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 2001.

  Descriptive statistics characterized insured youth who maintained and

  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 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/s10995-009-0470-5
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 NEEDS; YOUNG-ADULTS; COVERAGE; CHILDREN; ADOLESCENTS;

  BARRIERS; PEOPLE; ACCESS; STATE'
language: English
month: JAN
number: '1'
number-of-cited-references: '41'
orcid-numbers: ', David Grembowski/0000-0003-4209-0019'
pages: 67-74
papis_id: f39b137131b49dbf40c8ad99a23af6a5
ref: Wang2010risklosing
researcherid-numbers: ', David Grembowski/AGI-7345-2022'
times-cited: '9'
title: Risk of Losing Insurance During the Transition into Adulthood Among Insured
  Youth with Disabilities
type: Article
unique-id: WOS:000273103000007
usage-count-last-180-days: '0'
usage-count-since-2013: '5'
volume: '14'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2010'