Evidence map›Paper›PMID 24328621›Full record

ArticleAmerican journal of public health2014

The relation between health insurance and health care disparities among adults with disabilities.

Nancy A Miller, Adele Kirk, Michael J Kaiser, Lukas Glos

Abstract read
In one paragraph

Article in American journal of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Social Determinants of Health Impact Complications Following Free-Flap Reconstruction for Head and Neck Cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
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  13. Insurance status and health-related quality-of-life disparities after trauma: results from a nationally representative survey in the US.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016
    Observational
  14. Article
  15. Disparities among younger and older persons alike.American journal of public health · 2014
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Nancy A MillerNancy A. Miller, Adele Kirk, and Lukas Glos are with the Department of Public Policy, University of Maryland, Baltimore County, Baltimore. Michael J. Kaiser is with Econometrica Inc, Rockville, MD.
Adele Kirk
Michael J Kaiser
Lukas Glos

Funding

PHS HHS H133G090133
6 · The paper itself

Abstract

objectivesWe examined disparities among US adults with disabilities and the degree to which health insurance attenuates disparities by race, ethnicity, and socioeconomic status (SES).

methodsWe pooled data from the 2001-2007 Medical Expenditure Panel Survey on individuals with disabilities aged 18 to 64 years. We modeled measures of access and use as functions of predisposing, enabling, need, and contextual factors. We then included health insurance and examined the extent to which it reduced observed differences by race, ethnicity, and SES.

resultsWe found evidence of disparities in access and use among adults with disabilities. Adjusting for health insurance reduced these disparities most consistently for emergency department use. Uninsured individuals experienced substantially poorer access across most measures, including reporting a usual source of care and experiencing delays in or being unable to obtain care.

conclusionsAlthough health insurance is an important enabling resource among adults with disabilities, its effect on reducing differences by race, ethnicity, and SES on health care access and use was limited. Research exploring the effects of factors such as patient-provider interactions is warranted.

Indexed as

Healthcare DisparitiesInsurance, HealthAdolescentAdultBlack or African AmericanBlack PeopleConfidence IntervalsFemaleHealth Care SurveysHealth Services AccessibilityHispanic or LatinoHumansInsurance CoverageMaleMiddle AgedPersons with Disabilities

Identifiers

PMID24328621
PMCPMC3953783

What OpenQuestion holds

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Registered trials

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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.