Children’s participation in formal education and care services is substantially lower for low-income families

PEDIATRICS ◽  
1986 ◽  
Vol 78 (5) ◽  
pp. 813-819
Author(s):  
Paul W. Newacheck ◽  
Neal Halfon

Using data from the 1981 Child Health Supplement to the National Health Interview Survey, we examined differences in access to ambulatory services for children of different family incomes. The results indicate that much progress has been made in equalizing access since the War on Poverty was initiated in the mid-1960s. Poor children with superior health status now generally see physicians at the same rates as children in similar health but from higher income families. However, children with substantial health problems from low-income families continue to lag behind their higher income counterparts in similar health. Medicaid was shown to substantially improve access to ambulatory services for economically disadvantaged children in poor health, but less than half of these children are covered by Medicaid. Recent changes in federal and state policies concerning Medicaid are discussed as well as policy options for addressing the needs of children afflicted by both poverty and ill health.


2019 ◽  
Vol 24 (2) ◽  
pp. 649-657 ◽  
Author(s):  
Jéssica Copetti Barasuol ◽  
Leila Posenato Garcia ◽  
Rafaella Coelho Freitas ◽  
Debora Martini Dalpian ◽  
José Vitor Nogara Borges Menezes ◽  
...  

Abstract Wide availability of access to dental services can be considered a predictor of better oral health outcomes in a population. This article aims to compare data from the Brazilian National Household Sample Surveys (PNAD) on dental services utilization among children aged 4 to 12 years. This cross-sectional study was carried out using data from the 1998, 2003, and 2008 National Household Sample Surveys, involving a total of 61.438, 64.659 and 59.561 children, respectively. Ninety-nine percent confidence intervals were considered for the prevalence of each outcome of interest. In 1998, 60.8% (99%CI: 59.4;62.1) of children had been to a dentist; this prevalence was 65.5% (99%CI: 64.4;66.7) in 2003 and 73.8% (99%CI: 72.1;74.2) in 2008. In 1998, 41.2% (99%CI: 39.1;43.3) of children in the lowest household income quartile had been to a dentist; this value was 61.4% (99%CI: 59.5;63.2) in 2008. Among children from families whose head of household had 4 years of formal education or fewer, 49.5% and 63% had been to a dentist in 1998 and 2008, respectively. The lifetime prevalence of dentist attendance among Brazilian children increased between 1998 and 2008, especially among those from low-income families and those whose head of household had a low educational level.


2005 ◽  
Vol 29 (1) ◽  
pp. 67-77 ◽  
Author(s):  
Nigel Thomas

A postal survey of local authority child care managers was conducted in 1997–98 as part of a study of children's participation in decision-making in care. The same survey was repeated, with minor variations, in 2004. Nigel Thomas compares what managers said about policy and practice in their local authorities in the two studies. The results suggest that there have been significant perceived changes in the way in which local authorities seek to engage children and young people in the provision of child care services.


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