurance status, access to care, and health services utilization while adjusting for demographic and socioeconomic characteristics of the child, mother, and household.

resultsAfter controlling for sociodemographic factors, there were no statistically significant differences in health insurance coverage, access to care, or health services utilization between children of lesbian mothers and children of heterosexual mothers. Compared to children with heterosexual mothers, children with bisexual mothers were more likely to have public health insurance (OR 2.33; 95% CI 1.07-7.68), delayed medical care due to cost (OR 2.33; 95% CI 1.12-4.86), unmet medical care due to cost (OR 2.86; 95% CI 1.07-7.68), and a visit to the emergency room (OR 1.74; 95% CI 1.27-2.39) in the prior year after controlling for child-level characteristics. Some of these differences were attenuated after controlling for maternal demographics and household characteristics. CONCLUSIONS FOR PRACTICE: Children with bisexual mothers experience barriers to routine medical care. Addressing socioeconomic dimensions of health care access and targeted outreach to bisexual parents will help promote health equity for children growing up in sexual minority households.

Indexed as

AdolescentAdultAgedChildChild, PreschoolFemaleHealthcare DisparitiesHealth Services AccessibilityHealth SurveysHeterosexualityHumansInfantInsurance CoverageMaleMiddle AgedMothersAccess to careHealth disparitiesLGBT health

Identifiers

PMID31873831
OpenAlexW2995704041

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.