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) |