Relationships between welfare status, health insurance status, and health and medical care among children with asthma

Am J Public Health. 2002 Sep;92(9):1446-52. doi: 10.2105/ajph.92.9.1446.


Objectives: This study evaluated the relationships between health insurance and welfare status and the health and medical care of children with asthma.

Methods: Parents of children with asthma aged 2 to 12 years were interviewed at 6 urban clinical sites and 2 welfare offices.

Results: Children whose families had applied for but were denied welfare had more asthma symptoms than did children whose families had had no contact with the welfare system. Poorer mental health in parents was associated with more asthma symptoms and higher rates of health care use in their children. Parents of uninsured and transiently insured children identified more barriers to health care than did parents whose children were insured.

Conclusions: Children whose families have applied for welfare and children who are uninsured are at high risk medically and may require additional services to improve health outcomes.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aid to Families with Dependent Children / legislation & jurisprudence
  • Aid to Families with Dependent Children / standards*
  • Asthma / economics*
  • Asthma / physiopathology
  • Asthma / therapy*
  • Child
  • Child Health Services / economics
  • Child Health Services / standards*
  • Child, Preschool
  • Chronic Disease / economics
  • Cross-Sectional Studies
  • Female
  • Health Care Surveys
  • Health Services Accessibility
  • Humans
  • Insurance Coverage / statistics & numerical data*
  • Interviews as Topic
  • Medicaid / legislation & jurisprudence
  • Medicaid / standards*
  • Medically Uninsured / statistics & numerical data*
  • Mental Health
  • Mothers / psychology
  • Quality of Health Care*
  • Severity of Illness Index
  • Surveys and Questionnaires