Comparisons of Health Outcomes of Overweight or Obese Youth Ages 3-15 Years Enrolled in Private Health Insurance Plans Versus Medicaid

COMPARISIONS OF HEALTH OUTCOMES OF OVERWEIGHT OR OBESE YOUTH AGES 3-15 YEARS ENROLLED IN PRIVATE HEALTH INSURANCE PLANS VERSUS MEDICAID By Parvin Sultana Ali August 1, 2019 INTRODUCTION: Research on the relationship between types of health insurance and health outcomes among overweight or obese youth is lacking in the literature. In the Unites States, 17% of youth ages 2-19 years have been identified as being overweight or obese. More than 90% of youth ages 0-18 years in the United States have health insurance. It is important to understand if there are any significant relationships between types of insurance and health outcomes. According to the Kaiser Family Foundation, 54% of youth have privately-funded health insurance and 37% have Medicaid insurance, which is government-funded. Medicaid insurance is associated with lower household income levels, while private health insurance is associated with higher household income levels. AIM: The aim of this study was to explore the relationship between types of health insurance and health outcomes among overweight or obese youth ages 3-15 years. Specifically, this study sought to answer these questions in overweight or obese American youth: (a) Is there an association between health insurance coverage type and general health status? (b) Is there an association between health insurance coverage type and asthma prevalence? and (c) Is there an association between health insurance coverage type and healthcare setting mostly visited for healthcare services? METHODS: This study used the 2012 National Health and Nutritional Examination Survey (NHANES) National Youth Fitness Survey (NNYFS) data. Survey responses were completed by the parents or legal guardians of the study group. The main independent variable was type of health insurance. The dependent variables were perceived general health, asthma, and healthcare setting mostly visited for healthcare services. Overall general health status for each child was reported by their parents as “excellent,” “very good,” “good,” “fair,” or “poor” in NHANES NNYFS 2012. Excellent, very good, and good general health were categorized as “good general health” for this study. Fair and poor general health were categorized as “not good general health general health” for this study. The data analyses of this study were completed with IBM Statistical Package for the Social Sciences (SPSS) 22.0 for Windows. RESULTS: There were no statistically significant differences in overall general health and the prevalence asthma between overweight or obese youth enrolled in Medicaid insurance and enrolled in private health insurance. Participants with Medicaid insurance had statistically significant lower odds of going to a doctor’s office or HMO mostly for healthcare services, as opposed to the emergency department or urgent care services, compared to participants with private health insurance (OR=0.16; CI=0.098-0.260). There were no statistically significant differences in overall general health and visits mostly to a doctor’s office or HMO for healthcare services between overweight or obese participants enrolled in Medicaid insurance and enrolled in