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The impact of race, income, drug abuse and dependence on health insurance coverage among US adults

Author

Listed:
  • Nianyang Wang

    (Emory University)

  • Xin Xie

    (East Tennessee State University)

Abstract

Little is known about the impact of drug abuse/dependence on health insurance coverage, especially by race groups and income levels. In this study, we examine the disparities in health insurance predictors and investigate the impact of drug use (alcohol abuse/dependence, nicotine dependence, and illicit drug abuse/dependence) on lack of insurance across different race and income groups. To perform the analysis, we used insurance data (8057 uninsured and 28,590 insured individual adults) from the National Surveys on Drug Use and Health (NSDUH 2011). To analyze the likelihood of being uninsured we performed weighted binomial logistic regression analyses. The results show that the overall prevalence of lacking insurance was 19.6 %. However, race differences in lack of insurance exist, especially for Hispanics who observe the highest probability of being uninsured (38.5 %). Furthermore, we observe that the lowest income level bracket (annual income

Suggested Citation

  • Nianyang Wang & Xin Xie, 2017. "The impact of race, income, drug abuse and dependence on health insurance coverage among US adults," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 537-546, June.
    • Handle: RePEc:spr:eujhec:v:18:y:2017:i:5:d:10.1007_s10198-016-0802-5
    DOI: 10.1007/s10198-016-0802-5
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    References listed on IDEAS

    as
    1. Shi, Leiyu, 2001. "The convergence of vulnerable characteristics and health insurance in the US," Social Science & Medicine, Elsevier, vol. 53(4), pages 519-529, August.
    2. repec:mpr:mprres:7392 is not listed on IDEAS
    3. Wu, L.-T. & Kouzis, A.C. & Schlenger, W.E., 2003. "Substance Use, Dependence, and Service Utilization among the US Uninsured Nonelderly Population," American Journal of Public Health, American Public Health Association, vol. 93(12), pages 2079-2085.
    4. Ellen Englert Bouchery & Henrick J. Harwood & Joan Dilonardo & Rita Vandivort-Warren, "undated". "Type of Health Insurance and the Substance Abuse Treatment Gap," Mathematica Policy Research Reports 0c7bcc0404d14e8fba09715ca, Mathematica Policy Research.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Health insurance coverage; Prevalence; Race; Income; Drug abuse; Drug dependence;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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