Table 4.
Predictors of Uninsurance Among Children in the United States with at Least One Parent Privately Insured, Cross-sectional and Full Year (2002-2005)
| Discordant Family Health Insurance Pattern | ||||
|---|---|---|---|---|
| Cross-Sectional | Full Year | |||
| Demographic And Other Characteristics | Parent Privately Insureda/Child Uninsured (on Dec 31) | Parent Privately Insured All Yearb/Child Uninsured Part or All of the Year (Coverage Gap) | Parent Privately Insured All Yearb/Child Uninsured > 6 Months of the Year | Parent Privately Insured All Yearb/Child Uninsured All Year |
| Adjusted Odds Ratio (95 percent confidence interval)* | ||||
|
| ||||
| Household Income Groups† | ||||
| Poor (<100%FPL) | 1.39 (0.85 − 2.27) | 2.48 (1.83 − 3.35) | 1.96 (1.24 − 3.11) | 0.96 (0.53 − 1.74) |
| Near Poor (100--<125%FPL) | 1.43 (0.74 − 2.73) | 3.01 (2.17 − 4.16) | 2.20 (1.44 − 3.36) | 1.02 (0.53 − 1.96) |
| Low Income (125--<200%FPL) | 1.88 (1.30 − 2.73) | 2.57 (2.06 − 3.21) | 2.12 (1.54 − 2.93) | 1.34 (0.88 − 2.03) |
| Middle Income (200-<400%FPL) | 1.41 (1.02 − 1.93) | 1.77 (1.46 − 2.16) | 1.55 (1.17 − 2.06) | 1.40 (0.97 − 2.02) |
| High Income (≥400%FPL) | 1.00 | 1.00 | 1.00 | 1.00 |
| Child’s Age | ||||
| 0-4 | 0.81 (0.62 − 1.06) | 1.06 (0.90 − 1.26) | 0.87 (0.67 − 1.11) | 0.90 (0.64 − 1.28) |
| 5-9 | 0.78 (0.60 − 1.01) | 0.91 (0.77 − 1.07) | 0.79 (0.62 − 1.01) | 0.82 (0.59 − 1.14) |
| 10-14 | 0.81 (0.65 − 1.01) | 0.92 (0.80 − 1.06) | 0.81 (0.67 − 0.99) | 1.02 (0.78 − 1.34) |
| 15-18 | 1.00 | 1.00 | 1.00 | 1.00 |
| Child’s Race/Ethnicity‡ | ||||
| Hispanic, any Race | 1.69 (1.27 − 2.25) | 1.40 (1.16 − 1.69) | 1.60 (1.24 − 20.6) | 1.68 (1.21 − 2.34) |
| Non-White, non-Hispanic | 0.94 (0.66 − 1.33) | 0.98 (0.80 − 1.22) | 1.00 (0.76 − 1.32) | 0.91 (0.63 − 1.31) |
| White, non-Hispanic | 1.00 | 1.00 | 1.00 | 1.00 |
| At Least One Parent Completed High School | ||||
| No | 1.60 (1.14 − 2.26) | 1.42 (1.16 − 1.73) | 1.70 (1.27 − 2.27) | 2.13 (1.39 − 3.29) |
| Yes | 1.00 | 1.00 | 1.00 | 1.00 |
| At Least One Parent Employed | ||||
| Not currently employed | 0.75 (0.52 − 1.08) | 1.30 (1.13 − 1.51) | 1.02 (0.83 − 1.26) | 0.93 (0.69 − 1.26) |
| Employed/Self-Employed | 1.00 | 1.00 | 1.00 | 1.00 |
| Family Composition$ | ||||
| Living with a single parent | 2.28 (1.79 − 2.91) | 1.71 (1.45 − 2.02) | 1.72 (1.35 − 2.19) | 2.23 (1.66 − 2.99) |
| Living with two, married parents | 1.00 | 1.00 | 1.00 | 1.00 |
| Geographic Residence | ||||
| Midwest | 1.00 (0.69 − 1.46) | 1.09 (0.85 − 1.40) | 1.08 (0.79 − 1.49) | 1.05 (0.67 − 1.66) |
| South | 1.45 (1.03 − 2.04) | 1.48 (1.17 − 1.88) | 1.57 (1.18 − 2.08) | 1.19 (0.78 − 1.81) |
| West | 1.32 (0.91 − 1.91) | 1.38 (1.06 − 1.80) | 1.38 (1.00 − 1.91) | 1.22 (0.76 − 1.98) |
| Northeast | 1.00 | 1.00 | 1.00 | 1.00 |
| Child Health Status | ||||
| Not Excellent | 1.06 (0.87 − 1.28) | 1.04 (0.93 − 1.16) | 0.89 (0.76 − 1.04) | 0.90 (0.69 − 1.17) |
| Excellent | 1.00 | 1.00 | 1.00 | 1.00 |
Source: 2002-2005 Medical Expenditure Panel Survey (MEPS), Household Component
The multivariate models included all variables listed in the table.
For children with two parents linked, one or both parents had private insurance coverage on December 31 of the given year; for children with one parent linked, the sole parent had private insurance coverage on December 31 of the given year. (Private insurance coverage included those parents with tricare insurance coverage.)
For children with two parents linked, one or both parents had private insurance coverage for all 12 months of the given year; for children with one parent linked, the sole parent had private insurance coverage for all 12 months of the given year. (Private insurance coverage included those parents with tricare insurance coverage.)
FPL=Federal Poverty Level; in 2005 the FPL for a family of 4 was $19,350.
Child’s race/ethnicity variable was created by combining a race (RACEX) and ethnicity (HISPANX) variable. RACEX categories included white only, black only, American Indian/Alaskan Native only, Asian only, native Hawaiian/pacific islander only, and multiple races. HISPANX categories included Hispanic, or not Hispanic.
The single-parent family composition variable combined children who could be linked to a second parent (n=8,278) and children who could not be linked to a second parent (5,431). The other category included children who could be linked with two married parents (n=26,001).