The effect of gaps in health insurance on continuity of a regular source of care among preschool-aged children in the United States
Article Abstract:
Young children whose parents temporarily lose their health insurance are less likely to have one primary care physician who coordinates all of their health care. Researchers followed up 8,285 three-year-old children whose parents had been interviewed when the child was born. Almost one-fourth of the children had not been covered by insurance for at least one month. Sixty percent of those had been uninsured for more than six months or were never insured at all. Poor children were more likely to be uninsured and for longer periods. Children who had gaps in insurance coverage were more likely to have more than one source of health care. Gaps in insurance coverage during the first three years of life indicates that many young children are not being vaccinated and are not being screened for developmental disorders.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1995
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Trends in Twin Birth Outcomes and Prenatal Care Utilization in the United States, 1981-1997
Article Abstract:
Consistent and regular prenatal care may lead to lower mortality rates among twins. Multiple pregnancies are a risk factor for premature birth, low birth weight, and infant mortality. Researchers analyzed birth records from the National Center for Health Statistics between 1981 and 1997. During this time period, women with multiple pregnancies were encouraged to have regular prenatal care. The percentage of twins born prematurely increased from 41% in 1981 to 55% in 1997. Women who had regular prenatal care were more likely to have a premature birth. Despite this seeming contradiction, their twin babies had lower mortality rates.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
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The changing pattern of prenatal care utilization in the United States, 1981-1995, using different prenatal care indices
Article Abstract:
Two newer prenatal care indexes show that the use of prenatal care services increased substantially between 1981 and 1995, but this was not paralleled by a decrease in premature births or low birth weight. A review of 54 million live births between 1981 and 1995 showed that prenatal care use increased from 32.7% to 47% according to the R-GINDEX and from 18.4% to 28.8% according to the Adequacy of Prenatal Care Utilization Index. Older indexes showed no change in use. Older mothers and those with multiple pregnancies were likely to use prenatal care services intensively.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1998
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