Original ArticlesFamily and Child Characteristics Associated With Caregiver Challenges for Medically Complex ChildrenMooney-Doyle, Kim PhD, RN, CPNP-AC; Lindley, Lisa C. PhD, RN, FPCNAuthor Information School of Nursing, University of Maryland, Baltimore (Dr Mooney-Doyle); and College of Nursing, The University of Tennessee, Knoxville, Knoxville (Dr Lindley). Correspondence: Kim Mooney-Doyle, PhD, RN, CPNP-AC, School of Nursing, University of Maryland, 655 W Lombard St, Baltimore, MD 21201 ([email protected]). The authors declare no conflict of interest. Family & Community Health: January/March 2020 - Volume 43 - Issue 1 - p 74-81 doi: 10.1097/FCH.0000000000000245 Buy Metrics Abstract Children with medical complexity, comprising 3% of US children, face elevated risk of adverse medical, developmental, psychosocial, and family outcomes. The purpose of this study was to examine the association between family and child characteristics and caregiver challenges via a retrospective cohort study using data from 2009/2010 National Survey of Children with Special Health Care Needs. Results revealed that most children with medical complexity have 2 or more conditions; region of residence, insurance, and health conditions significantly predict caregiver challenges; and race, ethnicity, and coinsurance status are associated with medical challenges. Results highlight important evidence on connections between family/child characteristics and caregiver challenges among children with medical complexity. © 2020 Wolters Kluwer Health, Inc. All rights reserved.