Income and Household Material Hardship in Children With Medical Complexity.
Hosp Pediatr
; 14(4): e195-e200, 2024 Apr 01.
Article
em En
| MEDLINE
| ID: mdl-38487829
ABSTRACT
BACKGROUND AND OBJECTIVES:
Household economic hardship negatively impacts child health but may not be adequately captured by income. We sought to determine the prevalence of household material hardship (HMH), a measure of household economic hardship, and to examine the relationship between household poverty and material hardship in a population of children with medical complexity.METHODS:
We conducted a cross-sectional survey study of parents of children with medical complexity receiving primary care at a tertiary children's hospital. Our main predictor was household income as a percentage of the federal poverty limit (FPL) <50% FPL, 51% to 100% FPL, and >100% FPL. Our outcome was HMH measured as food, housing, and energy insecurity. We performed logistic regression models to calculate adjusted odds ratios of having ≥1 HMH, adjusted for patient and clinical characteristics from surveys and the Pediatric Health Information System.RESULTS:
At least 1 material hardship was present in 40.9% of participants and 28.2% of the highest FPL group. Families with incomes <50% FPL and 51% to 100% FPL had â¼75% higher odds of having ≥1 material hardship compared with those with >100% FPL (<50% FPL odds ratio 1.74 [95% confidence interval 1.11-2.73], P = .02; 51% to 100% FPL 1.73 [95% confidence interval 1.09-2.73], P = .02).CONCLUSIONS:
Poverty underestimated household economic hardship. Although households with incomes <100% FPL had higher odds of having ≥1 material hardship, one-quarter of families in the highest FPL group also had ≥1 material hardship.
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Ano de publicação:
2024
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