The National Survey of Children's Health: Uninsured Children in the US
Currently, about 47 million Americans do not have health insurance and 11.7 percent of U.S. children did not have coverage in 2006. A representative, population-based dataset, the 2004 National Survey of Children’s Health (NSCH), was used to identify factors associated with US children (n=102,353) not having health insurance coverage through logistic regression with weighted samples. The dependent variable was lack of insurance or a gap in coverage during the previous 12 months, excluding children with health insurance coverage. Using the Aday and Andersen Access to Medical Care Model, the risk of not having continuous coverage was examined in relation to predisposing, enabling, and need factors. A revision to the model was the addition of parent’s insurance status. National findings will be compared to Florida, a state with minimal social services network and previous barriers that prevented full enrollment of low-income children to a federal health insurance program. Analysis of Florida data found increased risks and significance associated with various federal poverty levels, parents’ lack of health insurance, and primary language not English. The presentation will include a discussion of major policy implications and determinants to providing universal health insurance coverage in the US.
Keywords: National Population-based Data, Health Insurance Coverage, Public Health Policy
Dr. Mary Beth Zeni
Assistant Professor, Florida State University