Abstract:
:Lack of health insurance (HI) is a particular problem for near-older Americans aged 50-64 because they tend to have more chronic health conditions than younger age groups and are at increased risk of disability; however, little recent research has focused on HI coverage and healthcare access among this age group. Using the U.S. National Health Interview Survey data for the years 2013 to 2018, we compared HI coverage and healthcare access between the 50-64 and 65+ age groups. Using logistic regression analysis, we then examined the sociodemographic and health characteristics of past-year healthcare access of near-older Americans without HI to those with private HI or public HI (Medicare without Medicaid, Medicaid without Medicare, Medicare and Medicaid, and VA/military HI). We estimated the odds of healthcare access among those without HI compared to those with private or public HI. Near-older Americans without HI were at least seven times more likely to have postponed or foregone needed healthcare due to costs, and only 15% to 23% as likely to have had contact with any healthcare professional in the preceding 12 months. Expanding HI to near-older adults would increase healthcare access and likely result in reduced morbidity and mortality and higher quality of life for them.
journal_name
Int J Environ Res Public Healthauthors
Choi NG,DiNitto DM,Choi BYdoi
10.3390/ijerph17082711subject
Has Abstractpub_date
2020-04-15 00:00:00issue
8eissn
1661-7827issn
1660-4601pii
ijerph17082711journal_volume
17pub_type
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