2023-09-28 14:46:10 +00:00
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abstract: 'Objective To add to the evidence base on causal linkages between health
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insurance coverage and health status, controlling for sociodemographic
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factors, by analyzing longitudinal data. Data Source Secondary data from
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the Panel Study of Income Dynamics (PSID), 2009-17, which is a
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longitudinal, multigenerational study covering a wide array of
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socioeconomic topics that began in 1968 but has only recently begun
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collecting useful information on individual health insurance. Study
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Design 2017 data on self-reported health status, work limitations, and
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death were analyzed as outcomes based upon the degree of exposure to
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health insurance in 2011-17. All variables were collected biannually for
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four years beginning in 2011. Having health insurance at each point in
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time was, in turn, modeled as a function of several sociodemographic
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factors. Data Extraction Methods Data were downloaded using the
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crosswalk tool available at the PSID website. Because individual health
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insurance questions were only asked of heads and spouses in households
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beginning in 2011, we analyzed only these records. Principal Findings
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Among respondents who were not in fair or poor health in 2009, each
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additional 2 years of subsequent reported insurance coverage reduced the
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chance of reporting fair or poor health in 2017 by 10 percent; however,
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this effect was not present for black respondents. Conclusions Our
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results suggest that the effect of health insurance on health status may
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compound over time, although unevenly by race. Since people who report
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fair or poor health status represent the bulk of utilization and
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spending, our findings provide evidence in support of viewing coverage
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expansions as investments that will pay dividends in the form of lower
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utilization over time. More work is needed to produce detailed estimates
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of cost savings, which may in turn influence policy, as well as to
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understand and address the source of racial disparity.'
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affiliation: 'Barker, AR (Corresponding Author), Washington Univ St Louis, Brown Sch,
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1 Brookings Dr,Campus Box 1196, St Louis, MO 63130 USA.
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Barker, Abigail R.; Li, Linda, Washington Univ St Louis, Brown Sch, 1 Brookings
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Dr,Campus Box 1196, St Louis, MO 63130 USA.'
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author: Barker, Abigail R. and Li, Linda
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author-email: arbarker@wustl.edu
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author_list:
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- family: Barker
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given: Abigail R.
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- family: Li
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given: Linda
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da: '2023-09-28'
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doi: 10.1111/1475-6773.13325
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earlyaccessdate: JUL 2020
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eissn: 1475-6773
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files: []
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issn: 0017-9124
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journal: HEALTH SERVICES RESEARCH
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keywords: 'health care costs; health insurance; health status; Medicaid; Medicare;
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race factors'
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keywords-plus: MEDICAID; ADULTS
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language: English
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month: OCT
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number: 2, SI
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number-of-cited-references: '21'
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orcid-numbers: 'Li, Linda/0000-0003-0996-7763
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Barker, Abigail/0000-0002-0826-5156'
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pages: 815-822
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papis_id: 3cdc78abbfeefbff61d01dc317411728
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ref: Barker2020cumulativeimpact
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times-cited: '9'
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title: The cumulative impact of health insurance on health status
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000551061100001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '12'
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volume: '55'
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web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
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year: '2020'
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