Health insurance regain after a spell of uninsurance: a longitudinal comparison of youth with and without disabilities transitioning into adulthood.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Grace WangCarolyn Watts

Abstract

To examine insurance regain among youth with no, nonsevere, and severe disabilities. The data source for this study was the Survey of Income and Program Participation 2001. We examined insurance regain among youth with no, nonsevere, and severe disabilities between the ages of 15 and 25 using a longitudinal design. Kaplan-Meier survival functions provided estimates of uninsurance spell durations measured in waves, or 4-month intervals. We conducted a discrete time survival analysis adjusting for personal characteristics. This study includes 1,310 youth who entered the SIPP with insurance and became uninsured. 985 youth (75%) regained insurance. Based on SIPP waves, median duration of uninsurance was two waves (between 5 and 8 months) for youth with severe disabilities and three waves (between 9 and 12 months) for youth with nonsevere disability. Youth with nonsevere disabilities had decreased odds of regaining health insurance compared to youth without disabilities (odds ratio .73; 95% confidence interval: .57, .92; p=.01). Youth with severe disabilities and youth without disabilities had similar odds of and durations to insurance regain. In contrast, youth with nonsevere disabilities had lower odds of regaining insurance and e...Continue Reading

References

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Citations

Oct 29, 2014·Social Work in Public Health·Catherine A Okoro, Satvinder S Dhingra
Nov 15, 2013·Medical Care Research and Review : MCRR·James P GuevaraSusmita Pati

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