Health insurance status of adolescents in the United States.
Health insurance status of adolescents in the United States.
复制标题
美国青少年的健康保险状况。
DOI：
10.1542/peds.84.4.699
复制
发表时间：
1989
期刊：
影响因子：
8
通讯作者：
M. A. McManus
中科院分区：
文献类型：
--
作者：
P. Newacheck;M. A. McManus
对国家健康访谈调查中 15,181 名 10 至 18 岁青少年样本的分析表明，1984 年，86% 的青少年拥有某种形式的私人或公共医疗保险。然而，每 7 名青少年中就有 1 人，即全国近 450 万人，没有任何形式的医疗保险。没有保险的青少年集中在贫困和准贫困家庭以及几乎没有受过正规教育的家庭，并且更有可能生活在南部或西部。少数族裔，尤其是西班牙裔青少年，比白人青少年更不可能拥有某种形式的健康保险，但这种差异很大程度上归因于少数族裔的收入较低。同样，虽然生活在单亲家庭的青少年不太可能获得保险，但覆盖可能性的降低似乎主要归因于单亲家庭的家庭收入较小。关于缺乏保险的主要原因的访谈结果证实了家庭经济在确定青少年是否有某种形式的保险方面发挥着核心作用； 10 个未参保家庭中有 8 个提到了没有参保的经济原因。总之，这些结果表明获得健康保险的主要障碍本质上是经济障碍。讨论了公共和私营部门为减少未参保青少年人口规模而采取的举措。
This analysis of a sample of 15,181 adolescents aged 10 to 18 years from the National Health Interview Survey indicates that 86% of adolescents had some form of private or public health care coverage during 1984. Nevertheless, one in every seven adolescents, or nearly 4.5 million nationwide, were without any form of health insurance coverage. Adolescents without insurance coverage were concentrated in poor and near-poor households, families with little formal education, and were more likely to live in the South or West. Minorities, especially Hispanic adolescents, were less likely than white adolescents to have some form of health insurance coverage, but much of this difference was attributable to the smaller incomes of minorities. Similarly, although adolescents living in single-parent households were less likely to be insured, the reduced likelihood of coverage appears to be primarily attributable to smaller family income in single-parent households. That family economics plays a central role in determining whether an adolescent had some form of coverage was confirmed by interview results concerning the major reasons for absence of coverage; 8 of 10 uninsured families cited economic reasons for absence of coverage. Together, these results indicate the principal barriers to obtaining health insurance are economic in nature. Public and private sector initiatives for reducing the size of the uninsured adolescent population are discussed.