Table 3.
Adjusted family support service predictors of reported caregiver coping (very or somewhat well) for CSHCN, stratified by EBDPs
| All CSHCN | CSHCN with no EBDPs | CSHCN with EBDP | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
| ||||||||||||
| AOR | p | 95% CI | AOR | p | 95% CI | AOR | p | 95% CI | ||||
|
| ||||||||||||
| Family Support | ||||||||||||
| Care Coordination | ||||||||||||
| Adequate Care Coordination | 1.62 | <0.001 | 1.18 | 2.22 | 0.88 | 0.76 | 0.39 | 1.98 | 1.55 | 0.01 | 1.09 | 2.19 |
| Emotional Support Type | ||||||||||||
| Only Informal Emotional Supports | 5.15 | <0.001 | 3.57 | 7.42 | 5.36 | <0.001 | 2.78 | 10.36 | 4.45 | <0.001 | 2.88 | 6.86 |
| Received Emotional Support Services | 3.22 | <0.001 | 2.20 | 4.71 | 3.32 | <0.001 | 1.47 | 7.51 | 3.24 | <0.001 | 2.10 | 4.98 |
| Family Stressors | ||||||||||||
| Adverse Childhood Experiences (ACEs) | ||||||||||||
| Child Experienced 2 or more ACEs | 0.42 | <0.001 | 0.30 | 0.58 | 0.41 | <0.001 | 0.22 | 0.75 | 0.47 | <0.001 | 0.32 | 0.67 |
| Impairment in Daily Activities | ||||||||||||
| Moderate to Severe Impairment in Daily Activities | 0.56 | <0.001 | 0.40 | 0.79 | 0.62 | 0.09 | 0.36 | 1.07 | 0.70 | 0.15 | 0.44 | 1.14 |
| Family Resources | ||||||||||||
| Neighborhood Support | ||||||||||||
| Lives in a Supportive Neighborhood | 1.39 | 0.07 | 0.97 | 2.01 | 1.01 | 0.98 | 0.56 | 1.83 | 1.55 | 0.04 | 1.01 | 2.38 |
| Caregiver Education | ||||||||||||
| More than High School | 0.62 | 0.02 | 0.42 | 0.92 | 0.60 | 0.18 | 0.29 | 1.26 | 0.61 | 0.04 | 0.38 | 0.97 |
| Household Language | ||||||||||||
| Primary Language is not English | 0.51 | 0.04 | 0.28 | 0.95 | 0.46 | 0.23 | 0.13 | 1.64 | 0.58 | 0.13 | 0.28 | 1.18 |
| Household Income | ||||||||||||
| 100–199% FPL | 1.22 | 0.41 | 0.76 | 1.94 | 1.30 | 0.51 | 0.60 | 2.83 | 1.27 | 0.41 | 0.72 | 2.23 |
| 200–399% FPL | 0.92 | 0.75 | 0.56 | 1.52 | 1.00 | 1.00 | 0.40 | 2.52 | 0.93 | 0.82 | 0.53 | 1.66 |
| More than 400% of FPL | 0.65 | 0.07 | 0.40 | 1.04 | 0.62 | 0.33 | 0.24 | 1.61 | 0.70 | 0.19 | 0.41 | 1.19 |
| Family Structure | ||||||||||||
| Single Parent or Other Structure Household | 1.28 | 0.19 | 0.88 | 1.85 | 1.16 | 0.71 | 0.54 | 2.48 | 1.41 | 0.10 | 0.94 | 2.12 |
| Insurance Continuity | ||||||||||||
| Child Experienced Gap in Coverage | 0.43 | 0.01 | 0.24 | 0.78 | 0.40 | 0.08 | 0.14 | 1.11 | 0.42 | 0.02 | 0.21 | 0.87 |
| Child Demographics | ||||||||||||
| Child Age | ||||||||||||
| 6–11 years | 1.20 | 0.40 | 0.78 | 1.84 | 1.03 | 0.94 | 0.51 | 2.05 | 1.15 | 0.60 | 0.68 | 1.95 |
| 12–18 years | 1.14 | 0.45 | 0.81 | 1.61 | 1.89 | 0.10 | 0.89 | 3.99 | 0.97 | 0.86 | 0.66 | 1.42 |
| Child Sex | ||||||||||||
| Male | 1.05 | 0.78 | 0.76 | 1.44 | 0.96 | 0.89 | 0.53 | 1.72 | 1.01 | 0.95 | 0.69 | 1.49 |
| Race/Ethnicity | ||||||||||||
| Black, non-Hispanic | 0.75 | 0.24 | 0.47 | 1.21 | 0.35 | 0.02 | 0.15 | 0.82 | 1.18 | 0.61 | 0.63 | 2.19 |
| Hispanic | 0.98 | 0.93 | 0.58 | 1.64 | 2.03 | 0.22 | 0.66 | 6.24 | 0.79 | 0.39 | 0.46 | 1.36 |
| Other/Multiracial, Non-Hispanic | 0.66 | 0.03 | 0.46 | 0.96 | 0.67 | 0.30 | 0.31 | 1.44 | 0.62 | 0.02 | 0.40 | 0.94 |
Data Source: National Survey of Children’s Health (NSCH), 2016–2019