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Longitudinal patterns of health insurance coverage among a national sample of children in the child welfare system

Author

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  • Raghavan, R.
  • Aarons, G.A.
  • Roesch, S.C.
  • Leslie, L.K.

Abstract

Objectives. We sought to describe health insurance coverage over time among a national sample of children who came into contact with child welfare or child protective services agencies. Methods. We used data from 4 waves of the National Survey of Child and Adolescent Well-Being to examine insurance coverage among 2501 youths. Longitudinal insurance trajectories were identified using latent class analyses, a technique used to classify individuals into groupings of observed variables, and survey-weighted logistic regression was used to identify variables associated with class membership. Results. We identified 2 latent insurance classes - 1 contained children who gained health insurance, and the other contained children who stably maintained coverage over time. History of sexual abuse, and race/ethnicity other than White, Black, and Hispanic, were associated with membership in the "gainer" class. Foster care placement and poorer health status were associated with membership in the "maintainer" class. Caregiver characteristics were not associated with class membership. Conclusions. The majority of children in child welfare had stable health insurance coverage over time. Given this vulnerable population's dependence upon Medicaid, protection of existing entitlements to Medicaid is essential to preserve their stable insurance coverage.

Suggested Citation

  • Raghavan, R. & Aarons, G.A. & Roesch, S.C. & Leslie, L.K., 2008. "Longitudinal patterns of health insurance coverage among a national sample of children in the child welfare system," American Journal of Public Health, American Public Health Association, vol. 98(3), pages 478-484.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.117408_9
    DOI: 10.2105/AJPH.2007.117408
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    Cited by:

    1. Robertson, Roni Diamant, 2013. "The invisibility of adolescent sexual development in foster care: Seriously addressing sexually transmitted infections and access to services," Children and Youth Services Review, Elsevier, vol. 35(3), pages 493-504.
    2. Hiroki Wakamatsu & Seiichi Fukui & Kana Miwa, 2019. "Heterogeneous Preferences for Micro Health Insurance Attributes in Rural Cambodia: Latent Class Analysis," Economics Bulletin, AccessEcon, vol. 39(4), pages 2963-2975.

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