IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2009.184622_8.html
   My bibliography  Save this article

Declining child mortality and continuing racial disparities in the era of the Medicaid and SCHIP insurance coverage expansions

Author

Listed:
  • Howell, E.
  • Decker, S.
  • Hogan, S.
  • Yemane, A.
  • Foster, J.

Abstract

Objectives. We investigated trends in national childhood mortality, racial disparities in child mortality, and the effect of Medicaid and State Children's Health Insurance Program (SCHIP) eligibility expansions on child mortality. Methods. We analyzed child mortality by state, race, and age using the National Center for Health Statistics' multiple cause of death ?les over 20 years, from 1985 to 2004. Results. Child mortality continued to decline in the United States, but racial disparities in mortality remained. Declines in child mortality (ages 1-17 years) were substantial for both natural (disease-related) and external (injuries, homicide, and suicide) causes for children of all races/ethnicities, although Black-White mortality ratios remained unchanged during the study period. Expanded Medicaid and SCHIP eligibility was signi?cantly related to the decline in external-cause mortality; the relationship between natural-cause mortality and Medicaid or SCHIP eligibility remains unclear. Eligibility expansions did not affect relative racial disparities in child mortality. Conclusions. Although the study provides some evidence that public insurance expansions reduce child mortality, future research is needed on the effect of new health insurance on child health and on factors causing relative racial disparities.

Suggested Citation

  • Howell, E. & Decker, S. & Hogan, S. & Yemane, A. & Foster, J., 2010. "Declining child mortality and continuing racial disparities in the era of the Medicaid and SCHIP insurance coverage expansions," American Journal of Public Health, American Public Health Association, vol. 100(12), pages 2500-2506.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.184622_8
    DOI: 10.2105/AJPH.2009.184622
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2009.184622
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2009.184622?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Sarah Miller & Norman Johnson & Laura R Wherry, 2021. "Medicaid and Mortality: New Evidence From Linked Survey and Administrative Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 136(3), pages 1783-1829.
    2. Étienne Gaudette & Gwyn C. Pauley & Julie Zissimopoulos, 2016. "Long-term Individual and Population Consequences of Early-life Access to Health Insurance," Working Papers wp355, University of Michigan, Michigan Retirement Research Center.
    3. Borgschulte, Mark & Vogler, Jacob, 2020. "Did the ACA Medicaid expansion save lives?," Journal of Health Economics, Elsevier, vol. 72(C).
    4. Laura R. Wherry & Sarah Miller & Robert Kaestner & Bruce D. Meyer, 2018. "Childhood Medicaid Coverage and Later-Life Health Care Utilization," The Review of Economics and Statistics, MIT Press, vol. 100(2), pages 287-302, May.
    5. Shishu Zhang & Gregory J. Soukup, 2015. "Factors that influence the selection and utilization of children’s medical insurance," Cogent Business & Management, Taylor & Francis Journals, vol. 2(1), pages 1010882-101, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.184622_8. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.