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Table 1 Population characteristics at child’s birth and association with child Medicaid disenrollment

From: Maternal and child patterns of Medicaid retention: a prospective cohort study

Characteristics

N (%)

Any gap

> 14 day gap

> 60 day gap

Children with no gap

N(%)

Children with gap

N(%)

P-valuea

Children with no gap

N(%)

Children with gap

N(%)

P-valuea

Children with no gap

N(%)

Children with gap

N(%)

P-valuea

Total sample

604

450(75)

154(25)

 

469(78)

135(22)

 

502(83)

102(17)

 

Child gender

 Male

308(51)

224(50)

84(55)

0.30

236(50)

72(53)

0.53

254(51)

54(53)

0.66

 Female

296(49)

226(50)

70(45)

 

233(50)

63(47)

 

248(49)

48(47)

 

Maternal age

 Under 18

54(9)

39(9)

15(10)

0.92

40(9)

14(10)

0.74

42(8)

12(12)

0.48

 18–24

349(58)

261(58)

88(57)

 

274(58)

75(56)

 

294(59)

55(54)

 

 25 and over

201(33)

150(33)

51(33)

 

155(33)

46(34)

 

166(33)

35(34)

 

Maternal race

 African American

569(94)

427(95)

142(92)

0.21

444(95)

125(93)

0.36

475(95)

94(92)

0.33

 Otherb

35(6)

23(5)

12(8)

 

25(5)

10(7)

 

27(5)

8(8)

 

Maternal education

 Less than High School

198(33)

153(34)

45(29)

0.51

159(34)

39(29)

0.54

168(33)

30(29)

0.69

 High School

147(24)

109(24)

38(25)

 

113(24)

34(25)

 

122(24)

25(25)

 

 More than High School

259(43)

188(42)

71(46)

 

197(42)

62(46)

 

212(42)

47(46)

 

Maternal health literacy*

 Inadequate

56(9)

38(8)

19(12)

<.0001

41(9)

16(12)

0.0021

46(9)

11(11)

0.05

 Marginal

80(13)

58(13)

21(14)

 

61(13)

19(14)

 

69(14)

11(11)

 

 Adequate

467(77)

353(78)

115(75)

 

367(78)

100(74)

 

387(77)

80(78)

 

Other children in household

 None

228(38)

158(35)

70(45)

0.073

169(36)

59(44)

0.26

181(36)

47(46)

0.062

 One

157(26)

122(27)

35(23)

 

126(27)

31(23)

 

139(28)

18(18)

 

 Two or more

219(36)

170(38)

49(32)

 

174(37)

45(33)

 

182(36)

37(36)

 

Prenatal Care, self-reported*

 All/Most of the time

553(92)

411(91)

142(92)

0.28

428(91)

125(93)

0.11

458(91)

95(93)

0.04

 Some/None of the time

51(9)

39(9)

12(8)

 

41(9)

10(7)

 

44(9)

7(7)

 

Maternal self-reported health

 Score < 80 (poor health)

224(37)

163(36)

61(40)

0.45

169(36)

55(41)

0.32

181(36)

43(42)

0.24

 Score ≥ 80 (good health)

380(63)

287(64)

93(60)

 

300(64)

80(60)

 

321(64)

59(58)

 

Maternal knowledge that TANF and Medicaid eligibility criteria are different

 Yes

492(81)

377(84)

115(75)

<.0001

387(83)

105(78)

<.0001

412(82)

80(78)

0.006

 No

112(19)

73(16)

39(25)

 

82(17)

30(22)

 

90(18)

22(22)

 

Travel time to Medicaid office*

  < 30 min

410(68)

305(68)

105(68)

0.93

320(68)

90(67)

0.73

341(68)

69(68)

0.96

  ≥ 30 min

194(32)

145(32)

49(32)

 

149(32)

45(33)

 

161(32)

33(32)

 

Household income*

  < $1000/month

410(68)

312(69)

98(64)

<.0001

325(69)

85(63)

<.0001

350(70)

60(59)

<.0001

 $1000 or more/month

194(32)

138(31)

56(36)

 

145(31)

50(37)

 

152(30)

42(41)

 

Marital status

 Single/Divorced/Widowed

533(88)

404(90)

129(84)

0.045

422(90)

111(82)

0.013

452(90)

81(79)

0.002

 Married

71(12)

46(10)

25(16)

 

47(10)

24(18)

 

50(10)

21(21)

 

Maternal employment status*

 Student

152(25)

118(26)

34(22)

<.0001

123(26)

29(21)

<.0001

127(25)

26(25)

0.0002

 Full Time

245(41)

172(38)

72(47)

 

181(39)

63(47)

 

198(39)

47(46)

 

 Unemployed

207(34)

160(36)

48(31)

 

164(35)

43(32)

 

177(35)

30(29)

 

Family housing situation

 Lives in own housing

243(40)

234(52)

61(40)

0.890

245(52)

51(38)

0.40

262(52)

38(37)

0.30

 Rents or lives with relative

361(60)

216(48)

93(60)

 

224(48)

84(62)

 

240(48)

64(63)

 

Maternal social support*

 Low

190(32)

134(30)

56(36)

<.0001

143(30)

47(35)

<.0001

157(31)

33(32)

<.0001

 Medium

135(22)

98(22)

37(24)

 

102(22)

33(24)

 

108(22)

27(26)

 

 High

153(25)

102(23)

51(33)

 

106(23)

47(35)

 

113(23)

40(39)

 

 Not collected

126(21)

116(26)

10(7)

 

118(25)

8(6)

 

124(25)

2(2)

 
  1. Notes: Maternal health literacy was assessed using the S-TOFHLA and categorized as inadequate, marginal, or adequate per published technical guidance (Nurss JR, Parker R, Willams M, Baker D. TOFHLA Test of Functional Health Literacy in Adults. Second ed. Snow Camp, NC: Peppercorn Books & Press; 2001). Maternal self-reported health was assessed using the SF-36® (Ware JE, Jr., Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med. Care. Jun 1992;30(6):473–483). Maternal instrumental and relational social support was assessed using the Maternal Social Support Index and categorized low, medium, or high using tertiles per published technical guidance (Pascoe JM, Ialongo NS, Horn WF, Reinhart MA, Perradatto D. The reliability and validity of the maternal social support index. Fam. Med. Jul-Aug 1988;20(4):271–27)
  2. ap-value is for the χ2 test of association
  3. bIncludes Hispanic, Asian and “Ethnically-Challenged” (as self-reported)
  4. *Results from 10 imputed datasets. Percentages may not total 100 due to rounding