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. Author manuscript; available in PMC: 2018 Jul 16.
Published in final edited form as: Health Econ. 2013 Jul 11;23(4):473–486. doi: 10.1002/hec.2969

Appendix Table 1.

Table of Studies of Children

Paper Case, A. Lubotsky, D., and Paxson, C., 2002 Currie, J. and Stabile, M., 2003 Condliffe, S. and Link, C. R., 2008 Currie, A. Shields, M. A., and Price, E. 2007 Currie, J. Decker, S., and Lin, W., 2008 Murasko, J., 2008 Khanama, R., Nghiemb, H. S., and Connelly, L., 2009 Reinhold and Jurges, 2011
Motivation Focus on children; sources of the gradient Canada; Focus on recovery and quantity of shocks US; Focus on recovery and quantity of shocks England; Compare with US Focus on public health insurance expansions Health; cumulative vs. current income; panel Australia; panel; explain gradient Gernamy
Data Maternal reported general health status of children (0–17) US MEPS and PSID, 1996–2002 HSE (2–15) US NHIS 1986–2005 US MEPS 1996–2005 LSAC 2 Cohorts KiGGS 2003–2006 parental and medical interviews. Use general health and biomarkers.
Method Ordered probit regression Ordered probit regression and linear probability regression Ordered probit regression and linear probability regression Ordered probit regression and linear probability regression Index of generosity of the state’s public health insurance programs as IV for individual Medicaid/SCHIP eligibility and conduct 2SLS Ordered probit Binary and ordered Probit models Ordered probit.
Findings Children’s health is positively related to family income at every age, and the slope of the gradient increases for older children Depsite the universal health coverage, there exists an income gradient of children’s health that steepens during childhood. The gradient is likely due to higher rate of health shocks among low-income children. In U.S., children in low income families are more likely than children in high income families to still suffer from chronic conditions present 5 years ago. Income gradient becomes steeper with age, partly because low income children are less able to recover from health shocks. Although family income has a positive relationship with general health status, strength of the relationship is smaller than in US. Gradient does not increase with children’s age. No evidence of a significant income differential in porbability of a child having a chronic health condition. More generous insurance coverage at early childhood is associated with better health at older ages (ages 9–17). In addition, the relationship between family income and children’s health has weakened for older children after the year the SCHIP initiated. Replicate Case (2002) pattern though somewhat weaker. Increased persistence of health status among older children; stronger contemporaneous influence of income on adolescents. Similar findings as US studies in that children from higher income families have better health but gradient flatter. No evidence of more health shocks or failure to respond to shocks by income. Some suggestion that health of mother part of explanation of the gradient. Larger but flatter income gradient for subjective health. No evidence of a significant income differential in probablility of child having a chronic health condition but severity is less among higher income children.
Implications Low family income on chilren’s health tend to accumulate during childhood. Thus, children from lower income families may suffer from both lower SES and poorer health when they transition into adulthood Policies that focus only on reducing gaps in access to medical care may not be sufficient to reduce disparities in health. Public policies that increase access to medical care for low income children could be useful in reducing the income gradient of children’s health. Family income may not be a major determinant of children’s health in England. NHS may infuence. Challenged by Case, Lee, and Paxson that findings reflect miscoding of chronic conditions. Assuring access to health care in early childhood may prevent the income gradient of children’s health from becoming steeper over time. Since influence of SES cumulative, interventions at an earlier age may be most effective. National health service can reduce gradient but not come close to eliminating it. Low income creates a severeity effect among children but not an increase in the probability of health problems .