title: Suppression of racial disparities for children with special health care needs among families receiving Medicaid.
abstract: This study examines whether the US public health insurance program Medicaid suppresses racial disparities in parental identification of service needs of their children with special health care needs (CSHCN). We analyze data from the 2001 US National Survey of CSHCN (n = 14,167 children). We examine three outcomes which were parental identification of (a) the child's need for professional care coordination, (b) the child's need for mental health services, and (c) the family's need for mental health services. A suppression analysis, which is a form of mediation analysis, was conducted. Our results show a disparity, reflected in a negative direct effect of race for all three outcomes: Black parents of CSHCN are less likely to report a need for services than White parents of CSHCN and Medicaid coverage was associated with reduced racial disparities in reporting the need for services. These analyses suggest receipt of Medicaid is associated with a suppression of racial disparities in reported need for services.
authors.affiliation: University of North Carolina, School of Social Work, 325 Pittsboro Street, CB 3550, Chapel Hill, NC 27599-3550, United States.
authors.forename: Roderick A
authors.initials: RA
authors.lastname: Rose
authors.forename: Susan L
authors.initials: SL
authors.lastname: Parish
authors.forename: Joan
authors.initials: J
authors.lastname: Yoo
authors.forename: Melissa D
authors.initials: MD
authors.lastname: Grady
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Powell
authors.forename: Tamara K
authors.initials: TK
authors.lastname: Hicks-Sangster
mesh_terms: D044383:Black People / Q000706:statistics & numerical data*; D002648:Child; D002662:Child Health Services / Q000458:organization & administration; D019988:Children with Disabilities; D005190:Family / Q000523:psychology; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D054625:Healthcare Disparities; D006801:Humans; D016015:Logistic Models; D008484:Medicaid / Q000458:organization & administration*; D008605:Mental Health Services / Q000458:organization & administration*; D014481:United States; D044465:White People / Q000706:statistics & numerical data*; D001741:Black or African American