Out-of-Pocket Costs and Health-Related Social Needs Among Households With Children - Report - MDSpire

Out-of-Pocket Costs and Health-Related Social Needs Among Households With Children

  • By

  • Michael Caniglia

  • Laura J. Chavez

  • June 3, 2026

  • 0 min

Share

Financial Burdens and Health-Related Social Requirements in Families with Children

Overview

This study investigates the association between out-of-pocket medical financial burdens and health-related social needs (HRSNs) in US households with children.

Background

Out-of-pocket medical expenses significantly strain household budgets, particularly for families with children. High medical costs can hinder access to necessary healthcare and essential resources such as food and safe housing.

Data Highlights

This study utilized data from the US Census Bureau’s Survey of Income and Program Participation (SIPP) to analyze the longitudinal association between out-of-pocket medical financial burden and HRSNs.

Key Findings

  • Approximately 4% of US households with children spend 10% or more of their income on out-of-pocket medical costs.
  • Households experiencing medical financial burdens may struggle to meet basic needs.
  • Rising healthcare costs and declining incomes contribute to increased financial strain on families.
  • Limited research has previously examined the direct association between out-of-pocket costs and HRSNs.
  • The study is the first to consider the impact of medical costs on housing quality.

Clinical Implications

Healthcare providers should be aware of the financial burdens faced by families with children.

Conclusion

Further research into the relationship between medical financial burdens and HRSNs is needed.

Related Resources & Content

  1. JAMA Network Open, 2023 -- Development and Validation of a Family Caregiver Constraint Index
  2. JAMA Network Open, 2023 -- Financial Hardship and Nonadherence to Lifestyle and Surveillance in Childhood Cancer Survivors
  3. The ASCO Post, 2023 -- Children of Parents With a History of Cancer May Experience Housing, Food, and Financial Hardship, as Well as Delays in Medical Care
  4. American Academy of Pediatrics, 2025 -- Clinical Practice Guideline for Diagnosis and Management of Faltering Weight
  5. conexiant — Health, Social Needs Tied to Absences
  6. Health, Social Needs Tied to Absences
  7. The Association between Medical Debt and Food Insecurity among United States Families with Children
  8. Clinical Practice Guideline for Diagnosis and Management of Faltering Weight | Pediatrics | American Academy of Pediatrics

Original Source(s)

Related Content