TABLE 3

Adjusted ORs (and 95% CIs) for Factors Associated With Measures of Access and Satisfaction Among CSHCN Aged 3 to 17 Years: United States, 2005–2006

VariableAny Unmet Need for Specific Health Care ServicesAny Unmet Need for Family Support ServicesChild Had Delayed or Foregone CareChild Had No Usual Source of CareChild Had No Personal Physician or NurseDifficulty Receiving ReferralsLacks ≥1 Component of Family Centered Care
Presence of ASDa
    CSHCN with ASD2.14 (1.74–2.63)5.98 (4.55–7.86)1.60 (1.19–2.14)1.07 (0.77–1.50)0.86 (0.60–1.21)1.66 (1.20–2.28)1.94 (1.63–2.31)
    CSHCN with other EDB problems1.67 (1.48–1.88)3.67 (2.93–4.59)1.41 (1.21–1.64)1.14 (0.91–1.42)0.89 (0.74–1.07)1.51 (1.24–1.83)1.55 (1.40–1.71)
    Other CSHCN1.001.001.001.001.001.001.00
Age, y
    3–50.74 (0.62–0.89)1.16 (0.85–1.58)0.71 (0.56–0.89)0.71 (0.54–0.94)0.86 (0.66–1.13)1.01 (0.77–1.33)0.89 (0.77–1.02)
    6–80.74 (0.62–0.88)1.09 (0.84–1.42)0.64 (0.52–0.79)0.85 (0.66–1.09)0.86 (0.68–1.10)0.86 (0.67–1.10)0.85 (0.75–0.97)
    9–110.71 (0.61–0.83)0.89 (0.69–1.15)0.81 (0.67–0.98)0.86 (0.67–1.09)0.80 (0.64–1.00)0.82 (0.65–1.03)0.84 (0.75–0.95)
    12–140.83 (0.71–0.96)1.13 (0.88–1.45)0.94 (0.77–1.16)1.01 (0.81–1.27)0.85 (0.68–1.05)0.92 (0.73–1.15)0.96 (0.85–1.08)
    15–171.001.001.001.001.001.001.00
Gender
    Male0.96 (0.86–1.07)1.00 (0.84–1.20)1.00 (0.87–1.15)0.95 (0.80–1.12)1.26 (1.08–1.47)1.16 (0.99–1.37)1.05 (0.97–1.14)
    Female1.001.001.001.001.001.001.00
Hispanic origin and race
    Hispanic, any race1.32 (1.08–1.62)0.97 (0.68–1.40)1.16 (0.90–1.48)1.25 (0.89–1.76)1.72 (1.32–2.25)1.33 (0.99–1.78)1.83 (1.56–2.15)
    Non-Hispanic, white1.001.001.001.001.001.001.00
    Non-Hispanic, black0.93 (0.79–1.10)0.96 (0.73–1.26)0.70 (0.56–0.87)1.72 (1.35–2.18)1.69 (1.38–2.08)0.77 (0.60–1.00)1.80 (1.59–2.04)
    Non-Hispanic, otherb1.37 (1.12–1.67)1.34 (0.99–1.79)1.16 (0.92–1.46)1.49 (1.11–2.00)1.28 (0.96–1.72)1.01 (0.70–1.46)1.45 (1.22–1.72)
Primary language in home
    English1.001.001.001.001.001.001.00
    Non-English0.59 (0.44–0.79)0.65 (0.39–1.09)0.72 (0.50–1.04)1.73 (1.05–2.85)1.18 (0.82–1.68)1.50 (0.96–2.33)2.41 (1.84–3.15)
Poverty Status, %c
    <1002.91 (2.35–3.61)1.06 (0.73–1.54)3.63 (2.70–4.87)2.66 (1.93–3.68)2.12 (1.58–2.84)1.52 (1.11–2.06)1.91 (1.61–2.26)
    100 to <2002.63 (2.18–3.18)1.16 (0.84–1.60)2.80 (2.15–3.63)1.52 (1.12–2.06)1.84 (1.42–2.38)1.47 (1.14–1.90)1.43 (1.23–1.66)
    200 to <4001.67 (1.42–1.97)1.04 (0.79–1.36)2.09 (1.63–2.68)1.41 (1.11–1.79)1.31 (1.05–1.64)1.20 (0.95–1.52)1.19 (1.06–1.32)
    ≥4001.001.001.001.001.001.001.00
Family structure
    2 parent (biological/adoptive)1.001.001.001.001.001.001.00
    2 parent (step)1.00 (0.85–1.19)1.10 (0.84–1.45)0.93 (0.75–1.15)1.52 (1.16–1.99)1.66 (1.31–2.10)1.06 (0.80–1.40)1.19 (1.03–1.37)
    Single mother1.22 (1.07–1.40)1.61 (1.31–1.99)1.09 (0.92–1.28)1.11 (0.91–1.35)1.33 (1.10–1.60)1.15 (0.94–1.41)1.20 (1.08–1.33)
    Other0.92 (0.73–1.14)1.69 (1.18–2.42)0.93 (0.69–1.27)2.14 (1.53–3.01)2.05 (1.50–2.79)0.93 (0.63–1.39)1.38 (1.16–1.64)
Geographic region
    Northeast1.001.001.001.001.001.001.00
    Midwest1.00 (0.86–1.17)0.96 (0.73–1.25)1.28 (1.04–1.58)1.04 (0.81–1.33)1.18 (0.93–1.51)0.69 (0.55–0.87)0.93 (0.83–1.04)
    South1.10 (0.95–1.27)1.05 (0.81–1.36)1.08 (0.89–1.32)0.92 (0.73–1.15)1.24 (0.98–1.56)0.87 (0.70–1.07)1.02 (0.91–1.14)
    West1.37 (1.14–1.65)1.30 (0.99–1.71)1.53 (1.20–1.95)1.16 (0.86–1.56)1.20 (0.92–1.56)1.17 (0.90–1.52)1.09 (0.95–1.26)
Functional ability
    Affected usually, always, or a great deal3.00 (2.56–3.53)6.24 (4.32–9.02)2.23 (1.81–2.75)1.15 (0.90–1.47)1.07 (0.87–1.33)1.62 (1.24–2.12)1.53 (1.35–1.73)
    Affected some or very little1.74 (1.50–2.01)2.10 (1.46–3.01)1.58 (1.30–1.92)0.97 (0.79–1.20)0.93 (0.78–1.12)1.32 (1.04–1.67)1.39 (1.26–1.53)
    Never affected1.001.001.001.001.001.001.00
Type of insurance
    Private1.001.001.001.001.001.001.00
    Public1.04 (0.89–1.22)1.59 (1.19–2.10)0.94 (0.77–1.15)0.83 (0.64–1.09)0.96 (0.76–1.21)0.87 (0.68–1.10)0.91 (0.80–1.04)
    Both private and public0.97 (0.79–1.19)1.82 (1.34–2.48)0.92 (0.69–1.22)0.95 (0.67–1.35)0.98 (0.71–1.34)0.92 (0.67–1.26)0.96 (0.81–1.14)
    Insured (type unknown)1.36 (0.97–1.91)0.82 (0.45–1.50)2.00 (1.07–3.75)0.82 (0.49–1.39)1.06 (0.64–1.75)0.72 (0.40–1.30)0.74 (0.51–1.08)
    Uninsured3.98 (3.23–4.91)3.18 (2.23–4.53)7.41 (5.93–9.25)3.14 (2.31–4.28)2.91 (2.19–3.87)2.01 (1.37–2.95)1.68 (1.35–2.08)
  • a CSHCN aged 3 to 17 years were grouped into 3 categories: those with parent-reported ASD, those without ASD but with other EDB problems, and other CSHCN.

  • b Non-Hispanic other includes respondents identified as non-Hispanic and Asian, Alaska Native, American Indian, Native Hawaiian, Pacific Islander, or mixed race.

  • c Data are based on the US Department of Health and Human Services poverty guidelines. For most households surveyed in 2005, 100% of poverty level was defined as $19 350 for a family of 4. For most households surveyed in 2006, 100% of poverty level was defined as $20 000 for a family of 4.