Table 3.
Factors Associated With a Child’s Uncertain Health Insurance Status (Mismatch Between Administrative and Self-reported Health Insurance Enrollment Data— the Gray Zones)
| Independent Covariables |
OHP Enrolled, Unaware n= 171 (Weighted n=5,974) (Weighted %) |
OHP Enrolled, Unaware (Versus OHP Enrolled, Aware) Adjusted OR* (95% CI) |
Uninsured, Unaware
n= 252 (Weighted n=3,474) (Weighted %) |
Uninsured, Unaware (Versus OHP Enrolled, Aware) Adjusted OR* (95% CI) |
|---|---|---|---|---|
|
| ||||
| Child’s gender | ||||
| Female | 7.8 | 0.88 (0.55, 1.41) | 4.3 | 0.79 (0.54, 1.17) |
| Male | 9.4 | 1.00 | 4.9 | 1.00 |
|
| ||||
| Child’s age | ||||
| 1–4 years | 6.7 | 0.54 (0.25, 1.15) | 5.1 | 0.88 (0.47, 1.66) |
| 5–9 years | 7.4 | 0.78 (0.39, 1.57) | 4.8 | 0.96 (0.52, 1.75) |
| 10–14 years | 12.1 | 1.12 (0.57, 2.22) | 3.7 | 0.76 (0.39, 1.47) |
| 15–18 years | 9.1 | 1.00 | 4.6 | 1.00 |
|
| ||||
| Race/ethnicity (combined variable) |
||||
| White, non-Hispanic | 8.3 | 1.00 | 4.5 | 1.00 |
| Hispanic, any race | 9.1 | 1.22 (0.65, 2.28) | 5.4 | 1.00 (0.82, 1.22) |
| Non-white, Non-Hispanic | 9.9 | 0.84 (0.32, 2.22) | 4.0 | 1.19 (0.94, 1.50) |
|
| ||||
| Parental employmenta | ||||
| Not employed | 8.2 | 1.00 | 4.4 | 1.00 |
| Employed | 9.6 | 1.39 (0.86, 2.25) | 5.0 | 1.53 (1.03, 2.27) |
|
| ||||
| Parental insurance statusb | ||||
| Insured | 6.3 | 1.00 | 3.7 | 1.00 |
| Not insured | 12.5 | 2.81 (1.68, 4.69) | 6.8 | 2.21 (1.41, 3.46) |
|
| ||||
| Geographic region | ||||
| 1 (NW Coastal) | 8.3 | 0.80 (0.44, 1.46) | 4.3 | 0.94 (0.79, 1.11) |
| 2 (Portland Area) | 8.4 | 0.79 (0.41, 1.52) | 4.2 | 1.05 (0.86, 1.28) |
| 3 (Central Western) | 7.6 | 1.03 (0.53, 2.01) | 4.5 | 1.51 (1.23, 1.87) |
| 4 (SW Coastal) | 9.1 | 0.85 (0.45, 1.60) | 4.8 | 1.27 (1.06, 1.53) |
| 5 (North Central, Columbia Gorge) | 10.7 | 1.03 (0.52, 2.01) | 6.4 | 1.88 (1.59, 2.24) |
| 6 (Southern and Eastern) | 11.3 | 1.00 | 4.6 | 1.00 |
|
| ||||
| Monthly household income | ||||
| <$1,000 | 8.0 | 1.00 | 3.8 | 1.00 |
| $1,000–$1,500 | 12.1 | 1.74 (0.97, 3.13) | 5.1 | 1.40 (0.86, 2.28) |
| $1,501–$2,000 | 6.8 | 1.10 (0.47, 2.55) | 7.5 | 2.50 (1.37, 4.58) |
| >$2,000 | 9.0 | 2.09 (0.82, 5.36) | 5.8 | 2.94 (1.45, 5.96) |
|
| ||||
| Child has special health care need(s)c | ||||
| No | 8.2 | 1.00 | 4.7 | 1.00 |
| Yes | 11.2 | 0.85 (0.41, 1.78) | 3.9 | 0.70 (0.40, 1.23) |
|
| ||||
| Child has usual source of care (USC) | ||||
| Yes USC | 8.0 | 1.00 | 4.3 | 1.00 |
| No USC | 16.2 | 3.27 (1.71, 6.25) | 6.7 | 1.87 (0.99, 3.54) |
OHP—Oregon Health Plan (Oregon’s combined Medicaid and State Children’s Health Insurance Program)
*
Controlling for all variables listed in the table. (Comparison group in dichotomous outcome variables is OHP-insured children.)
OHP Enrolled, Not Aware: child was administratively OHP enrolled but self-reported not being enrolled. Uninsured, Not Aware: not administratively enrolled in OHP but self-reported OHP enrolled.
a,b,c
see footnotes from Table 2