Family structure and children's unmet health-care needs
Family structure and children's unmet health-care needs
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DOI：
10.1177/1367493517748372
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发表时间：
2018-03-01
影响因子：
1.9
通讯作者：
Kitsantas, Panagiota
中科院分区：
文献类型：
--
作者：
Irvin, Katherine;Fahim, Farhan;Kitsantas, Panagiota
这项研究使用2011/2012年全国儿童健康调查的数据，评估了不同家庭类型(双亲亲生/收养、双亲继母家庭和单亲母亲家庭类型)儿童未得到满足的保健需求。调查结果表明，10.4%的单亲家庭儿童的保健需求得不到满足，相比之下，双亲继母家庭儿童的这一比例为8.7%，双亲亲生/收养家庭儿童的这一比例为5.3%。进一步的分析显示，来自两个父母血统/收养家庭的黑人儿童的种族/民族差异是1.54(95%可信区间1.13，2.05)倍，有未得到满足的医疗保健需求的可能性是白人儿童的1.54倍，而西班牙裔儿童有未得到满足的医疗保健需求的可能性比白人儿童低。来自低收入双亲家庭的孩子有更高的可能性得不到医疗保健需求的满足。不连续的保险覆盖范围是导致所有三种不同家庭类型的未得到满足的医疗保健需求增加的风险因素。这些发现表明，生活在不同家庭结构类型的儿童在未得到满足的卫生保健需求方面存在重大差异。建议针对不同的家庭类型制定不同的干预措施，以增加获得护理的机会，以便为我们的儿童提供持续和充分的保健服务。
This study assessed children's unmet health-care needs within different family types (two-parent biological/adoptive, two-parent stepfamily, and single-mother family type) using data from the 2011/2012 National Survey of Children's Health. Findings indicate that 10.4% of children in single-mother family types had unmet health-care needs compared to 8.7% of children from a two-parent stepfamily and 5.3% for those from two-parent biological/adoptive families. Further analyses revealed racial/ethnic disparities with Black children from two parent-biological/adoptive families being 1.54 (95% confidence interval 1.13, 2.05) times more likely to have unmet health-care needs, while Hispanic children were less likely to have unmet health-care needs relative to their white counterparts. Children from lower income two-parent families had a higher likelihood of unmet health-care needs. The noncontinuous insurance coverage was a risk factor for increasing unmet health-care needs across all three different family types. These findings show major differences in unmet health-care needs among children living in different family structure types. It is recommended that interventions for increasing access to care need to be tailored differently across various family types in order to achieve continuous and sufficient health-care services for our children.