2023-09-28 14:46:10 +00:00
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abstract: 'Objectives. We examined the disparities in health-care coverage between
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low- and high-income workers in Washington State (WA) to provide support
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for possible policy decisions for uninsured workers.
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Methods. We examined data from the WA Behavioral Risk Factor
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Surveillance System 2003-2007 and compared workers aged 18-64 years of
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low income (annual household income <\$35,000) and high income (annual
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household income >=\$35,000) on proportions and sources of health-care
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coverage. We conducted multivariable logistic regression analyses on
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factors that were associated with the uninsured.
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Results. Of the 54,536 survey respondents who were working-age adults in
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WA, 13,922 (25.5\%) were low-income workers. The proportions of
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uninsured were 38.2\% for low-income workers and 6.3\% for high-income
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workers. While employment-based health benefits remained a dominant
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source of health insurance coverage, they covered only 40.2\% of
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low-income workers relative to 81.5\% of high-income workers. Besides
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income, workers were more likely to be uninsured if they were younger;
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male; Hispanic; less educated; not married; current smokers;
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self-employed; or employed in agriculture/forestry/fisheries,
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construction, and retail. More low-income workers (28.7\%) reported cost
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as an issue in paying for health services than did their high-income
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counterparts (6.7\%).
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Conclusion. A persistent gap in health-care coverage exists between low-
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and high-income workers. The identified characteristics of these workers
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can be used to implement policies to expand health insurance coverage.'
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affiliation: 'Fan, ZJ (Corresponding Author), Washington State Dept Labor \& Ind,
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POB 44330, Olympia, WA 98504 USA.
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Fan, Z. Joyce; Anderson, Naomi J.; Foley, Michael; Rauser, Eddy; Silverstein, Barbara
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A., Washington State Dept Labor \& Ind, Olympia, WA 98504 USA.'
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author: Fan, Z. Joyce and Anderson, Naomi J. and Foley, Michael and Rauser, Eddy and
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Silverstein, Barbara A.
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author-email: fanj235@lni.wa.gov
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author_list:
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- family: Fan
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given: Z. Joyce
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- family: Anderson
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given: Naomi J.
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- family: Foley
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given: Michael
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- family: Rauser
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given: Eddy
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- family: Silverstein
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given: Barbara A.
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da: '2023-09-28'
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doi: 10.1177/003335491112600511
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files: []
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issn: 0033-3549
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journal: PUBLIC HEALTH REPORTS
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keywords-plus: UNITED-STATES; INSURANCE; ADULTS
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language: English
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month: SEP-OCT
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number: '5'
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number-of-cited-references: '37'
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orcid-numbers: 'Foley, Michael/0000-0002-8706-8096
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Anderson, Naomi/0000-0002-5392-7235'
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pages: 690-699
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papis_id: db719298496c69d802aa6d1598a938d4
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ref: Fan2011persistentgap
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times-cited: '7'
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title: 'The Persistent Gap in Health-Care Coverage Between Low- and High-Income Workers
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in Washington State: BRFSS, 2003-2007'
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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:000294573700012
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '126'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2011'
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