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Suppression of racial disparities for children with special health care needs among families receiving Medicaid

Author

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  • Rose, Roderick A.
  • Parish, Susan L.
  • Yoo, Joan
  • Grady, Melissa D.
  • Powell, Sarah E.
  • Hicks-Sangster, Tamara K.

Abstract

This study examines whether the US public health insurance program Medicaid suppresses racial disparities in parental identification of service needs of their children with special health care needs (CSHCN). We analyze data from the 2001 US National Survey of CSHCN (n = 14,167 children). We examine three outcomes which were parental identification of (a) the child's need for professional care coordination, (b) the child's need for mental health services, and (c) the family's need for mental health services. A suppression analysis, which is a form of mediation analysis, was conducted. Our results show a disparity, reflected in a negative direct effect of race for all three outcomes: Black parents of CSHCN are less likely to report a need for services than White parents of CSHCN and Medicaid coverage was associated with reduced racial disparities in reporting the need for services. These analyses suggest receipt of Medicaid is associated with a suppression of racial disparities in reported need for services.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:9:p:1263-1270
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    References listed on IDEAS

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    1. 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.
    2. Van Ryn, M. & Fu, S.S., 2003. "Paved with good intentions: Do public health and human service providers contribute to racial/ethnic disparities in health?," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 248-255.
    3. Kaufman, Jay S., 2008. "Epidemiologic analysis of racial/ethnic disparities: Some fundamental issues and a cautionary example," Social Science & Medicine, Elsevier, vol. 66(8), pages 1659-1669, April.
    4. David P. Mackinnon & James H. Dwyer, 1993. "Estimating Mediated Effects in Prevention Studies," Evaluation Review, , vol. 17(2), pages 144-158, April.
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