A Health Profile of Women, Infants and Children in Ohio

Kelly Balistreri (PI)
Kara Joyner (Co-I)
Ohio State University/Ohio Medicaid Assessment Survey

The goal of this project is to present a population-based assessment of the prevalence, severity and complexity of health problems experienced by Ohio’s women, infants and children to shed some light on Ohio’s race and ethnic disparities in health insurance coverage.  This research will speak directly to the goals of Healthy People 2020 and help inform Ohio’s policymakers as they seek to create effective outreach and enrollment strategies among low-income women and children in Ohio.

We propose to use the 2012 Ohio Medicaid Assessment Survey to address three specific aims:

  • Provide a health profile of women, infants and children in Ohio.  The focus will be on health status, health promoting behaviors, and health risk behaviors; distinguishing among women by demographic characteristics (i.e., age, union status, and race/ethnicity), pregnancy status, and insurance type (i.e., Medicaid, uninsured, private).
  • Determine the levels of unmet need for health care services among women and children and document variation by family structure, race/ethnicity and gender. Generate predicted probabilities of unmet need for health care among low-income women and children by Medicaid service region and health insurance status.
  • Identify determinants of racial and ethnic disparities in health insurance status among Ohio’s women and children using advanced on-linear decomposition methods. Importantly, these decomposition analyses will identify factors that are most critical in driving race differences in insurance coverage for women and children.