Disability, Health Insurance and Psychological Distress among US Adults: An Application of the Stress Process

Society and Mental Health
Sirry M AlangCarrie E Henning-Smith

Abstract

Structural resources, including access to health insurance, are understudied in relation to the stress process. Disability increases the likelihood of mental health problems, but health insurance may moderate this relationship. We explore health insurance coverage as a moderator of the relationship between disability and psychological distress. A pooled sample from 2008-2010 (N=57,958) was obtained from the Integrated Health Interview Series. Chow tests were performed to assess insurance group differences in the association between disability and distress. Results indicated higher levels of distress associated with disability among uninsured adults compared to their peers with public or private insurance. The strength of the relationship between disability and distress was weaker for persons with public compared to private insurance. As the Affordable Care Act is implemented, decision-makers should be aware of the potential for insurance coverage, especially public, to ameliorate secondary conditions such as psychological distress among persons who report a physical disability.

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Sep 23, 2014·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·R AnN A Burd
Apr 4, 2021·International Journal of Environmental Research and Public Health·Hankyung Jun, Emma Aguila
Apr 10, 2021·Social Work in Public Health·Meredith R Williams, D Phuong Do

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