State and national estimates of insurance coverage and health care utilization for adolescents with chronic conditions from the National Survey of Children's Health, 2003

Melissa Lynn McPheeters; Megumi J. Okumura; Melissa McPheeters; Matthew D Davis

State and national estimates of insurance coverage and health care utilization for adolescents with chronic conditions from the National Survey of Children's Health, 2003

Okumura, M. J., McPheeters, M. L., & Davis, M. M. (2007). State and national estimates of insurance coverage and health care utilization for adolescents with chronic conditions from the National Survey of Children's Health, 2003. Journal of adolescent health, 41(4), 343-349. https://doi.org/10.1016/j.jadohealth.2007.04.008

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Abstract

Purpose: To examine health and insurance characteristics of adolescents with special health care needs (ASHCN), at state and federal levels.

Methods: We used the National Survey of Children's Health 2003, a nationally representative sample of children in the United States, to study adolescents 14-17 years of age. We present descriptive statistics and regression analyses of adolescents with and without special health care needs, regarding measures of health care use and insurance coverage.

Results: Approximately 22% of adolescents 14-17 years old have a special health care need. On average, ASHCN have one more annual office visit per year than their non-SHCN peers (P 100% FPL range from 3.2% to 37.5%.

Conclusions: One in six ASHCN currently has public coverage with household income that would make them ineligible by income criteria for continuing public coverage as adults. It is imperative to examine insurance continuity and corresponding health outcomes for ASHCN as they transition from child to adult health care settings, and to evaluate options for policy interventions that can sustain health care coverage for this vulnerable population. (C) 2007 Society for Adolescent Medicine. All rights reserved.