Effects of parental public health insurance eligibility on parent and child health outcomes
Many states expanded their Medicaid programs to low-income adults under the Affordable Care Act (ACA). These expansions increased Medicaid coverage among low-income parents and their children. Whether these improvements in coverage and healthcare use lead to better health outcomes for parents and th...
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| Veröffentlicht in: | Economics and human biology 2022-01, Vol.44, p.101098-101098, Article 101098 |
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| container_title | Economics and human biology |
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| creator | Gopalan, Maithreyi Lombardi, Caitlin McPherran Bullinger, Lindsey Rose |
| description | Many states expanded their Medicaid programs to low-income adults under the Affordable Care Act (ACA). These expansions increased Medicaid coverage among low-income parents and their children. Whether these improvements in coverage and healthcare use lead to better health outcomes for parents and their children remains unanswered. We used longitudinal data on a large, nationally representative cohort of elementary-aged children from low-income households from 2010 to 2016. Using a difference-in-differences approach in state Medicaid policy decisions, we estimated the effect of the ACA Medicaid expansions on parent and child health. We found that parents’ self-reported health status improved significantly post-expansion in states that expanded Medicaid through the ACA by 4 percentage points (p |
| doi_str_mv | 10.1016/j.ehb.2021.101098 |
| format | Article |
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•The Affordable Care Act (ACA) expanded eligibility to Medicaid programs among low-income parents in some states.•Quasi-experimental analysis of national data used to estimate the effect of the ACA Medicaid expansions on health outcomes.•Parents’ self-reported health improved significantly in states that expanded Medicaid through the ACA by 4 percentage points.•No significant changes in children’s use of routine doctor visits or parents’ assessment of their children’s health status.•Modest decreases in children’s body mass index (BMI) of about 2%, especially for girls, observed.•This study highlights the spillover effects of parental public health insurance eligibility onto children.</description><identifier>ISSN: 1570-677X</identifier><identifier>ISSN: 1873-6130</identifier><identifier>EISSN: 1873-6130</identifier><identifier>DOI: 10.1016/j.ehb.2021.101098</identifier><identifier>PMID: 34929550</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Affordable Care Act ; Aged ; BMI ; Child ; child health ; Female ; health insurance ; Health Services Accessibility ; health utilization ; Humans ; Insurance Coverage ; low-income ; Medicaid ; Outcome Assessment, Health Care ; parental health ; Patient Protection and Affordable Care Act ; self-rated health ; United States</subject><ispartof>Economics and human biology, 2022-01, Vol.44, p.101098-101098, Article 101098</ispartof><rights>2021 Elsevier B.V.</rights><rights>Copyright © 2021 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-2c7c644875b851bc0232e9a68eb486109b7ff1cfd903e4c7a6c7e7c2565fc3793</citedby><cites>FETCH-LOGICAL-c484t-2c7c644875b851bc0232e9a68eb486109b7ff1cfd903e4c7a6c7e7c2565fc3793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1570677X21001234$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34929550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gopalan, Maithreyi</creatorcontrib><creatorcontrib>Lombardi, Caitlin McPherran</creatorcontrib><creatorcontrib>Bullinger, Lindsey Rose</creatorcontrib><title>Effects of parental public health insurance eligibility on parent and child health outcomes</title><title>Economics and human biology</title><addtitle>Econ Hum Biol</addtitle><description>Many states expanded their Medicaid programs to low-income adults under the Affordable Care Act (ACA). These expansions increased Medicaid coverage among low-income parents and their children. Whether these improvements in coverage and healthcare use lead to better health outcomes for parents and their children remains unanswered. We used longitudinal data on a large, nationally representative cohort of elementary-aged children from low-income households from 2010 to 2016. Using a difference-in-differences approach in state Medicaid policy decisions, we estimated the effect of the ACA Medicaid expansions on parent and child health. We found that parents’ self-reported health status improved significantly post-expansion in states that expanded Medicaid through the ACA by 4 percentage points (p < 0.05), a 4.7% improvement. We found no significant changes in children’s use of routine doctor visits or parents’ assessment of their children’s health status. We observed modest decreases in children’s body mass index (BMI) of about 2% (p < 0.05), especially for girls.
•The Affordable Care Act (ACA) expanded eligibility to Medicaid programs among low-income parents in some states.•Quasi-experimental analysis of national data used to estimate the effect of the ACA Medicaid expansions on health outcomes.•Parents’ self-reported health improved significantly in states that expanded Medicaid through the ACA by 4 percentage points.•No significant changes in children’s use of routine doctor visits or parents’ assessment of their children’s health status.•Modest decreases in children’s body mass index (BMI) of about 2%, especially for girls, observed.•This study highlights the spillover effects of parental public health insurance eligibility onto children.</description><subject>Adult</subject><subject>Affordable Care Act</subject><subject>Aged</subject><subject>BMI</subject><subject>Child</subject><subject>child health</subject><subject>Female</subject><subject>health insurance</subject><subject>Health Services Accessibility</subject><subject>health utilization</subject><subject>Humans</subject><subject>Insurance Coverage</subject><subject>low-income</subject><subject>Medicaid</subject><subject>Outcome Assessment, Health Care</subject><subject>parental health</subject><subject>Patient Protection and Affordable Care Act</subject><subject>self-rated health</subject><subject>United States</subject><issn>1570-677X</issn><issn>1873-6130</issn><issn>1873-6130</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UcuK2zAUFUOHeX9AN0XLbpxKsi3ZFAolzAsGZtNCoQshX1_FCoqVSvbA_P0oJBPaTVeSuOelewj5yNmCMy6_rBc4dAvBBN-9WduckAveqLKQvGQf8r1WrJBK_TonlymtGRNlpp2R87JqRVvX7IL8vrUWYUo0WLo1EcfJeLqdO--ADmj8NFA3pjmaEZCidyvXOe-mVxrGA56asacwON-_E8I8Qdhguian1viEN4fzivy8u_2xfCienu8fl9-fCqiaaioEKJBV1ai6a2reQU4psDWywa5qZP5Wp6zlYPuWlViBMhIUKhC1rC2Uqi2vyLe9bs69wR5yqGi83ka3MfFVB-P0v5PRDXoVXnSb15EdssDng0AMf2ZMk964BOi9GTHMSQvJRdmKRuy8-B4KMaQU0R5tONO7UvRa51L0rhS9LyVzPv2d78h4byEDvu4BmLf04jDqBA7zxnsXczm6D-4_8m9NY56g</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Gopalan, Maithreyi</creator><creator>Lombardi, Caitlin McPherran</creator><creator>Bullinger, Lindsey Rose</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220101</creationdate><title>Effects of parental public health insurance eligibility on parent and child health outcomes</title><author>Gopalan, Maithreyi ; Lombardi, Caitlin McPherran ; Bullinger, Lindsey Rose</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-2c7c644875b851bc0232e9a68eb486109b7ff1cfd903e4c7a6c7e7c2565fc3793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Affordable Care Act</topic><topic>Aged</topic><topic>BMI</topic><topic>Child</topic><topic>child health</topic><topic>Female</topic><topic>health insurance</topic><topic>Health Services Accessibility</topic><topic>health utilization</topic><topic>Humans</topic><topic>Insurance Coverage</topic><topic>low-income</topic><topic>Medicaid</topic><topic>Outcome Assessment, Health Care</topic><topic>parental health</topic><topic>Patient Protection and Affordable Care Act</topic><topic>self-rated health</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gopalan, Maithreyi</creatorcontrib><creatorcontrib>Lombardi, Caitlin McPherran</creatorcontrib><creatorcontrib>Bullinger, Lindsey Rose</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Economics and human biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gopalan, Maithreyi</au><au>Lombardi, Caitlin McPherran</au><au>Bullinger, Lindsey Rose</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of parental public health insurance eligibility on parent and child health outcomes</atitle><jtitle>Economics and human biology</jtitle><addtitle>Econ Hum Biol</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>44</volume><spage>101098</spage><epage>101098</epage><pages>101098-101098</pages><artnum>101098</artnum><issn>1570-677X</issn><issn>1873-6130</issn><eissn>1873-6130</eissn><abstract>Many states expanded their Medicaid programs to low-income adults under the Affordable Care Act (ACA). These expansions increased Medicaid coverage among low-income parents and their children. Whether these improvements in coverage and healthcare use lead to better health outcomes for parents and their children remains unanswered. We used longitudinal data on a large, nationally representative cohort of elementary-aged children from low-income households from 2010 to 2016. Using a difference-in-differences approach in state Medicaid policy decisions, we estimated the effect of the ACA Medicaid expansions on parent and child health. We found that parents’ self-reported health status improved significantly post-expansion in states that expanded Medicaid through the ACA by 4 percentage points (p < 0.05), a 4.7% improvement. We found no significant changes in children’s use of routine doctor visits or parents’ assessment of their children’s health status. We observed modest decreases in children’s body mass index (BMI) of about 2% (p < 0.05), especially for girls.
•The Affordable Care Act (ACA) expanded eligibility to Medicaid programs among low-income parents in some states.•Quasi-experimental analysis of national data used to estimate the effect of the ACA Medicaid expansions on health outcomes.•Parents’ self-reported health improved significantly in states that expanded Medicaid through the ACA by 4 percentage points.•No significant changes in children’s use of routine doctor visits or parents’ assessment of their children’s health status.•Modest decreases in children’s body mass index (BMI) of about 2%, especially for girls, observed.•This study highlights the spillover effects of parental public health insurance eligibility onto children.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>34929550</pmid><doi>10.1016/j.ehb.2021.101098</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Affordable Care Act Aged BMI Child child health Female health insurance Health Services Accessibility health utilization Humans Insurance Coverage low-income Medicaid Outcome Assessment, Health Care parental health Patient Protection and Affordable Care Act self-rated health United States |
| title | Effects of parental public health insurance eligibility on parent and child health outcomes |
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