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Determinants of Household Insurance Coverage Among Low‐Income Families from Boston, Chicago, and San Antonio: Evidence from the Three‐City Study *
Author(s) -
Angel Ronald J.,
Frias Sonia M.,
Hill Terrence D.
Publication year - 2005
Publication title -
social science quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.482
H-Index - 90
eISSN - 1540-6237
pISSN - 0038-4941
DOI - 10.1111/j.0038-4941.2005.00349.x
Subject(s) - residence , immigration , odds , welfare , household income , affect (linguistics) , ethnic group , demographic economics , demography , logistic regression , sample (material) , health insurance , health care , economics , sociology , geography , medicine , economic growth , market economy , chemistry , archaeology , communication , chromatography , anthropology
Objectives. In this article we examine correlates of health insurance coverage for low‐income households. Methods. Using data from the Welfare, Children, and Families Project (1999–2001), a sample of 2,402 low‐income families from Boston, Chicago, and San Antonio, we estimate two logistic regressions, one that predicts health insurance coverage for one focal child in each household and another that assesses the odds that all children in the household have coverage. Results. The children of poorly‐educated, immigrant, and Mexican‐origin parents are at an elevated risk of lacking insurance. These characteristics also increase the risk of incomplete household coverage. Mexican‐origin children and households are at particularly high risk of lacking complete coverage, a fact partially reflecting their residential concentration in states with high uninsurance rates, such as Texas. Conclusions. Serious holes in the health‐care safety net affect poor Americans differently based on their state of residence, race, ethnicity, and household structure.