2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'To compare insured youth (age 15-25 years) with and without disabilities
|
|
|
|
|
|
|
|
|
|
on risk of insurance loss. We conducted a cross-sectional study using
|
|
|
|
|
|
|
|
|
|
data from the Survey of Income and Program Participation (SIPP) 2001.
|
|
|
|
|
|
|
|
|
|
Descriptive statistics characterized insured youth who maintained or who
|
|
|
|
|
|
|
|
|
|
lost insurance for at least 3 months over a 3-year time frame. We
|
|
|
|
|
|
|
|
|
|
conducted logistic regression to calculate the association between
|
|
|
|
|
|
|
|
|
|
disability and insurance loss. Adjustment variables were gender, race,
|
|
|
|
|
|
|
|
|
|
ethnicity, age, work or school status, poverty status, type of insurance
|
|
|
|
|
|
|
|
|
|
at study onset, state generosity, and an interaction between disability
|
|
|
|
|
|
|
|
|
|
and insurance type. This study includes 2,123 insured youth without
|
|
|
|
|
|
|
|
|
|
disabilities, 320 insured youth with non-severe disabilities, and 295
|
|
|
|
|
|
|
|
|
|
insured youth with severe disabilities. Thirty-six percent of insured
|
|
|
|
|
|
|
|
|
|
youth without disabilities lost insurance compared to 43\% of insured
|
|
|
|
|
|
|
|
|
|
youth with non-severe disabilities and 41\% of insured youth with severe
|
|
|
|
|
|
|
|
|
|
disabilities (P = .07). Youth with non-severe disabilities on public
|
|
|
|
|
|
|
|
|
|
insurance have an estimated 61\% lower odds of losing insurance (OR:
|
|
|
|
|
|
|
|
|
|
0.39; 95\% CI: 0.16, 0.93; P = .03) compared to youth without
|
|
|
|
|
|
|
|
|
|
disabilities on public insurance. Further, youth with severe
|
|
|
|
|
|
|
|
|
|
disabilities on public insurance have an estimated 81\% lower odds of
|
|
|
|
|
|
|
|
|
|
losing insurance (OR: 0.19; 95\% CI: 0.09, 0.40; P < .001) compared to
|
|
|
|
|
|
|
|
|
|
youth without disabilities. When examining youth with private insurance,
|
|
|
|
|
|
|
|
|
|
we find that youth with non-severe disabilities have 1.63 times higher
|
|
|
|
|
|
|
|
|
|
odds (OR: 1.63; 95\% CI: 1.03, 2.57; P = .04) of losing health insurance
|
|
|
|
|
|
|
|
|
|
compared to youth without disabilities. Insurance type interacts with
|
|
|
|
|
|
|
|
|
|
disability severity to affect odds of insurance loss among insured
|
|
|
|
|
|
|
|
|
|
youth.'
|
|
|
|
|
affiliation: 'Wang, G (Corresponding Author), Univ Washington, Inst Publ Hlth Genet,
|
|
|
|
|
Box 357236, Seattle, WA 98195 USA.
|
|
|
|
|
|
|
|
|
|
Wang, Grace, Univ Washington, Inst Publ Hlth Genet, Seattle, WA 98195 USA.
|
|
|
|
|
|
|
|
|
|
Grembowski, David; Watts, Carolyn, Univ Washington, Dept Hlth Serv, Seattle, WA
|
|
|
|
|
98195 USA.'
|
|
|
|
|
author: Wang, Grace and Grembowski, David and Watts, Carolyn
|
|
|
|
|
author-email: 'wangg@u.washington.edu
|
|
|
|
|
|
|
|
|
|
grem@u.washington.edu
|
|
|
|
|
|
|
|
|
|
watts@u.washington.edu'
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Wang
|
|
|
|
|
given: Grace
|
|
|
|
|
- family: Grembowski
|
|
|
|
|
given: David
|
|
|
|
|
- family: Watts
|
|
|
|
|
given: Carolyn
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.1007/s10995-008-0429-y
|
|
|
|
|
eissn: 1573-6628
|
|
|
|
|
files: []
|
|
|
|
|
issn: 1092-7875
|
|
|
|
|
journal: MATERNAL AND CHILD HEALTH JOURNAL
|
|
|
|
|
keywords: 'Disability; Youth with special health care needs; Insurance; Transition;
|
|
|
|
|
|
|
|
|
|
Adolescent health'
|
|
|
|
|
keywords-plus: 'HEALTH-CARE; YOUNG-ADULTS; COVERAGE; CHILDREN; ADOLESCENTS; BARRIERS;
|
|
|
|
|
|
|
|
|
|
PEOPLE; ACCESS; STATE'
|
|
|
|
|
language: English
|
|
|
|
|
month: SEP
|
|
|
|
|
number: '7'
|
|
|
|
|
number-of-cited-references: '40'
|
|
|
|
|
orcid-numbers: ', David Grembowski/0000-0003-4209-0019'
|
|
|
|
|
pages: 1583-1590
|
|
|
|
|
papis_id: ea9d42aa20e26255597a9b58dec1ab5b
|
|
|
|
|
ref: Wang2014risklosing
|
|
|
|
|
researcherid-numbers: ', David Grembowski/AGI-7345-2022'
|
|
|
|
|
times-cited: '0'
|
|
|
|
|
title: Risk of Losing Insurance During the Transition into Adulthood Among Insured
|
|
|
|
|
Youth with Disabilities
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000341693900007
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '3'
|
|
|
|
|
volume: '18'
|
|
|
|
|
web-of-science-categories: Public, Environmental \& Occupational Health
|
|
|
|
|
year: '2014'
|
