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The Impact of Family Structure on Utilization of Preventive Care Services among Children under National Health Insurance in Taiwan

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  • Yen-ju Lin
  • Bradley Chen
  • Tsai-Ching Liu
  • Chin-Shyan Chen
Abstract
This study investigates the role of family structure in children’s access to preventive services in the context of a National Health Insurance (NHI) system. We analyzed the 2005 National Health Interview Survey in Taiwan to evaluate the impact of family structure on the utilization of preventive services, including well-child visits and non-free vaccinations. The extended family and single-father family were found to have a significant impact on care use in the unadjusted model even under NHI. However, after controlling for various health, demographic and socio-economic factors, our findings suggest that family structure does not influence the non-free use of vaccines, and financial constraints, instead, play an important role in making parents decide to have non-free vaccines. To further enhance the health and welfare of the children, our findings suggest that the NHI coverage of children’s vaccines might not be adequate and that non-free vaccines should be provided free to those families who cannot afford them. Copyright Springer Science+Business Media, LLC 2012

Suggested Citation

  • Yen-ju Lin & Bradley Chen & Tsai-Ching Liu & Chin-Shyan Chen, 2012. "The Impact of Family Structure on Utilization of Preventive Care Services among Children under National Health Insurance in Taiwan," Journal of Family and Economic Issues, Springer, vol. 33(4), pages 453-463, December.
    • Handle: RePEc:kap:jfamec:v:33:y:2012:i:4:p:453-463
    DOI: 10.1007/s10834-012-9301-8
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    References listed on IDEAS

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    1. Sandra Hofferth & Angela Pinzon, 2011. "Do Nonresidential Fathers’ Financial Support and Contact Improve Children’s Health?," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 280-295, June.
    2. Lori Curtis & Martin D. Dooley & Ellen L. Lipman & David H. Feeny, "undated". "The Role of Permanent Income and Family Structure in the Determination of Child Health in the Ontario Child Health Study," Canadian International Labour Network Working Papers 16, McMaster University.
    3. Gregory Ponthiere, 2011. "Mortality, Family and Lifestyles," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 175-190, June.
    4. Acton, Jan Paul, 1975. "Nonmonetary Factors in the Demand for Medical Services: Some Empirical Evidence," Journal of Political Economy, University of Chicago Press, vol. 83(3), pages 595-614, June.
    5. Montgomery, L.E. & Kiely, J.L. & Pappas, G., 1996. "The effects of poverty, race, and family structure on US children's health: Data from the NHIS, 1978 through 1980 and 1989 through 1991," American Journal of Public Health, American Public Health Association, vol. 86(10), pages 1401-1405.
    6. Daphne Hernandez & Kathleen Ziol-Guest, 2009. "Income Volatility and Family Structure Patterns: Association with Stability and Change in Food Stamp Program Participation," Journal of Family and Economic Issues, Springer, vol. 30(4), pages 357-371, December.
    7. Lisa Benson & Manouchehr Mokhtari, 2011. "Parental Employment, Shared Parent–Child Activities and Childhood Obesity," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 233-244, June.
    8. David Zimmer, 2011. "The Effects of the State Children’s Health Insurance Program on Insurance Status and Health Care Utilization of Children," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 373-383, June.
    9. Manouchehr Mokhtari, 2011. "Introduction to the Thematic Issue on Health, Economics, and Family Role," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 171-174, June.
    10. Gorman, Bridget K. & Braverman, Jennifer, 2008. "Family structure differences in health care utilization among U.S. children," Social Science & Medicine, Elsevier, vol. 67(11), pages 1766-1775, December.
    11. Lori J. Curtis & Martin D. Dooley & Ellen L. Lipman & David H. Feeny, 2001. "The role of permanent income and family structure in the determination of child health in Canada," Health Economics, John Wiley & Sons, Ltd., vol. 10(4), pages 287-302, June.
    12. Teresa Mauldin & Yoko Mimura, 2007. "Marrying, Unmarrying, and Poverty Dynamics among Mothers with Children Living at Home," Journal of Family and Economic Issues, Springer, vol. 28(4), pages 566-582, December.
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    2. Intisar Turki Al-darabah & Reham Al-Mouhtadi & Khaled Mohamad Hamaden, 2019. "Family Adherence on Children¡¯s Preventive Measures on the Protection of Children," International Journal of Learning and Development, Macrothink Institute, vol. 9(2), pages 166-186, June.

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