Measuring the impact of hurricane katrina on access to a personal healthcare provider

The use of the national survey of children's health for an external comparison group

Tasha Stehling-Ariza, Yoon Soo Park, Jonathan J. Sury, David Abramson

Research output: Contribution to journalArticle

Abstract

This paper examined the effect of Hurricane Katrina on children's access to personal healthcare providers and evaluated the use of propensity scoremethods to compare a nationally representative sample of children, as a proxy for an unexposed group, with a smaller exposed sample. 2007 data from the Gulf Coast Child and Family Health (G-CAFH) Study, a longitudinal cohort of households displaced or greatly impacted by Hurricane Katrina, were matched with 2007 National Survey of Children's Health (NSCH) data using propensity score techniques. Propensity scores were created using poverty level, household educational attainment, and race/ethnicity, with and without the addition of child age and gender. The outcome was defined as having a personal healthcare provider. Additional confounders (household structure, neighborhood safety, health and insurance status)were also examined. All covariates except gender differed significantly between the exposed (G-CAFH) and unexposed (NSCH) samples. Fewer G-CAFH children had a personal healthcare provider (65 %) compared to those from NSCH (90 %). Adjusting for all covariates, the propensity score analysis showed exposed children were 20 %less likely to have a personal healthcare provider compared to unexposed children in the US (OR = 0.80, 95 % CI 0.76, 0.84), whereas the logistic regression analysis estimated a stronger effect (OR = 0.28, 95 % CI 0.21, 0.39). Two years after Hurricane Katrina, children exposed to the storm had significantly lower odds of having a personal health care provider compared to unexposed children. Propensity score matching techniques may be useful for combining separate data samples when no clear unexposed group exists.

Original languageEnglish (US)
Pages (from-to)170-177
Number of pages8
JournalMaternal and Child Health Journal
Volume16
Issue numberSUPPL. 1
DOIs
StatePublished - Apr 2012

Fingerprint

Cyclonic Storms
Health Personnel
Propensity Score
Family Health
Insurance Coverage
Surveys and Questionnaires
Child Health
Proxy
Poverty
Health Insurance
Health Status
Longitudinal Studies
Logistic Models
Regression Analysis
Safety

Keywords

  • Hurricane Katrina
  • National Survey of Children's Health
  • Personal healthcare provider
  • Propensity score

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Measuring the impact of hurricane katrina on access to a personal healthcare provider : The use of the national survey of children's health for an external comparison group. / Stehling-Ariza, Tasha; Park, Yoon Soo; Sury, Jonathan J.; Abramson, David.

In: Maternal and Child Health Journal, Vol. 16, No. SUPPL. 1, 04.2012, p. 170-177.

Research output: Contribution to journalArticle

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