Observational studyQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2016
Insurance status and health-related quality-of-life disparities after trauma: results from a nationally representative survey in the US.
Observational study in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
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Who cites it
8 citing papers in PubMed.
- Exploring sociodemographic disparities in diagnostic problems and mistakes in the quest for diagnostic equity: insights from a national survey of patient experiences.Frontiers in public health · 2025Article
- Health-related quality of life disparities among Hispanic/Latinx patients with nephrolithiasis.Urolithiasis · 2023Observational
- The Affordable Care Act's Effect on Discharge Disposition of Racial Minority Trauma Patients in the United States.Journal of racial and ethnic health disparities · 2019Article
- Article
- Application of the short form of quality of life instrument version 2 in a large population of Tehran.Medical journal of the Islamic Republic of Iran · 2018Article
- Association of Expanded Medicaid Coverage With Hospital Length of Stay After Injury.JAMA surgery · 2017Article
- Damage control laparotomy trial: design, rationale and implementation of a randomized controlled trial.Trauma surgery & acute care open · 2017Article
- An Exploratory Study to Understand Factors Associated with Health-related Quality of Life Among Uninsured/Underinsured Patients as Identified by Clinic Providers and Staff.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine whether insurance status modifies the association between injuries and health-related quality of life (HRQOL) in a nationally representative sample of US adults.
methodsThis is a longitudinal, observational study using the pooled 2000-2006 Medical Expenditure Panel Survey (MEPS). A total of 50,225 adults (age ≥ 18) with or without injuries were included in the study. HRQOL was evaluated using the EuroQoL Health Index (EQ-5D), visual analog scale (VAS), and the SF-12 physical component score (PCS) and mental component score (MCS). A categorical variable of injury-insurance combinations was created (not injured-privately insured, not injured-publically insured, not injured-uninsured, injured-privately insured, injured-publically insured, or injured-uninsured) and was included in the linear regression models. Adjustment covariates included age, gender, education, race, diabetes, hypertension, and baseline self-reported health. Healthcare utilization was also examined among the study population by injury status and across insurance groups.
resultsSeven hundred and ten individuals reported injuries. Adjusted analyses showed that injured individuals with public insurance had lower EQ-5D (-0.25), VAS (-11.4), PCS (-8.5), and MCS (-4.9) than the privately insured controls, while uninsured had EQ-5D, VAS, PCS and MCS that were, respectively, -0.12, -7.2, -2.6 and -4.1 relative to privately insured controls. With the exception of hospital discharges, healthcare utilization among uninsured individuals was lower than those with public or private insurance.
conclusionsWe found injured individuals to have lower HRQOL than those without injuries, and this effect was exacerbated by insurance status. These findings call for interventions aimed to narrow the outcome disparity among injured in the US.
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Registered trials
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