Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics

Autores
Wehby, George; Murray, Jeffrey C.; McCarthy, Ann Marie; Castilla, Eduardo Enrique
Año de publicación
2011
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective. To evaluate the extent of racial gaps in child health insurance coverage in South America and study the contribution of wealth, human capital, and other household characteristics to accounting for racial disparities in insurance coverage. Data Sources/Study Setting. Primary data collected between 2005 and 2006 in 30 pediatric practices in Argentina, Brazil, Ecuador, and Chile. Design. Country-specific regression models are used to assess differences in insurance coverage by race. A decomposition model is used to quantify the extent to which wealth, human capital, and other household characteristics account for racial disparities in insurance coverage. Data Collection/Extraction Methods. In-person interviews were conducted with the mothers of 2,365 children. Principal Findings. The majority of children have no insurance coverage except in Chile. Large racial disparities in insurance coverage are observed. Household wealth is the single most important household-level factor accounting for racial disparities in coverage and is significantly and positively associated with coverage, followed by maternal education and employment/occupational status. Geographic differences account for the largest part of racial disparities in insurance coverage in Argentina and Ecuador. Conclusions. Increasing the coverage of children in less affluent families is important for reducing racial gaps in health insurance coverage in the study countries.
Fil: Wehby, George. University of Iowa; Estados Unidos
Fil: Murray, Jeffrey C.. University of Iowa; Estados Unidos
Fil: McCarthy, Ann Marie. University of Iowa; Estados Unidos
Fil: Castilla, Eduardo Enrique. Centro de Educación Medica E Invest.clinicas; Argentina. Fundación Oswaldo Cruz; Brasil. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
CHILD HEALTH
HEALTH INSURANCE
RACIAL DISPARITIES
SOCIOECONOMIC DISPARITIES
SOUTH AMERICA
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/186617
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/186617
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristicsWehby, GeorgeMurray, Jeffrey C.McCarthy, Ann MarieCastilla, Eduardo EnriqueCHILD HEALTHHEALTH INSURANCERACIAL DISPARITIESSOCIOECONOMIC DISPARITIESSOUTH AMERICAhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective. To evaluate the extent of racial gaps in child health insurance coverage in South America and study the contribution of wealth, human capital, and other household characteristics to accounting for racial disparities in insurance coverage. Data Sources/Study Setting. Primary data collected between 2005 and 2006 in 30 pediatric practices in Argentina, Brazil, Ecuador, and Chile. Design. Country-specific regression models are used to assess differences in insurance coverage by race. A decomposition model is used to quantify the extent to which wealth, human capital, and other household characteristics account for racial disparities in insurance coverage. Data Collection/Extraction Methods. In-person interviews were conducted with the mothers of 2,365 children. Principal Findings. The majority of children have no insurance coverage except in Chile. Large racial disparities in insurance coverage are observed. Household wealth is the single most important household-level factor accounting for racial disparities in coverage and is significantly and positively associated with coverage, followed by maternal education and employment/occupational status. Geographic differences account for the largest part of racial disparities in insurance coverage in Argentina and Ecuador. Conclusions. Increasing the coverage of children in less affluent families is important for reducing racial gaps in health insurance coverage in the study countries.Fil: Wehby, George. University of Iowa; Estados UnidosFil: Murray, Jeffrey C.. University of Iowa; Estados UnidosFil: McCarthy, Ann Marie. University of Iowa; Estados UnidosFil: Castilla, Eduardo Enrique. Centro de Educación Medica E Invest.clinicas; Argentina. Fundación Oswaldo Cruz; Brasil. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaWiley Blackwell Publishing, Inc2011-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/186617Wehby, George; Murray, Jeffrey C.; McCarthy, Ann Marie; Castilla, Eduardo Enrique; Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics; Wiley Blackwell Publishing, Inc; Health Services Research; 46; 6 PART 2; 12-2011; 2119-21380017-9124CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2010.01225.xinfo:eu-repo/semantics/altIdentifier/doi/10.1111/j.1475-6773.2010.01225.xinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:39:29Zoai:ri.conicet.gov.ar:11336/186617instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:39:29.786CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics
title Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics
spellingShingle Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics
Wehby, George
CHILD HEALTH
HEALTH INSURANCE
RACIAL DISPARITIES
SOCIOECONOMIC DISPARITIES
SOUTH AMERICA
title_short Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics
title_full Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics
title_fullStr Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics
title_full_unstemmed Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics
title_sort Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics
dc.creator.none.fl_str_mv Wehby, George
Murray, Jeffrey C.
McCarthy, Ann Marie
Castilla, Eduardo Enrique
author Wehby, George
author_facet Wehby, George
Murray, Jeffrey C.
McCarthy, Ann Marie
Castilla, Eduardo Enrique
author_role author
author2 Murray, Jeffrey C.
McCarthy, Ann Marie
Castilla, Eduardo Enrique
author2_role author
author
author
dc.subject.none.fl_str_mv CHILD HEALTH
HEALTH INSURANCE
RACIAL DISPARITIES
SOCIOECONOMIC DISPARITIES
SOUTH AMERICA
topic CHILD HEALTH
HEALTH INSURANCE
RACIAL DISPARITIES
SOCIOECONOMIC DISPARITIES
SOUTH AMERICA
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objective. To evaluate the extent of racial gaps in child health insurance coverage in South America and study the contribution of wealth, human capital, and other household characteristics to accounting for racial disparities in insurance coverage. Data Sources/Study Setting. Primary data collected between 2005 and 2006 in 30 pediatric practices in Argentina, Brazil, Ecuador, and Chile. Design. Country-specific regression models are used to assess differences in insurance coverage by race. A decomposition model is used to quantify the extent to which wealth, human capital, and other household characteristics account for racial disparities in insurance coverage. Data Collection/Extraction Methods. In-person interviews were conducted with the mothers of 2,365 children. Principal Findings. The majority of children have no insurance coverage except in Chile. Large racial disparities in insurance coverage are observed. Household wealth is the single most important household-level factor accounting for racial disparities in coverage and is significantly and positively associated with coverage, followed by maternal education and employment/occupational status. Geographic differences account for the largest part of racial disparities in insurance coverage in Argentina and Ecuador. Conclusions. Increasing the coverage of children in less affluent families is important for reducing racial gaps in health insurance coverage in the study countries.
Fil: Wehby, George. University of Iowa; Estados Unidos
Fil: Murray, Jeffrey C.. University of Iowa; Estados Unidos
Fil: McCarthy, Ann Marie. University of Iowa; Estados Unidos
Fil: Castilla, Eduardo Enrique. Centro de Educación Medica E Invest.clinicas; Argentina. Fundación Oswaldo Cruz; Brasil. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description Objective. To evaluate the extent of racial gaps in child health insurance coverage in South America and study the contribution of wealth, human capital, and other household characteristics to accounting for racial disparities in insurance coverage. Data Sources/Study Setting. Primary data collected between 2005 and 2006 in 30 pediatric practices in Argentina, Brazil, Ecuador, and Chile. Design. Country-specific regression models are used to assess differences in insurance coverage by race. A decomposition model is used to quantify the extent to which wealth, human capital, and other household characteristics account for racial disparities in insurance coverage. Data Collection/Extraction Methods. In-person interviews were conducted with the mothers of 2,365 children. Principal Findings. The majority of children have no insurance coverage except in Chile. Large racial disparities in insurance coverage are observed. Household wealth is the single most important household-level factor accounting for racial disparities in coverage and is significantly and positively associated with coverage, followed by maternal education and employment/occupational status. Geographic differences account for the largest part of racial disparities in insurance coverage in Argentina and Ecuador. Conclusions. Increasing the coverage of children in less affluent families is important for reducing racial gaps in health insurance coverage in the study countries.
publishDate 2011
dc.date.none.fl_str_mv 2011-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/186617
Wehby, George; Murray, Jeffrey C.; McCarthy, Ann Marie; Castilla, Eduardo Enrique; Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics; Wiley Blackwell Publishing, Inc; Health Services Research; 46; 6 PART 2; 12-2011; 2119-2138
0017-9124
CONICET Digital
CONICET
url http://hdl.handle.net/11336/186617
identifier_str_mv Wehby, George; Murray, Jeffrey C.; McCarthy, Ann Marie; Castilla, Eduardo Enrique; Racial gaps in child health insurance coverage in four south American countries: The role of wealth, human capital, and other household characteristics; Wiley Blackwell Publishing, Inc; Health Services Research; 46; 6 PART 2; 12-2011; 2119-2138
0017-9124
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1111/j.1475-6773.2010.01225.x
info:eu-repo/semantics/altIdentifier/doi/10.1111/j.1475-6773.2010.01225.x
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley Blackwell Publishing, Inc
publisher.none.fl_str_mv Wiley Blackwell Publishing, Inc
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1844613249948975104
score 13.070432

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