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Intermittent lack of health insurance coverage and use of preventive services

Author

Listed:
  • Sudano Jr., J.J.
  • Baker, D.W.

Abstract

Objectives. This study examined the association between intermittent lack of health insurance coverage and use of preventive health services. Methods. Analyses focused on longitudinal data on insurance status and preventive service use among a national sample of US adults who participated in the Health and Retirement Study. Results. Findings showed that, among individuals who obtain insurance coverage after histories of intermittent coverage, relatively long periods may be necessary to reestablish clinically appropriate care patterns. Increasing periods of noncoverage led to successively lower rates of use of most preventive services. Conclusions. Intermittent lack of insurance coverage - even across a relatively long period - results in less use of preventive services. Studies that examine only current insurance status may underestimate the population at risk from being uninsured.

Suggested Citation

  • Sudano Jr., J.J. & Baker, D.W., 2003. "Intermittent lack of health insurance coverage and use of preventive services," American Journal of Public Health, American Public Health Association, vol. 93(1), pages 130-137.
    • Handle: RePEc:aph:ajpbhl:2003:93:1:130-137_1
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    Cited by:

    1. Kaplan, Mark S. & Huguet, Nathalie & Feeny, David H. & McFarland, Bentson H., 2010. "Self-reported hypertension prevalence and income among older adults in Canada and the United States," Social Science & Medicine, Elsevier, vol. 70(6), pages 844-849, March.
    2. Marcus Dillender & Karen Mulligan, 2016. "The Effect of Medicare Eligibility on Spousal Insurance Coverage," Health Economics, John Wiley & Sons, Ltd., vol. 25(5), pages 591-605, May.
    3. Joel Goh & Jeffrey Pfeffer & Stefanos A. Zenios, 2016. "The Relationship Between Workplace Stressors and Mortality and Health Costs in the United States," Management Science, INFORMS, vol. 62(2), pages 608-628, February.
    4. Daniel Bremer & Daniel Lüdecke & Olaf von dem Knesebeck, 2019. "Social Relationships, Age and the Use of Preventive Health Services: Findings from the German Ageing Survey," IJERPH, MDPI, vol. 16(21), pages 1-14, November.
    5. Raluca Elena Narita, 2023. "Consumption of Healthcare Services in the United States: The Impact of Health Insurance," JRFM, MDPI, vol. 16(5), pages 1-16, May.
    6. Lauren L. Schmitz & Dalton Conley, 2016. "The Impact of Late-Career Job Loss and Genotype on Body Mass Index," NBER Working Papers 22348, National Bureau of Economic Research, Inc.
    7. Ulya Tsolmon & Dan Ariely, 2022. "Health insurance benefits as a labor market friction: Evidence from a quasi‐experiment," Strategic Management Journal, Wiley Blackwell, vol. 43(8), pages 1556-1574, August.
    8. Stephan F. Gohmann, 2005. "Preventive Care And Insurance Coverage," Contemporary Economic Policy, Western Economic Association International, vol. 23(4), pages 513-528, October.
    9. Robert W. Fairlie & Rebecca A. London, 2009. "Race, ethnicity, and the dynamics of health insurance coverage," Research in Labor Economics, in: Ethnicity and Labor Market Outcomes, pages 335-373, Emerald Group Publishing Limited.
    10. Abeer G Alharbi & M Mahmud Khan & Ronnie Horner & Heather Brandt & Cole Chapman, 2019. "Impact of Medicaid coverage expansion under the Affordable Care Act on mammography and pap tests utilization among low-income women," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
    11. Anna Hill & JudyAnn Bigby, 2014. "Databases to Track Use of Preventive Services After Implementation of the Affordable Care Act," Mathematica Policy Research Reports 0e16a88fe9df48c4bed29a48c, Mathematica Policy Research.
    12. Carole Roan Gresenz & Jeannette Rogowski & José J. Escarce, 2007. "Individuals' Use of Care While Uninsured: Effects of Time Since Episode Inception and Episode Length," NBER Working Papers 13137, National Bureau of Economic Research, Inc.
    13. Xia Meng, 2019. "Does a Different Household Registration Affect Migrants’ Access to Basic Public Health Services in China?," IJERPH, MDPI, vol. 16(23), pages 1-13, November.
    14. José A. Pagán & Andrea Puig & Beth J. Soldo, 2007. "Health insurance coverage and the use of preventive services by Mexican adults," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1359-1369.
    15. José A. Pagán & Andrea Puig & Beth J. Soldo, 2007. "Health insurance coverage and the use of preventive services by Mexican adults," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1359-1369, December.
    16. Shiv Dixit, 2023. "Contract Enforcement and Preventive Healthcare: Theory and Evidence," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 51, pages 1048-1094, December.
    17. David Schleifer & David J Rothman, 2012. "“The Ultimate Decision Is Yours”: Exploring Patients’ Attitudes about the Overuse of Medical Interventions," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-6, December.

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