TABLE 2

Unadjusted and Adjusted Health and Health Care Indicators, Adopted and Biological Children in the United States

Child Health Status or Health Care IndicatorUnadjusted Estimate, % (SE)Estimate Adjusted for DemographicsaEstimate Adjusted for Demographics, Special Health Care Needs
AllAdoptedbBiologicalcAdoptedBiologicalAdoptedBiological
Child's overall health is excellent/very good84.1 (0.22)85.3 (1.34)84.5 (0.23)80.3d85.4dee
Child has current health problems that are moderate/severe7.9 (0.15)19.9 (1.52)d7.4 (0.15)d21.2d7.6dee
Child is affected by asthma8.1 (0.15)12.5 (1.22)d7.8 (0.15)d12.3d8.0dee
Impact of asthma on family is great/medium16.3 (0.74)10.1 (2.52)d16.4 (0.76)d11.216.2ee
Child had injury requiring medical attention last year (ages 0–5)9.4 (0.27)10.2 (1.94)9.5 (0.28)7.49.8ee
Child missed ≥11 school days last year (ages 6–17)5.2 (0.14)6.4 (1.20)5.1 (0.15)6.85.2ee
Parents concerned with learning/development/behavior (ages 0–5)36.7 (0.47)45.5 (3.63)d36.1 (0.48)d43.636.3ee
Child has moderate/severe difficulty with emotions/concentration/behavior/getting along (ages 3–17)9.2 (0.18)24.3 (1.67)d8.5 (0.18)d26.4d8.6dee
Parents ever told child has learning disability9.7 (0.18)20.3 (1.52)d9.2 (0.18)d22.5d9.3dee
Parents ever told child has developmental delay/physical impairment3.4 (0.10)16.1 (1.46)d3.1 (0.09)d17.1d3.2dee
Child has special health care needs17.6 (0.21)36.9 (1.83)d16.9 (0.21)d36.8d17.5dee
Child is currently insured91.2 (0.17)95.4 (0.90)d91.3 (0.18)d94.3d91.9d93.991.9
Child lacks consistent insurance coverage15.0 (0.21)9.1 (1.14)d14.9 (0.22)d10.5d14.2d10.6d14.2d
Child had preventive medical visit last year77.8 (0.24)83.9 (1.21)d77.7 (0.25)d84.2d78.0d82.4d78.0d
Child had preventive medical and dental visits last year58.8 (0.28)69.2 (1.64)d58.5 (0.29)d68.4d59.1d66.5d59.2d
Child (with current emotional/developmental/behavioral problems) received mental health care last year (ages 1–17)58.7 (1.14)70.4 (3.65)d56.7 (1.26)d70.7d56.6d70.2d56.7d
Child's care meets medical home definition46.1 (0.28)52.6 (1.83)d46.3 (0.28)d52.4d46.8d52.8d46.8d
  • a Estimates were adjusted for demographics, controlling for all significant differences between adopted and biological children found in Table 1.

  • b Adopted children have at least 1 adoptive and 0 biological parents in the household.

  • c Biological children have at least 1 biological and 0 adoptive parents in the household.

  • d Estimates for adopted and biological children significantly differ at 0.05 level.

  • e Estimates of health status were not adjusted for special health care needs status.

  • Source: NSCH, 2003.