Geographic, Racial/Ethnic, and Sociodemographic Disparities in Parent-Reported Receipt of Family-Centered Care among US Children
Table 1
Observed (unadjusted) prevalence of not receiving family-centered care according to US state and selected sociodemographic characteristics: the 2011-2012 National Survey of Children's Health (,001).
Covariate
No family-centered care
Not spending enough time
Does not listen carefully
Not sensitive to values
Not providing information
Not feeling like a partner
Weighted %
SE
Weighted %
SE
Weighted %
SE
Weighted %
SE
Weighted %
SE
Weighted %
SE
United States
33.41
0.37
22.51
0.34
10.62
0.25
10.84
0.27
14.74
0.29
12.27
0.27
State of residence
Alaska
31.99
1.68
21.21
1.48
10.17
1.11
11.08
1.19
15.44
1.33
12.61
1.22
Alabama
34.27
1.69
22.89
1.55
10.87
1.18
10.51
1.09
13.58
1.22
11.81
1.16
Arkansas
32.76
1.73
22.60
1.59
10.80
1.17
9.36
1.09
12.62
1.19
10.79
1.16
Arizona
40.98
1.76
30.11
1.70
13.60
1.27
13.38
1.27
19.28
1.45
15.81
1.32
California
42.23
1.81
29.90
1.68
14.63
1.27
15.95
1.37
21.23
1.50
16.70
1.35
Colorado
31.27
1.75
18.94
1.52
11.38
1.23
10.76
1.19
15.25
1.39
11.32
1.21
Connecticut
29.15
1.41
18.67
1.23
8.56
0.89
7.39
0.80
11.30
0.98
9.08
0.86
District of Columbia
36.92
2.07
23.31
1.82
9.49
1.25
11.84
1.40
14.51
1.51
11.65
1.40
Delaware
32.59
1.69
21.12
1.50
8.14
1.02
8.11
1.04
12.10
1.20
11.28
1.17
Florida
37.84
1.74
26.92
1.63
12.40
1.24
11.83
1.17
17.00
1.35
15.14
1.33
Georgia
34.85
1.69
23.75
1.54
11.08
1.16
10.94
1.13
13.08
1.17
13.63
1.23
Hawaii
32.52
1.50
21.38
1.31
9.13
0.94
10.15
0.99
15.74
1.17
11.16
1.00
Iowa
22.44
1.38
14.15
1.17
6.61
0.83
6.13
0.84
10.18
0.99
7.70
0.89
Idaho
28.92
1.72
19.21
1.54
7.13
0.92
6.87
0.92
13.62
1.28
10.27
1.12
Illinois
32.32
1.56
22.23
1.42
8.88
0.96
10.46
1.07
14.23
1.16
10.89
1.02
Indiana
28.98
1.61
18.23
1.39
8.61
1.05
8.04
1.00
13.55
1.24
9.56
1.10
Kansas
30.25
1.57
19.94
1.40
8.75
0.96
7.99
0.96
13.04
1.16
9.68
0.98
Kentucky
29.00
1.53
18.15
1.33
9.19
0.99
8.79
0.98
11.97
1.06
10.54
1.03
Louisiana
33.22
1.71
23.30
1.59
9.02
1.04
8.73
1.03
14.60
1.30
12.30
1.20
Massachusetts
26.04
1.42
16.53
1.24
5.17
0.69
7.02
0.90
9.64
0.87
8.06
0.88
Maryland
31.79
1.67
21.65
1.52
10.70
1.12
9.11
1.04
12.71
1.17
11.24
1.15
Maine
25.18
1.42
14.93
1.23
8.16
0.94
5.77
0.77
10.26
0.92
9.29
0.96
Michigan
27.60
1.59
18.30
1.40
7.24
0.88
7.04
0.90
11.42
1.10
10.24
1.10
Minnesota
28.04
1.60
18.08
1.41
8.96
1.06
8.59
1.08
13.76
1.28
10.15
1.10
Missouri
26.03
1.46
16.38
1.23
8.49
0.93
6.18
0.78
10.34
0.98
8.81
0.95
Mississippi
39.64
1.85
29.04
1.74
14.38
1.36
15.16
1.39
17.22
1.47
15.94
1.42
Montana
30.09
1.58
18.19
1.34
10.68
1.08
8.89
1.02
14.10
1.19
11.37
1.07
North Carolina
32.60
1.76
23.88
1.63
8.33
1.04
7.04
0.95
10.99
1.13
9.23
1.09
North Dakota
26.32
1.60
14.12
1.24
7.58
0.96
6.55
0.93
11.65
1.13
7.88
0.98
Nebraska
27.64
1.47
18.20
1.32
7.33
0.85
7.45
0.92
11.66
1.04
8.62
0.96
New Hampshire
23.95
1.45
12.18
1.11
6.60
0.85
5.88
0.81
9.38
0.95
9.52
1.01
New Jersey
34.57
1.60
21.43
1.42
8.91
0.95
10.75
1.10
16.06
1.25
14.17
1.19
New Mexico
41.30
1.88
29.61
1.79
13.57
1.32
13.84
1.38
17.04
1.43
14.42
1.36
Nevada
41.82
1.87
29.77
1.74
16.57
1.45
16.54
1.44
21.32
1.55
17.33
1.43
New York
36.19
1.52
22.36
1.34
10.30
1.00
13.46
1.13
17.49
1.22
13.62
1.11
Ohio
28.64
1.62
18.01
1.39
8.55
1.04
7.88
1.01
11.73
1.17
10.90
1.20
Oklahoma
30.31
1.56
20.25
1.39
12.09
1.14
9.30
1.00
12.87
1.11
12.72
1.16
Oregon
31.46
1.60
19.57
1.42
11.19
1.15
9.52
1.09
12.81
1.13
10.92
1.10
Pennsylvania
28.88
1.75
17.60
1.49
8.38
1.09
7.00
0.98
10.99
1.17
9.23
1.12
Rhode Island
28.45
1.51
17.83
1.30
7.97
0.95
9.25
1.04
12.53
1.13
10.54
1.06
South Carolina
32.12
1.62
20.53
1.38
10.20
1.05
10.88
1.11
14.65
1.23
11.46
1.12
South Dakota
27.42
1.48
18.56
1.32
8.18
0.89
8.05
0.92
11.71
1.04
9.21
0.96
Tennessee
28.39
1.63
19.95
1.46
9.72
1.09
8.49
1.02
11.53
1.15
10.03
1.14
Texas
36.50
1.79
26.63
1.66
13.64
1.31
15.03
1.38
15.69
1.35
13.81
1.30
Utah
23.72
1.41
15.69
1.24
6.71
0.80
5.59
0.81
12.16
1.10
8.27
0.92
Virginia
33.31
1.73
22.09
1.58
10.76
1.18
10.06
1.17
13.35
1.24
11.27
1.19
Vermont
19.36
1.28
9.80
1.00
5.21
0.74
5.64
0.79
8.75
0.87
6.86
0.82
Washington
29.12
1.61
16.65
1.31
10.00
1.11
9.66
1.06
13.33
1.21
11.79
1.18
Wisconsin
24.72
1.45
15.84
1.27
6.45
0.81
6.91
0.87
10.15
1.01
6.42
0.77
West Virginia
26.06
1.39
14.89
1.14
9.23
0.97
8.75
0.94
9.90
0.93
9.21
0.93
Wyoming
27.53
1.47
15.03
1.16
9.03
0.95
6.75
0.83
12.09
1.05
8.37
0.90
Child's age, y
0–5
30.76
0.64
21.09
0.59
8.92
0.39
9.81
0.43
13.39
0.47
10.37
0.42
6–11
34.64
0.65
23.46
0.59
11.20
0.46
11.19
0.46
15.83
0.52
13.01
0.48
12–17
34.72
0.64
22.94
0.58
11.68
0.45
11.46
0.48
15.90
0.49
13.37
0.47
Child's sex
Male
33.63
0.51
22.92
0.48
10.82
0.36
11.37
0.38
15.02
0.41
12.77
0.39
Female
33.18
0.53
22.09
0.48
10.41
0.35
10.28
0.37
14.45
0.41
11.76
0.37
Race/ethnicity
Hispanic
49.98
1.05
39.12
1.01
17.16
0.78
20.03
0.86
21.58
0.87
17.85
0.80
Non-Hispanic White
22.29
0.37
12.24
0.30
6.49
0.22
5.40
0.21
9.88
0.28
8.08
0.26
Non-Hispanic Black
43.76
1.03
31.44
0.95
13.74
0.75
14.25
0.72
18.07
0.82
16.10
0.77
Mixed race
30.10
1.41
18.30
1.24
11.00
0.99
9.51
0.90
13.17
1.02
10.58
0.87
Other
45.04
1.50
31.20
1.40
13.96
1.06
15.81
1.10
22.91
1.22
18.90
1.15
Household composition
Two-parent biological household
30.33
0.44
19.91
0.40
9.05
0.29
9.47
0.31
13.54
0.34
10.76
0.31
Two-parent stepfamily
37.72
1.35
27.57
1.33
12.99
1.00
11.79
1.02
13.97
0.99
14.24
1.08
Single mother
40.42
0.88
28.19
0.82
13.60
0.65
14.34
0.68
18.57
0.72
15.21
0.67
Other family types
37.85
1.44
25.22
1.30
14.21
1.08
12.88
0.90
16.53
1.13
15.97
1.03
Child health status
CSHCN
32.97
0.78
20.22
0.68
11.97
0.58
11.11
0.57
15.88
0.62
13.22
0.59
No CSHCN
33.52
0.42
23.11
0.39
10.28
0.28
10.77
0.30
14.45
0.32
12.03
0.30
Place of residence
Metropolitan
45.83
0.43
22.68
0.39
10.53
0.29
10.94
0.30
14.98
0.33
12.44
0.30
Nonmetropolitan
44.52
0.74
21.85
0.66
11.07
0.53
10.35
0.55
13.63
0.55
11.49
0.55
Primary language spoken at home
English
28.44
0.36
17.64
0.31
8.77
0.23
8.08
0.23
12.28
0.27
10.40
0.25
Any other language
62.03
1.24
50.51
1.26
21.23
1.03
26.63
1.13
28.71
1.14
22.94
1.05
Household/parental education level, y
<12
58.65
1.43
46.59
1.46
21.88
1.23
25.87
1.32
26.55
1.30
21.48
1.22
12
42.63
0.94
31.38
0.90
13.70
0.67
14.26
0.71
17.03
0.74
14.71
0.68
>12
26.33
0.39
15.67
0.32
7.80
0.24
7.27
0.25
11.98
0.29
9.91
0.27
Household poverty status [ratio of family income to poverty threshold]
Below 100%
50.60
0.89
39.15
0.90
18.40
0.73
19.82
0.76
22.30
0.78
19.21
0.74
100–199%
40.17
0.88
28.08
0.83
14.11
0.66
14.42
0.69
18.23
0.74
15.15
0.68
200–399%
28.02
0.67
17.42
0.60
7.62
0.39
7.62
0.42
12.10
0.48
9.76
0.44
At or above 400%
20.81
0.58
10.97
0.45
5.15
0.33
4.60
0.32
29.04
0.39
7.39
0.36
Health insurance status at time of survey
Private insurance
25.10
0.42
52.60
2.00
33.68
2.07
29.53
2.05
35.31
2.01
30.12
1.95
Public insurance
43.14
0.68
31.19
0.64
13.73
0.48
15.28
0.52
18.03
0.53
15.31
0.50
No insurance
63.59
1.90
14.84
0.36
6.96
0.25
6.68
0.26
11.10
0.31
9.04
0.29
The chi-square test for the overall association between each covariate and the family-centered care outcomes was statistically significant at level, except sex and child health status.