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Supplemental private health insurance and depressive symptoms in older married couples
Author(s)Meeyoung Oh Min, Aloen L Townsend, Baila Miller
Journal titleInternational Journal of Aging and Human Development, vol 61, no 4, 2005
Pagespp 292-312
Sourcehttp://baywood.com
KeywordsHealth insurance ; Depression ; Symptoms ; Married couples ; White people ; Black people ; Comparison ; United States of America.
AnnotationStress process theory is applied to examine lack of supplemental private health insurance as a risk factor for depressive symptomatology among older American married couples covered by Medicare. Dyadic data from 130 African-American couples and 1,429 White couples in the 1993 Asset and Health Dynamics Among the Oldest Old Survey (AHEAD) were analysed using hierarchical generalised linear modelling. Lack of supplemental insurance is operationalised at the household level in terms of neither, one, or both spouses being covered by such insurance. Controlling for co-variates at both individual and couple levels, supplemental insurance has significant impact on depression, but the patterns differ by race. White couples report the highest depression when neither spouse is covered by private health insurance. African-American couples report the highest depression when only one spouse is covered. Results suggest lack of supplemental private health insurance coverage is a stressor that significantly affects depressive symptoms. (RH).
Accession NumberCPA-051214203 A
ClassmarkWPG: ENR: CT: SM: TKA: TKE: 48: 7T

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