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