Does Parental Report of Having a Medical Home Attenuate the NegativeAssociation Between Unmet Basic Needs and Health for Low-IncomeChildren?

摘要

Background. It is unknown whether the medical home reduces theimpact of adverse social determinants on low-income child health.Objective. To examine whether the medical home attenuatesthe association between unmet basic needs and health for low-income children.Design/Methods. Secondary data analysis of the 2011-12 NSCHrestricted to <200% FPL children (n = 26 974). Multivariable logisticregression modeled child health with unmet basic needs to examine the effectmodification of the medical home. Results. Low-income childrenwith unmet needs had lower odds of “excellent/very good” health compared tochildren without unmet needs, regardless of the medical home [aOR = 0.78(0.61-0.99) vs aOR = 0.77 (0.63-0.94), P = .01), respectively].The medical home did not modify the negative association between unmet basicneeds and “excellent/very good” child health (P = .97).Conclusion. Having a medical home per parental report didnot attenuate the negative relationship between unmet basic needs and lowincomechild health.