The Effects of Health Insurance Coverage on Workforce Engagement of Family Caregivers of Children With Intellectual Disability and Autism

Author:

Nord Derek1,Hamre Kristin2,Andresen John3

Affiliation:

1. Derek Nord, Indiana University, Indiana Institute on Disability and Community

2. Kristin Hamre, Indiana University, School of Social Work

3. John Andresen, Indiana University, Indiana Institute on Disability and Community

Abstract

Abstract For many families of children with intellectual disability and autism (ID/ASD), private health insurance and public programs, such as Medicaid and the Children’s Health Insurance Program (CHIP), are critical sources of support. The purpose of this study was to examine the impact of health insurance coverage on workforce engagement of parents of children with ID/ASD. The study utilized 2014–2018 pooled National Health Interview Survey data to construct national estimates and test the effects of health insurance status on parent workforce outcomes. Primary findings indicate significantly higher odds of workforce absence (OR = 2.83, p < .0038) and unemployment (OR = 8.91, p < .0038) among parents with children with ID/ASD using public health insurance, compared to the reference group. Additionally, parents of children with ID/ASD who were uninsured were found to experience significantly higher unemployment (OR = 4.86, p < .0038) than the reference group. Findings have policy and research implications related to workforce engagement for parents, including issues impacting health insurance coverage, specifically related to Medicaid and CHIP.

Publisher

American Association on Intellectual and Developmental Disabilities (AAIDD)

Subject

Psychiatry and Mental health,Neurology (clinical),Arts and Humanities (miscellaneous),Developmental and Educational Psychology,Neuropsychology and Physiological Psychology,General Medicine,Pediatrics, Perinatology and Child Health

Reference44 articles.

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2. Psychological well-being and coping in mothers of youths with autism, down syndrome, or fragile x syndrome;Abbeduto,;American Journal on Mental Retardation,(2004)

3. Mothers and fathers of young developmentally disabled and nondisabled boys: Adaptation and spousal support;Bristol,;Developmental Psychology,(1988)

4. 2018 National Health Interview Survey (NHIS) public use data release: Survey description;Centers for Disease Control and Prevention,(2019)

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