IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2004.055921_6.html
   My bibliography  Save this article

The effect of poverty and caregiver education on perceived need and access to health services among children with special health care needs

Author

Listed:
  • Porterfield, S.L.
  • McBride, T.D.

Abstract

Objectives. We examined the association between several variables and the use of specialist physician services, developmental therapies, and prescription medications among children with special health care needs (N = 38 866). Methods. We used a bivariate probit model to estimate whether a given child needed specialized services and whether that child accessed those services; we controlled for activity limitations and severity of special needs. Variables included family income, mother's (or other caregiver's) educational level, health insurance coverage, and perceived need for specialized services. We used data from the 2001 National Survey of Children with Special Health Care Needs. Results. Lower-income and less-educated parents were less likely than higher-income and more-educated parents to say their special needs children needed specialized health services. The probability of accessing specialized health services - when needed - increased with both higher family income and insurance coverage. Conclusions. Children with special health care needs have less access to health services because their parents do not recognize the need for those services. An intervention in the form of information at the family level may be an appropriate policy response.

Suggested Citation

  • Porterfield, S.L. & McBride, T.D., 2007. "The effect of poverty and caregiver education on perceived need and access to health services among children with special health care needs," American Journal of Public Health, American Public Health Association, vol. 97(2), pages 323-329.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.055921_6
    DOI: 10.2105/AJPH.2004.055921
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2004.055921
    Download Restriction: no

    File URL: https://libkey.io/10.2105/AJPH.2004.055921?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Swetha Valluri & Sheila Mammen & Daniel Lass, 2015. "Health Care Use Among Rural, Low-Income Women and Children: Results from a 2-Stage Negative Binomial Model," Journal of Family and Economic Issues, Springer, vol. 36(1), pages 154-164, March.
    2. Chantal Camden & Léa Héguy & Megan Casoli & Mathieu Roy & Lisa Rivard & Jade Berbari & PPOP Research Team & Mélanie Couture, 2020. "Preschoolers’ Developmental Profiles and School-Readiness in a Low-Income Canadian City: A Cross-Sectional Survey," IJERPH, MDPI, vol. 17(7), pages 1-11, April.
    3. Pedro Serra & Regina Costa & Nuno Almeida & António Baptista, 2020. "Visual Status in a Portuguese Population with Intellectual Disability," IJERPH, MDPI, vol. 17(21), pages 1-16, October.
    4. Parish, Susan L. & Rose, Roderick A. & Dababnah, Sarah & Yoo, Joan & Cassiman, Shawn A., 2012. "State-level income inequality and family burden of US families raising children with special health care needs," Social Science & Medicine, Elsevier, vol. 74(3), pages 399-407.
    5. Russ, Shirley & Garro, Nicole & Halfon, Neal, 2010. "Meeting children's basic health needs: From patchwork to tapestry," Children and Youth Services Review, Elsevier, vol. 32(9), pages 1149-1164, September.
    6. Kang, Ezer & Omigbodun, Olayinka & Oduguwa, Adeola & Kim, Woojae & Qin, Lu & Ogunmola, Olusegun & Akinkuotu, Folasade & Derenoncourt, Meghan & Abdurahman, Haleem & Adejumo, Olurotimi & Lawal, Kehinde , 2021. "If we build it, they will come: Caregiver decision to use an accessible outpatient psychiatric service for children and adolescents in Nigeria," Social Science & Medicine, Elsevier, vol. 279(C).
    7. Rose, Roderick A. & Parish, Susan L. & Yoo, Joan & Grady, Melissa D. & Powell, Sarah E. & Hicks-Sangster, Tamara K., 2010. "Suppression of racial disparities for children with special health care needs among families receiving Medicaid," Social Science & Medicine, Elsevier, vol. 70(9), pages 1263-1270, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.055921_6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.