DeVoe Jennifer E, Crawford Courtney, Angier Heather, O'Malley Jean, Gallia Charles, Marino Miguel, Gold Rachel
Family Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mailcode FM, Portland, OR, 97239, USA,
Matern Child Health J. 2015 Aug;19(8):1766-74. doi: 10.1007/s10995-015-1690-5.
To assess the association between a child's and their parent's public health insurance status during a time when children had access to coverage independent of policies that impacted adults' access. Secondary data from the Oregon Health Plan (OHP) [Oregon's Medicaid and Children's Health Insurance Programs] for families with at least one parent and one child with OHP coverage at any time during the study period (2002-2010). We linked children to their parents in the OHP data set and examined longitudinal associations between the coverage patterns for children and their parents, controlling for several demographic and economic confounders. We tested for differences in the strength of associations in monthly coverage status in five time periods throughout the nine-year study period. The odds of a child being insured by the OHP in months in which at least one parent had OHP coverage were significantly higher than among children whose parents were not enrolled at that time. Children with at least one parent who maintained or gained OHP coverage in a given month had a much higher probability of being enrolled in the OHP in that month, compared to children who had no covered parents in the given month or the month prior. Despite implementation of policies that differentially affected eligibility requirements for children and adults, strong associations persisted between coverage continuity for parents and children enrolled in Oregon public health insurance programs.
在儿童可获得独立于影响成人参保政策的保险覆盖期间，评估儿童及其父母的公共医疗保险状况之间的关联。利用俄勒冈健康计划（OHP）[俄勒冈州的医疗补助和儿童健康保险计划]的二手数据，研究对象为在研究期间（2002 - 2010年）任何时间至少有一名家长和一名儿童拥有OHP保险覆盖的家庭。我们在OHP数据集中将儿童与其父母进行关联，并在控制了若干人口统计学和经济混杂因素的情况下，研究儿童及其父母的保险覆盖模式之间的纵向关联。我们在整个九年研究期的五个时间段内测试了月度保险覆盖状况关联强度的差异。在至少有一名家长拥有OHP保险覆盖的月份里，儿童获得OHP保险的几率显著高于其父母当时未参保的儿童。与在给定月份或前一个月没有参保父母的儿童相比，在给定月份里至少有一名家长维持或获得OHP保险覆盖的儿童在该月参保OHP的可能性要高得多。尽管实施了对儿童和成人资格要求有不同影响的政策，但俄勒冈公共医疗保险计划中参保的父母和儿童之间在保险覆盖连续性方面仍存在很强的关联。
