Child health insurance coverage: a survey among temporary and permanent residents in Shanghai
2008

Child Health Insurance Coverage in Shanghai

Sample size: 1907 publication 10 minutes Evidence: high

Author Information

Author(s): Lu Mingshan, Zhang Jing, Ma Jin, Li Bing, Quan Hude

Primary Institution: University of Calgary

Hypothesis

Do disparities exist between permanent and temporary residents in terms of child health insurance coverage?

Conclusion

Children from migrant families are at higher risk for uninsurance due to their lower socioeconomic status.

Supporting Evidence

  • Temporary child residents had a significantly higher uninsurance rate of 65.6% compared to 21.1% for permanent residents.
  • Family income was associated with child health insurance, with lower income families more likely to be uninsured.
  • Children living with parents only were more likely to be uninsured than those living with both parents and grandparents.

Takeaway

This study shows that kids from families who move to cities often don't have health insurance, especially if their families are low-income.

Methodology

An in-person health survey was conducted among caregivers of children aged 7 and under in five districts of Shanghai.

Potential Biases

The study may not account for the actual uninsurance rates among all temporary residents, as it focused on those attending health clinics.

Limitations

The survey may not represent all temporary residents, as it over-sampled those who were relatively well-educated and had higher incomes.

Participant Demographics

The mean age of children was 3.4 years, with 51.1% male; 40.3% of families had a monthly income below 3000 RMB.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 4.62–7.41

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1472-6963-8-238

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