Titre :
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Relationships between welfare status, health insurance status, and health and medical care among children with asthma. (2002)
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Auteurs :
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Pamela-R WOOD ;
Patrick BRADSHAW ;
Wendy CHAVKIN ;
Diana Romero ;
Lauren-A Smith ;
Paul-H WISE ;
Department of Pediatrics Boston University School of Medicine. Boston. MA. USA ;
Department of Pediatrics. University of Texas Health Science Center. San Antonio. USA ;
Heilbrunn Department of Population and Family Health. Mailman School of Public Health. Columbia University. New York City. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 92, n° 9, 2002)
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Pagination :
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1446-1452
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Langues:
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Anglais
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Mots-clés :
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Asthme
;
Enfant
;
Homme
;
Epidémiologie
;
Assurance maladie
;
Utilisation
;
Soins santé primaire
;
Questionnaire
;
Parent
;
Psychopathologie
;
Appareil respiratoire [pathologie]
;
Bronchopneumopathie obstructive
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Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xgF4Ag. Diffusion soumise ... autorisation]. Objectives. This study evaluated the relationships between health insurance and welfare status and the health and medical care of children with asthma. Methods. Parents of children with asthma aged 2 to 12 years were interviewed at 6 urban clinical sites and 2 welfare offices. Results. Children whose families had applied for but were denied welfare had more asthma symptoms than did children whose families had had no contact with the welfare system. Poorer mental health in parents was associated with more asthma symptoms and higher rates of health care use in their children. Parents of uninsured and transiently insured children identified more barriers to health care than did parents whose children were insured. Conclusions. Children whose families have applied for welfare and children who are uninsured are at high risk medically and may require additional services to improve health outcomes.
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