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Healthcare Basics: Families Caught in the Middle
Medical care and prescriptions can be costly, even for families with health insurance. However, it is unknown whether health care costs are related to child health.
To explore this question, researchers from Children's HealthWatch, based at Boston Medical Center and Boston University Schools of Medicine and Public Health, interviewed 6,447 low-income caregivers with children ages 0-36 months. Caregivers were asked whether they needed to "trade off" paying for household expenses to obtain medical care, whether they had health insurance and about their child's health history. Children were weighed and measured, and their developmental risk was assessed using the Parents' Evaluation of Developmental Status.
Results showed that 5 percent of caregivers reported making trade-offs to pay for medical care. They most commonly did not pay utility bills (32 percent), rent/mortgage (25 percent) or went without food (21 percent).
Young children in these families, compared to similar families who did not have to make trade-offs, were at increased risk of fair or poor health, hospitalization, developmental delays and shorter stature (an indication of undernutrition), said Stephanie A. Ettinger de Cuba, MPH, lead author of the study and a researcher with Children's HealthWatch.
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