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Housing Instability and Children's Health Insurance Gaps.

Anne Carroll1, Hope Corman2, Marah A Curtis3

  • 1Department of Finance and Economics, Rider University, Lawrenceville, NJ.

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Children experiencing housing instability at age 2 face a higher risk of health insurance gaps by age 4. Policy interventions addressing housing instability can help maintain children's health insurance coverage.

Keywords:
children's health insurancehealth insurance gapshousing instability

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Area of Science:

  • Public Health
  • Pediatrics
  • Health Services Research

Background:

  • Housing instability is a significant concern for preschool-age children.
  • Gaps in health insurance coverage can negatively impact child health outcomes.

Purpose of the Study:

  • To assess the association between housing instability and health insurance gaps in preschool-age children.
  • To investigate the relationship between various forms of unstable housing and subsequent insurance coverage for children.

Main Methods:

  • Secondary analysis of the nationally representative Early Childhood Longitudinal Study-Birth Cohort.
  • Logistic regression models were used to analyze data from children born in 2001.
  • Adjustments were made for potentially confounding factors to determine the independent effect of housing instability.

Main Results:

  • Ten percent of children experienced housing instability at age 2.
  • Unstably housed children were more likely to have health insurance gaps between ages 2 and 4 (16% vs. 10%).
  • Housing instability significantly increased the odds of an insurance gap (adjusted odds ratio 1.27).

Conclusions:

  • Children with housing instability at age 2 are at higher risk for health insurance gaps.
  • Policy recommendations include delinking insurance renewal from mailing addresses and pediatrician screenings for housing instability.
  • These interventions could help ensure continuous health insurance coverage for vulnerable children.