This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (12) Citing Articles via Google Scholar Google Scholar Articles by Fairbrother, G. Articles by Dubay, L. Search for Related Content PubMed PubMed Citation Articles by Fairbrother, G. Articles by Dubay, L. Social Bookmarking                   What's this?

How Do Stressful Family Environments Relate to Reported Access and Use of Health Care by Low-Income Children?

New York Academy of Medicine

Genevieve Kenney

The Urban Institute

Karla Hanson

Cornell University

Lisa Dubay

The Urban Institute

This study examines the effect of stressful family environments on children's access to and use of health care, using a sample of 9,854 low-income children from the 1999 National Survey of America's Families. Indicators of stress included aspects of family structure, economic hardship, family turbulence, and parental ill health; these were combined into a composite family stress indicator. Having health insurancewas the strongest predictor of health care access and use, but stressful family environments were significantly and inversely associated with parents' having confidence in the ability of family members to obtain health care, children having health care needs met, and children having any dental care in the previous year. The authors concluded that while enrollment in health insurance may be necessary to access and use health care, it is not sufficient. Stressful family environments also appear to influence the ability of parents to obtain care for their children.

Key Words: access • use • health care • stress • family well-being

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				L. Clemans-Cope, C. D. Perry, G. M. Kenney, J. E. Pelletier, and M. S. Pantell Access to and Use of Paid Sick Leave Among Low-Income Families With Children Pediatrics, August 1, 2008; 122(2): e480 - 486. [Abstract] [Full Text] [PDF]

				G. Kenney and J. Yee SCHIP At A Crossroads: Experiences To Date And Challenges Ahead Health Aff., March 1, 2007; 26(2): 356 - 369. [Abstract] [Full Text] [PDF]

				T. M. Selden Compliance With Well-Child Visit Recommendations: Evidence From the Medical Expenditure Panel Survey, 2000-2002 Pediatrics, December 1, 2006; 118(6): e1766 - e1778. [Abstract] [Full Text] [PDF]

				M. L. Ganz and S. A. Tendulkar Mental health care services for children with special health care needs and their family members: prevalence and correlates of unmet needs. Pediatrics, June 1, 2006; 117(6): 2138 - 2148. [Abstract] [Full Text] [PDF]

				B. S. Slomine, M. L. McCarthy, R. Ding, E. J. MacKenzie, K. M. Jaffe, M. E. Aitken, D. R. Durbin, J. R. Christensen, A. M. Dorsch, C. N. Paidas, et al. Health Care Utilization and Needs After Pediatric Traumatic Brain Injury Pediatrics, April 1, 2006; 117(4): e663 - e674. [Abstract] [Full Text] [PDF]