医疗补助扩张与学生缺课之间的联系：来自美国南部的证据。
The Link Between Medicaid Expansion and School Absenteeism: Evidence From the Southern United States.
机构信息
Assessment & Evaluation Research Associate, Oregon Center for Children and Youth with Special Health Needs (OCCYSHN), 707 SW Gaines St, Portland, OR, 97239.
Matheson Center for Health Care Studies, Department of Economics and Department of Population Health Sciences, University of Utah, Salt Lake City, UT, 84112.
出版信息
J Sch Health. 2022 Feb;92(2):123-131. doi: 10.1111/josh.13111. Epub 2021 Nov 22.
BACKGROUND
Parental Medicaid eligibility has been shown to be linked to positive academic and school outcomes for children. However, the impact of adult Medicaid expansion on children's school absenteeism is largely unexplored in the literature. The aim of this study was to examine whether Medicaid expansion for adults under the Affordable Care Act (ACA), affected school absenteeism of children.
METHODS
This study used data from the National Survey of Children's Health 2016 to 2017 and the difference-in-differences method.
RESULTS
The decrease in the predicted probability of missing 11 or more school days in Louisiana, after Medicaid expansion, among school-going children from low-income families, was greater by 18 percentage points (p = .007), as compared to the decrease in the predicted probability of missing 11 or more school days in the neighboring nonexpansion states of Texas and Mississippi.
CONCLUSION
The positive impacts of Medicaid expansion are not limited to adults, but also extend to children's school absenteeism.
背景
已证实，父母有医疗补助保险资格与儿童积极的学业和学校成绩相关。然而，在文献中，成人医疗补助保险扩大覆盖范围对儿童缺课的影响在很大程度上尚未得到探索。本研究旨在检验平价医疗法案（ACA）下成人医疗补助保险扩大覆盖范围是否会影响儿童的缺课情况。
方法
本研究使用了 2016 至 2017 年全国儿童健康调查的数据和差分法。
结果
与德克萨斯州和密西西比州这两个相邻的非扩张州相比，路易斯安那州的贫困家庭中上学儿童的缺课预测概率在 Medicaid 扩张后下降了 18 个百分点（p=0.007）。
结论
医疗补助保险扩大覆盖范围的积极影响不仅限于成年人，还延伸到了儿童的缺课情况。
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