ArticleHealth services research2018
Health Insurance and Poverty in Trajectories of Out-of-Pocket Expenditure among Low-Income Middle-Aged Adults.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The trial behind it
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Who cites it
11 citing papers in PubMed.
- Fiscal Incentives and Health Risk Protection: How Central-Local Fiscal Relations Shape Rural Households' Medical Burden in China.Healthcare (Basel, Switzerland) · 2026Article
- Association of federal poverty level with healthcare expenditures among opioids users in the United States (2008-2019): a serial cross-sectional study.International journal for equity in health · 2025Article
- Health behavior and medical insurance under the healthy China strategy: a moral hazard perspective.Frontiers in public health · 2024Article
- Poverty Reduction Effects of Medical Insurance on Middle-Aged and Elderly Families under the Goal of Common Prosperity in China.Healthcare (Basel, Switzerland) · 2023Article
- The Effect of the "Triple-Layer Medical Security" Policy on the Vulnerability as Expected Poverty of Rural Households: Evidence from Yunnan Province, China.International journal of environmental research and public health · 2022Article
- Income Shocks and Out-of-Pocket Health Care Spending: Implications for Single-Mother Families.Journal of family and economic issues · 2022Article
- The Price of Progress: Cost, Access, and Adoption of Novel Cardiovascular Drugs in Clinical Practice.Current cardiology reports · 2021Review
- A more practical guide to incorporating health equity domains in implementation determinant frameworks.Implementation science communications · 2021Article
- Total Health Expenditure and Its Driving Factors in China: A Gray Theory Analysis.Healthcare (Basel, Switzerland) · 2021Article
- Rates and Determinants of Eyecare Utilization and Eyeglass Affordability Among Individuals With Visual Impairment in a Multi-Ethnic Population-Based Study in Singapore.Translational vision science & technology · 2020Article
- Multi-Morbid Health Profiles and Specialty Healthcare Service Use: A Moderating Role of Poverty.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo assess the effects of longitudinal patterns of health insurance and poverty on out-of-pocket expenditures among low-income late middle-aged adults. DATA SOURCES/STUDY
settingSix waves (2002-2012) of the Health and Retirement Study, in combination with RAND Center for the Study of Aging data, were used. STUDY
designA random coefficient regression analysis was conducted in a multilevel growth curve framework to estimate the impact of health insurance and poverty on out-of-pocket expenditures. PRINCIPAL
findingsAt baseline, individuals with private insurance or unstable coverage were more likely to have out-of-pocket expenditures and financial burdens than public insurance holders. Over time, the poor who had no insurance, unstable coverage, or insurance type change had higher out-of-pocket expenditures; private coverage holders had higher odds of financial burden.
conclusionsUnstable insurance coverage had a discernible effect on the long-term, out-of-pocket expenditures among low-income adults. Findings have an important policy implication to protect poor late middle-aged population; as this population enters old age, the high financial burden it faces may exacerbate persistent socioeconomic health disparity among older people with unstable insurance coverage.
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Registered trials
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