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Health Care Use Among Rural, Low-Income Women and Children: Results from a 2-Stage Negative Binomial Model

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  • Swetha Valluri
  • Sheila Mammen
  • Daniel Lass

Abstract

Determinants of healthcare use among rural, low-income mothers and children were assessed using a 2-stage negative binomial model of joint mother/child choices and data from a multi-state, longitudinal study, Rural Families Speak. Maternal healthcare use increased with higher depression scores, chronic conditions, new medical conditions, number of children, pediatric visits, prenatal/post-partum needs, and health insurance coverage. Maternal visits decreased with lower income, age, child’s chronic conditions, and child’s private health insurance. Pediatric visits increased with new medical conditions, greater number of chronic conditions, and maternal health visits. Pediatric visits decreased with maternal depression, pregnancy, Latina and African American mothers, more children, and private health insurance coverage. The 2-stage model shows mothers simultaneously choose healthcare visits for themselves and their child. Copyright Springer Science+Business Media New York 2015

Suggested Citation

  • Swetha Valluri & Sheila Mammen & Daniel Lass, 2015. "Health Care Use Among Rural, Low-Income Women and Children: Results from a 2-Stage Negative Binomial Model," Journal of Family and Economic Issues, Springer, vol. 36(1), pages 154-164, March.
    • Handle: RePEc:kap:jfamec:v:36:y:2015:i:1:p:154-164
    DOI: 10.1007/s10834-014-9424-1
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    References listed on IDEAS

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    Cited by:

    1. Yoshie Sano & Sheila Mammen & Myah Houghten, 2021. "Well-Being and Stability among Low-income Families: A 10-Year Review of Research," Journal of Family and Economic Issues, Springer, vol. 42(1), pages 107-117, July.
    2. Idrissa Ouili, 2017. "Armed Conflicts, Children’s Education and Mortality: New Evidence from Ivory Coast," Journal of Family and Economic Issues, Springer, vol. 38(2), pages 163-183, June.
    3. Irina B. Grafova & Alan C. Monheit & Rizie Kumar, 2022. "Income Shocks and Out-of-Pocket Health Care Spending: Implications for Single-Mother Families," Journal of Family and Economic Issues, Springer, vol. 43(3), pages 489-500, September.

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