The 2000 Iowa Child and Family Household Health Survey - Statewide Results

1. Do you have any kind of health care coverage for your child, including health insurance, prepaid plans such as HMOs, or government plans such as Medicaid or Title 19? If so, what type do you use to pay for most of your child's medical care?
Uninsured	Medicaid	Private insurance
6%	10%	84%
46,395	69,832	615,049

2. Federal poverty level (calculated based on income and family size)
	Uninsured	Medicaid	Private insurance
Under 133% FPL	57%	75%	16%
	24,494	46,071	166,782
Under 200% FPL	23%	20%	23%
	9,810	12,021	158,907
Over 200% FPL	21%	5%	61%
	9,059	3,193	368,991

3. Source of coverage for privately insured
	Private insurance
Employer-based	92%
	556,309
Individual policy	8%
	47,984

4. Has your child ever been covered by Medicaid?
	Uninsured	Medicaid	Private insurance
Yes	56%	100%	17%
	25,743	69,832	104,141
No	44%	0%	83%
	20,023	0	508,278

5. Has your child been uninsured at some point in the past year?
	Uninsured	Medicaid	Private insurance
Yes	NA	22%	4%
		15,605	25,549
No	NA	78%	96%
		54,051	589,014

6. Does parent have same insurance as child?
	Uninsured	Medicaid	Private insurance
Yes	NA	61%	91%
		30,007	541,355
No	NA	39%	9%
		19,379	53,724

7. How would you rate your child's health insurance plan?
	Uninsured	Medicaid	Private insurance
Excellent	NA	44%	30%
		30,173	180,292
Very good	NA	22%	37%
		15,142	223,438
Good	NA	24%	23%
		15,997	142,035
Fair	NA	9%	8%
		5,833	47,189
Poor	NA	1%	2%
		966	14,773

8. Current age of your child
	Uninsured	Medicaid	Private insurance
0-4	34%	38%	23%
	15,670	26,352	144,100
5-9	19%	26%	28%
	8,833	18,428	173,276
10-14	30%	21%	30%
	13,775	14,626	182,059
15-17	18%	15%	19%
	8,117	10,426	115,614

9. What is your current marital status?
	Uninsured	Medicaid	Private insurance
Married	63%	49%	85%
	28,979	33,857	521,545
Divorced/ separated	12%	17%	8%
	5,810	11,873	46,149
Widowed	3%	2%	1%
	1,163	1,608	6,013
Never married	7%	12%	2%
	1,586	2,759	8,541
Marriage-like relationship	15%	20%	4%
	7,127	14,150	27,084

10. What is the highest grade or level of school that you have completed?
	Uninsured	Medicaid	Private insurance
Some high school or less	14%	17%	3%
	6,510	11,999	15,892
High school graduate	37%	45%	27%
	17,246	31,468	165,235
Some college/ 2 yr degree	35%	31%	37%
	16,044	21,452	224,191
4-yr college graduate	8%	5%	23%
	3,698	3,481	138,182
More than 4-yr degree	6%	2%	12%
	2,896	1,266	71,241

11. How would you rate CHILD's overall health?
	Uninsured	Medicaid	Private insurance
Excellent	71%	50%	68%
	32,833	35,025	417,720
Very good	20%	31%	24%
	9,396	21,493	150,203
Good	7%	16%	7%
	3,224	11,050	40,946
Fair	2%	1%	1%
	942	997	5,397
Poor	0%	2%	<1%
	0	1,098	783

12. Does your child have a special health care need? (from FACCT screening instrument)
	Uninsured	Medicaid	Private insurance
Has special health care need	10%	33%	16%
	4,831	22,924	97,513
No special health care need	90%	67%	84%
	41,563	46,907	517,536

13. Do you have one person you think of as [CHILD's] personal doctor or nurse?
	Uninsured	Medicaid	Private insurance
Yes	76%	92%	91%
	34,957	63,943	561,070
No	25%	8%	9%
	11,337	5,889	53,410

14. During the last 12 months, was there any time when you or a health professional thought your child needed medical care of any kind?
	Uninsured	Medicaid	Private insurance
Yes	38%	46%	54%
	17,617	32,184	330,945
No	62%	54%	46%
	28,671	37,648	283,863

15. In the last 12 months, was there any time when your child needed medical care but could not get it for any reason (of those needing care)?
	Uninsured	Medicaid	Private insurance
Yes	10%	3%	2%
	1,768	1,056	7,595
No	90%	97%	98%
	15,956	31,128	323,590

16. In the last 12 months, how many times did your child go to a hospital emergency room?
	Uninsured	Medicaid	Private insurance
None	65%	53%	70%
	11,530	16,986	230,707
One	19%	22%	21%
	3,369	7,190	70,929
2 to 4	12%	17%	8%
	2,080	5,350	26,436
5 or more	4%	8%	1%
	746	2,658	3,008

17. When was your child's last preventive health visit?
	Uninsured	Medicaid	Private insurance
Less than I year	78%	82%	77%
	35,852	56,928	468,208
1-2 years	15%	14%	16%
	6,963	9,622	95,367
2 or more years	7%	4%	8%
	3,221	2,955	46,375
Never	<1%	<1%	<1%
	97	210	1,707

18. During the last 12 months, was there any time when you or a health professional thought your child needed prescription medications for any reason?
	Uninsured	Medicaid	Private insurance
Yes	42%	56%	51%
	19,359	38,760	315,723
No	58%	45%	49%
	26,530	31,071	298,391

19. In the last 12 months, how much of a problem, if any, was it to get the prescription medicines your child needed (of those needing prescription medicine)?
	Uninsured	Medicaid	Private insurance
A big problem	11%	4%	1%
	2,085	1,403	2,815
A small problem	15%	9%	6%
	3,029	3,324	17,826
No problem	74%	88%	94%
	14,750	34,033	295,962

20. In the last 12 months, how much of a problem for your family, if any, has been caused by a family member's drug or alcohol use?
	Uninsured	Medicaid	Private insurance
Big problem	11%	7%	2%
	4,922	4,746	13,838
Small problem	11%	6%	7%
	5,227	4,284	41,067
Not a problem	78%	87%	91%
	36,246	60,801	560,028

21. In the last 12 months, how much, if at all, have you worried about your ability to pay for your child's health care?
	Uninsured	Medicaid	Private insurance
A great deal	51%	16%	5%
	23,600	10,902	33,228
Somewhat	19%	9%	13%
	8,553	6,096	77,489
A little	12%	11%	11%
	5,393	7,562	69,794
Not at all	19%	65%	71%
	8,502	45,272	434,179

Differences between children uninsured at some point during the year and those always insured

22. How would you rate your child's overall health?
	Uninsured at some point	Always insured
Excellent	70%	47%
	32,285	20,013
Very good	21%	38%
	9,396	16,135
Good	7%	12%
	3,224	4,971
Fair	2%	2%
	942	754
Poor	–	2%
	–	885

23. Does your child have a special health care need? (from FACCT screening instrument)
	Uninsured at some point	Always insured
Yes	11%	29%
	4831	12377
No	90%	71%
	41015	30381

24. During the last 12 months, was there any time when you or a health professional thought your child needed medical care of any kind?
	Uninsured at some point	Always insured
Yes	39%	51%
	17,617	21,667
No	62%	49%
	28,123	21,091

25. In the last 12 months, was there any time when your child needed medical care but could not get it for any reason?
	Uninsured at some point	Always insured
Yes	10%	18%
	1,768	3,860
No	90%	82%
	15,956	17,807

26. In the last 12 months, how many times did your child go to a hospital emergency room?
	Uninsured at some point	Always insured
None	65%	53%
	11,530	11,391
1 time	19%	18%
	3,369	3,865
2-4 times	12%	22%
	2,080	4,842
5-9 times	1%	4%
	183	785
10 or more	3%	4%
	563	785

27. During the last 12 months, was there any time when you or a health professional thought your child needed prescription medications for any reason?
	Uninsured at some point	Always insured
Yes	43%	56%
	19,359	23,681
No	57%	45%
	25,982	18,958

28. Type of dental insurance

Uninsured	Medicaid	Private insurance
25%	10%	66%
180,535	69,832	478,954

29. Needed dental care in the past year
	Uninsured	Medicaid	Private insurance
Yes	40%	43%	49%
	67,592	26,595	223,415
No	60%	57%	51%
	100,332	35,613	234,949

30. During the last 12 months was there any time when you or a health professional thought your child needed dental care?
	Uninsured	Medicaid	Private insurance
Yes	13%	18%	5%
	8,981	4,638	11,947
No	87%	82%	95%
	58,610	21,293	211,825

31. When was your child's last dental check-up?
	Uninsured	Medicaid	Private insurance
Within the last 12 months	63%	63%	81%
	104,317	38,626	369,289
1-2 years ago	11%	12%	6%
	19,000	7,506	29,453
2+ years ago	4%	3%	1%
	6,864	2,086	4,259
Never	22%	22%	12%
	36,436	13,266	54,948