Cost Barriers to Asthma Care by Health Insurance Type among Children with Asthma

Details

• Alternative Title:
  J Asthma
• Personal Author:
  Pate, Cynthia A. ; Qin, Xiaoting ; Bailey, Cathy M. ; Zahran, Hatice S.
• Description:
  Introduction
  
  Children with asthma have ongoing health care needs and health insurance is a vital part of their health care access. Health care coverage may be associated with various cost barriers to asthma care. We examined cost barriers to receiving asthma care by health insurance type and coverage continuity among children with asthma using the 2012–2014 Child Asthma Call-back Survey (ACBS).
  
  Methods
  
  The study sample included 3,788 children under age 18 years with current asthma who had responses to the ACBS by adult proxy. Associations between cost barriers to asthma care and treatment were analyzed by demographic, health insurance coverage, and urban residence variables using multivariable logistic regression models.
  
  Results
  
  Among insured children, more blacks reported a cost barrier to seeing a doctor (10.6% [5.9, 18.3]) compared with whites (2.9% [2.1, 4.0]) (p=0.03). Adjusting for demographic factors (sex, age, and race), uninsured and having partial year coverage were associated with cost barrier to seeing a doctor (adjusted prevalence ratio aPR=8.07 [4.78, 13.61] and aPR=6.58 [3.78, 11.45], respectively) and affording medication (aPR=8.35 [5.23, 13.34] and aPR=4.93 [2.96, 8.19], respectively), compared with children who had full year coverage. Public insurance was associated with cost barrier to seeing a doctor (aPR=4.43 [2.57, 7.62]), compared with private insurance.
  
  Conclusions
  
  Having no health insurance, partial year coverage, and public insurance were associated with cost barriers to asthma care. Improving health insurance coverage may help strengthen access to and reduce cost barriers to asthma care.
  
  
• Subjects:
  Adolescent Age Factors Asthma Child Child, Preschool Female Health Services Accessibility Humans Insurance, Health Insurance Coverage Logistic Models Male Medical Assistance Medically Uninsured Racial Groups Residence Characteristics Sex Factors Socioeconomic Factors United States

  More +
• Source:
  J Asthma. 57(10):1103-1109
• Pubmed ID:
  31343379
• Pubmed Central ID:
  PMC7291943
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  57
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:77060c851c595e6f7060982f7560b2c3240f404b1876a141846db08d0cac1d14
• Download URL:
  https://stacks.cdc.gov/view/cdc/89168/cdc_89168_DS1.pdf
• File Type:
  [PDF - 82.71 KB ]