Wood Pamela R, Smith Lauren A, Romero Diana, Bradshaw Patrick, Wise Paul H, Chavkin Wendy
Department of Pediatrics, University of Texas Health Science Center, San Antonio, TX 78229-3900, USA.
Am J Public Health. 2002 Sep;92(9):1446-52. doi: 10.2105/ajph.92.9.1446.
This study evaluated the relationships between health insurance and welfare status and the health and medical care of children with asthma.
Parents of children with asthma aged 2 to 12 years were interviewed at 6 urban clinical sites and 2 welfare offices.
Children whose families had applied for but were denied welfare had more asthma symptoms than did children whose families had had no contact with the welfare system. Poorer mental health in parents was associated with more asthma symptoms and higher rates of health care use in their children. Parents of uninsured and transiently insured children identified more barriers to health care than did parents whose children were insured.
Children whose families have applied for welfare and children who are uninsured are at high risk medically and may require additional services to improve health outcomes.
本研究评估了健康保险与福利状况以及哮喘儿童的健康和医疗护理之间的关系。
在6个城市临床地点和2个福利办公室对2至12岁哮喘儿童的家长进行了访谈。
家庭申请福利但被拒绝的儿童比其家庭与福利系统无接触的儿童有更多哮喘症状。父母心理健康状况较差与子女更多的哮喘症状及更高的医疗保健使用率相关。未参保和临时参保儿童的父母比其子女参保的父母发现更多医疗保健障碍。
家庭申请过福利的儿童和未参保儿童在医疗方面面临高风险，可能需要额外服务以改善健康状况。
