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
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/186617
Ver los metadatos del registro completo
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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 Técnicas2025-09-03T09:47:25Zoai: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:34982025-09-03 09:47:26.068CONICET 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 |
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CONICET Digital (CONICET) |
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CONICET Digital (CONICET) |
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Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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