ArticleHealth services research2006
Community-level uninsurance and the unmet medical needs of insured and uninsured adults.
Article in Health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health-care utilisation for low back pain: a systematic review and meta-analysis of population-based observational studies.Rheumatology international · 2019Pooled it
- Distribution, inequalities and associated factors of unmet medical needs among older adults: evidence from the national health service survey.BMC geriatrics · 2026Article
- Community Resilience Estimates and HIV Health Outcomes: Insights from the CNICS Cohort.AIDS and behavior · 2026Observational
- Exploring unmet healthcare needs and associated inequalities among middle-aged and older adults in Eastern China during the progression toward universal health coverage.Health economics review · 2024Article
- Article
- Medical service utilization and out-of-pocket spending among near-poor National Health Insurance members in South Korea.BMC health services research · 2021Article
- Prevalence of and factors associated with unmet dental need among the US adult population in 2016.Community dentistry and oral epidemiology · 2021Article
- Do People with Health Insurance Coverage Who Live in Areas with High Uninsurance Rates Pay More for Emergency Department Visits?Health services research · 2018Article
- Neighborhood Health Care Access and Sexually Transmitted Infections Among Women in the Southern United States: A Cross-Sectional Multilevel Analysis.Sexually transmitted diseases · 2018Article
- Gaps in universal health coverage in South Korea: Association with depression onset in a community cohort.PloS one · 2018Article
- Local Income Inequality, Individual Socioeconomic Status, and Unmet Healthcare Needs in Ohio, USA.Health equity · 2018Article
- Public Housing Relocations and Relationships of Changes in Neighborhood Disadvantage and Transportation Access to Unmet Need for Medical Care.Journal of health care for the poor and underserved · 2017Article
- Article
- Economic crisis, austerity and unmet healthcare needs: the case of Greece.BMC health services research · 2016Article
- Health care utilization and costs among medical-aid enrollees, the poor not enrolled in medical-aid, and the near poor in South Korea.International journal for equity in health · 2015Article
- The Institutional Effects of Incarceration: Spillovers From Criminal Justice to Health Care.The Milbank quarterly · 2015Article
- Place as a predictor of health insurance coverage: A multivariate analysis of counties in the United States.Health & place · 2015Article
- Policy dilemmas in Latino health care and implementation of the Affordable Care Act.Annual review of public health · 2015Review
- Geographical variation of unmet medical needs in Italy: a multivariate logistic regression analysis.International journal of health geographics · 2013Article
- Where would you rather live if you were insured? Assessing community uninsurance spillover effects on the insured.Journal of immigrant and minority health · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the relationship between community-level uninsurance rates and the self-reported unmet medical needs of insured and uninsured adults in the U.S. DATA SOURCES: 2000-2001 Community Tracking Study, which includes data from 60 randomly selected U.S. communities. The sample is representative of the contiguous U.S. states. STUDY
designMultilevel logistic regressions were employed to investigate whether the local uninsurance rate was related to having reported unmet medical needs within the last year. The models also included individual and community variables that could be potentially related to both community uninsurance rates and having reported unmet medical needs. PRINCIPAL
findingsThe community uninsurance rate was positively associated with having reported unmet medical needs, but only for insured adults. On average, a five percentage point increment in the local uninsured population is associated with a 10.5 percent increase in the likelihood that an insured adult will report having unmet medical needs during the 12-month period studied.
conclusionLocal health care delivery systems seem to be negatively affected by high uninsurance rates. These effects could have negative consequences for health care access, even for individuals who are themselves insured.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.