Research Article

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).

CovariateNo family-centered careNot spending enough timeDoes not listen carefullyNot sensitive to valuesNot providing informationNot feeling like a partner
Weighted %SEWeighted %SEWeighted %SEWeighted %SEWeighted %SEWeighted %SE

United States33.410.3722.510.3410.620.2510.840.2714.740.2912.270.27
State of residence
Alaska31.991.6821.211.4810.171.1111.081.1915.441.3312.611.22
Alabama34.271.6922.891.5510.871.1810.511.0913.581.2211.811.16
Arkansas32.761.7322.601.5910.801.179.361.0912.621.1910.791.16
Arizona40.981.7630.111.7013.601.2713.381.2719.281.4515.811.32
California42.231.8129.901.6814.631.2715.951.3721.231.5016.701.35
Colorado31.271.7518.941.5211.381.2310.761.1915.251.3911.321.21
Connecticut29.151.4118.671.238.560.897.390.8011.300.989.080.86
District of Columbia36.922.0723.311.829.491.2511.841.4014.511.5111.651.40
Delaware32.591.6921.121.508.141.028.111.0412.101.2011.281.17
Florida37.841.7426.921.6312.401.2411.831.1717.001.3515.141.33
Georgia34.851.6923.751.5411.081.1610.941.1313.081.1713.631.23
Hawaii32.521.5021.381.319.130.9410.150.9915.741.1711.161.00
Iowa 22.441.3814.151.176.610.836.130.8410.180.997.700.89
Idaho28.921.7219.211.547.130.926.870.9213.621.2810.271.12
Illinois32.321.5622.231.428.880.9610.461.0714.231.1610.891.02
Indiana28.981.6118.231.398.611.058.041.0013.551.249.561.10
Kansas30.251.5719.941.408.750.967.990.9613.041.169.680.98
Kentucky29.001.5318.151.339.190.998.790.9811.971.0610.541.03
Louisiana33.221.7123.301.599.021.048.731.0314.601.3012.301.20
Massachusetts26.041.4216.531.245.170.697.020.909.640.878.060.88
Maryland31.791.6721.651.5210.701.129.111.0412.711.1711.241.15
Maine25.181.4214.931.238.160.945.770.7710.260.929.290.96
Michigan27.601.5918.301.407.240.887.040.9011.421.1010.241.10
Minnesota28.041.6018.081.418.961.068.591.0813.761.2810.151.10
Missouri26.031.4616.381.238.490.936.180.7810.340.988.810.95
Mississippi39.641.8529.041.7414.381.3615.161.3917.221.4715.941.42
Montana30.091.5818.191.3410.681.088.891.0214.101.1911.371.07
North Carolina32.601.7623.881.638.331.047.040.9510.991.139.231.09
North Dakota26.321.6014.121.247.580.966.550.9311.651.137.880.98
Nebraska27.641.4718.201.327.330.857.450.9211.661.048.620.96
New Hampshire23.951.4512.181.116.600.855.880.819.380.959.521.01
New Jersey34.571.6021.431.428.910.9510.751.1016.061.2514.171.19
New Mexico41.301.8829.611.7913.571.3213.841.3817.041.4314.421.36
Nevada41.821.8729.771.7416.571.4516.541.4421.321.5517.331.43
New York36.191.5222.361.3410.301.0013.461.1317.491.2213.621.11
Ohio28.641.6218.011.398.551.047.881.0111.731.1710.901.20
Oklahoma30.311.5620.251.3912.091.149.301.0012.871.1112.721.16
Oregon31.461.6019.571.4211.191.159.521.0912.811.1310.921.10
Pennsylvania28.881.7517.601.498.381.097.000.9810.991.179.231.12
Rhode Island28.451.5117.831.307.970.959.251.0412.531.1310.541.06
South Carolina32.121.6220.531.3810.201.0510.881.1114.651.2311.461.12
South Dakota27.421.4818.561.328.180.898.050.9211.711.049.210.96
Tennessee28.391.6319.951.469.721.098.491.0211.531.1510.031.14
Texas36.501.7926.631.6613.641.3115.031.3815.691.3513.811.30
Utah23.721.4115.691.246.710.805.590.8112.161.108.270.92
Virginia33.311.7322.091.5810.761.1810.061.1713.351.2411.271.19
Vermont19.361.289.801.005.210.745.640.798.750.876.860.82
Washington29.121.6116.651.3110.001.119.661.0613.331.2111.791.18
Wisconsin24.721.4515.841.276.450.816.910.8710.151.016.420.77
West Virginia26.061.3914.891.149.230.978.750.949.900.939.210.93
Wyoming27.531.4715.031.169.030.956.750.8312.091.058.370.90
Child's age, y
0–530.760.6421.090.598.920.399.810.4313.390.4710.370.42
6–1134.640.6523.460.5911.200.4611.190.4615.830.5213.010.48
12–1734.720.6422.940.5811.680.4511.460.4815.900.4913.370.47
Child's sex
Male33.630.5122.920.4810.820.3611.370.3815.020.4112.770.39
Female33.180.5322.090.4810.410.3510.280.3714.450.4111.760.37
Race/ethnicity
Hispanic49.981.0539.121.0117.160.7820.030.8621.580.8717.850.80
Non-Hispanic White22.290.3712.240.306.490.225.400.219.880.288.080.26
Non-Hispanic Black43.761.0331.440.9513.740.7514.250.7218.070.8216.100.77
Mixed race30.101.4118.301.2411.000.999.510.9013.171.0210.580.87
Other45.041.5031.201.4013.961.0615.811.1022.911.2218.901.15
Household composition
Two-parent biological household30.330.4419.910.409.050.299.470.3113.540.3410.760.31
Two-parent stepfamily37.721.3527.571.3312.991.0011.791.0213.970.9914.241.08
Single mother40.420.8828.190.8213.600.6514.340.6818.570.7215.210.67
Other family types37.851.4425.221.3014.211.0812.880.9016.531.1315.971.03
Child health status
CSHCN32.970.7820.220.6811.970.5811.110.5715.880.6213.220.59
No CSHCN33.520.4223.110.3910.280.2810.770.3014.450.3212.030.30
Place of residence
Metropolitan45.830.4322.680.3910.530.2910.940.3014.980.3312.440.30
Nonmetropolitan44.520.7421.850.6611.070.5310.350.5513.630.5511.490.55
Primary language spoken at home
English28.440.3617.640.318.770.238.080.2312.280.2710.400.25
Any other language62.031.2450.511.2621.231.0326.631.1328.711.1422.941.05
Household/parental education level, y
<1258.651.4346.591.4621.881.2325.871.3226.551.3021.481.22
1242.630.9431.380.9013.700.6714.260.7117.030.7414.710.68
>1226.330.3915.670.327.800.247.270.2511.980.299.910.27
Household poverty status [ratio of family income to poverty threshold]
Below 100%50.600.8939.150.9018.400.7319.820.7622.300.7819.210.74
100–199%40.170.8828.080.8314.110.6614.420.6918.230.7415.150.68
200–399%28.020.6717.420.607.620.397.620.4212.100.489.760.44
At or above 400%20.810.5810.970.455.150.334.600.3229.040.397.390.36
Health insurance status at time of survey
Private insurance25.100.4252.602.0033.682.0729.532.0535.312.0130.121.95
Public insurance43.140.6831.190.6413.730.4815.280.5218.030.5315.310.50
No insurance63.591.9014.840.366.960.256.680.2611.100.319.040.29

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.