Association Between Family Type and Type of Health Insurance Coverage by State Adoption Policies

Private Versus UninsuredPublic Versus Uninsured
naOR95% CIaOR95% CI
Second-parent adoption available statewidea
 Opposite-sex, married508 0041.00Reference1.00Reference
 Opposite-sex, unmarried38 2730.510.47–0.55**1.471.37–1.58**
 Same-sex, dual male6820.710.41––2.32
 Same-sex, dual female13650.650.41–1.040.890.56–1.43
No provisions
 Opposite-sex, married861 7851.00Reference1.00Reference
 Opposite-sex, unmarried63 4050.460.43–0.48**1.451.37–1.52**
 Same-sex, dual male9670.490.31–0.78**1.060.69–1.65
 Same-sex, dual female20670.600.45–0.82**1.220.91–1.64
  • Source: 2008–2010 American Community Survey. Models are weighted and adjusted for children's age group, race and ethnicity, gender, citizenship, disability, relationship to reference parent, age of reference parent, parents' combined income relative to federal poverty guidelines, work status of parents, highest educational attainment of parents, total number of children in household, primary language spoken at home, and survey year. **P < .01.

  • a As of January 1, 2008, states included California, Colorado, Connecticut, Illinois, Indiana, Massachusetts, New Jersey, New York, Pennsylvania, Vermont, and the District of Columbia.35