Table 2.
Association of Time Spent Coordinating Care with Forgone Child Health Care for CYSHCN
| Adjusted Odds Ratio | 95% CI | Average Marginal Effect | |
|---|---|---|---|
| Weekly Time Spent Coordinating Care | |||
| None | Ref | - | 6.7% |
| Up to 1 hour | 1.46 | 1.02, 2.10 | 9.4% |
| 1 to 4 hours | 1.83 | 1.09, 3.07 | 11.4% |
| 5 or more hours | 2.73 | 1.38, 5.42 | 15.8% |
| Weekly Time Spent Providing Health Care | |||
| None | Ref | - | 7.4% |
| Up to 1 hour | 1.26 | 0.74, 2.14 | 9.0% |
| 1 to 4 hours | 1.49 | 0.95, 2.32 | 10.4% |
| 5 or more hours | 1.35 | 0.81, 2.25 | 9.6% |
| Child Age | |||
| 0–5 | Ref | - | 5.9% |
| 6–11 | 1.57 | 1.00, 2.46 | 8.9% |
| 12–17 | 1.56 | 1.00, 2.41 | 8.8% |
| Child Sex | |||
| Female | Ref | - | 8.0% |
| Male | 1.10 | 0.84, 1.46 | 8.7% |
| Child Race and Ethnicity | |||
| Non-Hispanic White | Ref | - | 7.9% |
| Non-Hispanic Black | 0.84 | 0.59, 1.19 | 6.7% |
| Hispanic | 1.35 | 0.87, 2.08 | 10.2% |
| Non-Hispanic Multi-racial / Other | 1.16 | 0.74, 1.83 | 9.0% |
| Child’s Insurance | |||
| Private | Ref | - | 7.7% |
| Public | 0.97 | 0.63, 1.50 | 7.5% |
| Public and Private | 1.31 | 0.75, 2.29 | 9.7% |
| Uninsured | 3.05 | 1.84, 5.03 | 19.2% |
| Child’s Presence and Complexity of Special Health Care Needs | |||
| Less complex | Ref | - | 4.5% |
| More complex | 2.19 | 1.43, 3.36 | 9.2% |
| Highest Level of Caregiver Education | |||
| Less than high school | Ref | - | 6.5% |
| High school or GED | 1.18 | 0.63, 2.20 | 7.5% |
| Some college or technical school | 1.85 | 1.00, 3.45 | 11.1% |
| College degree or more | 1.14 | 0.63, 2.08 | 7.3% |
| Primary Household Language | |||
| English | Ref | - | 8.3% |
| Non-English | 0.98 | 0.45, 2.13 | 8.2% |
| Area of Residence | |||
| Metropolitan Statistical Area (Urban) | Ref | - | 8.1% |
| Non-Metropolitan Statistical Area | 0.81 | 0.58, 1.12 | 8.1% |
| Household Income as a Percentage of the Federal Poverty Level (FPL) | |||
| 0–99% FPL | Ref | - | 8.7% |
| 100–199% FPL | 1.16 | 0.76, 1.77 | 9.9% |
| 200–399% FPL | 1.01 | 0.64, 1.59 | 8.7% |
| > 400% FPL | 0.67 | 0.38, 1.16 | 6.1% |
Adjusted odds ratios presented above are from multivariable regression models including child age, race, sex, insurance status, presence and complexity of special health care needs, and time spent providing health care, as well as family income, primary household language, metropolitan or non-metropolitan statistical area of residence, and caregiver education level as covariates. Bolded adjusted odds ratios indicate statistical significance. Average marginal effects were obtained using the “margins” command in STATA and represent the predicted probability of forgone child health care corresponding to each covariate.