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Stability and change in health insurance among older Mexican Americans: Longitudinal evidence from the Hispanic established populations for epidemiologic study of the elderly

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  • Angel, R.J.
  • Angel, J.L.
  • Markides, K.S.

Abstract

Objectives. This study examined the association between health insurance coverage, medical care use, limitations in activities of daily living, and mortality among older Mexican-origin individuals. Methods. We analyzed longitudinal data from the Hispanic Established Populations for Epidemiologic Study of the Elderly (H-EPESE). Results. The uninsured tend to be younger, female, poor, and foreign born. They report fewer health care visits, are less likely to have a usual source of care, and more often receive care in Mexico. Conversely, those with private health insurance are economically better off and use more health care services. Over time, the data reveal substantial changes in type of insurance coverage. Conclusions. The data reveal serious vulnerabilities among older Mexican Americans that result from a lack of private Medigap supplemental coverage.

Suggested Citation

  • Angel, R.J. & Angel, J.L. & Markides, K.S., 2002. "Stability and change in health insurance among older Mexican Americans: Longitudinal evidence from the Hispanic established populations for epidemiologic study of the elderly," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1264-1271.
    • Handle: RePEc:aph:ajpbhl:2002:92:8:1264-1271_1
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    Cited by:

    1. Aïda Solé-Auró & Montserrat Guillén & Eileen Crimmins, 2012. "Health care usage among immigrants and native-born elderly populations in eleven European countries: results from SHARE," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(6), pages 741-754, December.
    2. Jang, Sung-In & Yi, Sang-Wook & Sull, Jae-Woong & Park, Eun-Cheol & Kim, Jae-Hyun & Ohrr, Heechoul, 2015. "Association between all-cause mortality and insurance status transition among the elderly population in a rural area in Korea: Kangwha Cohort Study," Health Policy, Elsevier, vol. 119(5), pages 680-687.

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