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

Author

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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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    File URL: http://hdl.handle.net/10.1007/s10834-014-9424-1
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    References listed on IDEAS

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    1. Joseph Hilbe, 1994. "Negative binomial regression," Stata Technical Bulletin, StataCorp LP, vol. 3(18).
    2. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, Oxford University Press, vol. 127(3), pages 1057-1106.
    3. repec:aph:ajpbhl:10.2105/ajph.2004.055921_6 is not listed on IDEAS
    4. Whitney Witt & Kristin Litzelman & Carmen Mandic & Lauren Wisk & John Hampton & Paul Creswell & Carissa Gottlieb & Ronald Gangnon, 2011. "Healthcare-Related Financial Burden Among Families in the U.S.: The Role of Childhood Activity Limitations and Income," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 308-326, June.
    5. Andrea Menclova, 2013. "The Effects of Unemployment on Prenatal Care Use and Infant Health," Journal of Family and Economic Issues, Springer, vol. 34(4), pages 400-420, December.
    6. Ilana Akresh, 2009. "Health Service Utilization Among Immigrants to the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 28(6), pages 795-815, December.
    7. Sylvia Brandt & Peter Marie, 2011. "Racial Disparities in Hospital Length of Stay for Asthma: Implications for Economic Policies," Journal of Family and Economic Issues, Springer, vol. 32(1), pages 152-169, March.
    8. repec:aph:ajpbhl:1992:82:3:364-371_0 is not listed on IDEAS
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    1. repec:kap:jfamec:v:38:y:2017:i:2:d:10.1007_s10834-016-9499-y is not listed on IDEAS

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