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Private health insurance coverage and disability among older Americans
Author(s)Lawrence R Landerman, Gerda G Fillenbaum, Carl F Pieper
Journal titleThe Journals of Gerontology Series B: Psychological Sciences and Social Sciences, vol 53B, no 5, September 1998
Pagespp S258-S266
KeywordsHealth insurance ; Mobility ; Self care capacity ; Longitudinal surveys ; United States of America.
AnnotationThere is reason to believe that differences in health insurance coverage in the US may account - at least in part - for the continued impact of income on health among older people. This article uses data from the baseline and six follow-up studies of the Duke Established Populations for Epidemiological Studies for the Elderly (EPESE) for some 4,000 subjects. Discrete-time hazard models were used to estimate the impact of insurance coverage and other risk factors in the incidence of disability among those unimpaired at baseline. Controlling for education, income and other potential confounders, the odds of developing disability were 35-49% higher among those without private coverage. Insurance coverage also statistically explained part of the increased risk of disability among those on low incomes. The results indicate that changes in health insurance coverage as well as individual behaviours may be needed to reduce disability generally, and disability among the socio-economically disadvantaged in particular. (RH).
Accession NumberCPA-010117211 A
ClassmarkWPG: C4: CA: 3J: 7T

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