ArticleHealth affairs (Project Hope)2018
Interruptions In Private Health Insurance And Outcomes In Adults With Type 1 Diabetes: A Longitudinal Study.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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.
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Who cites it
17 citing papers in PubMed, 26 citations in OpenAlex.
- Insulin Costs and Use by Medicare Beneficiaries After the Inflation Reduction Act Out-of-Pocket Cap.JAMA · 2026Article
- Patterns of CPBMI-OC and associated factors among platform workers in new forms of employment in China: a cross-sectional study.BMC public health · 2025Article
- Health Care Use Among Patients Retroactively Insured via a Hospital-Based Insurance Linkage Program.Journal of general internal medicine · 2024Article
- Patient and Hospital Characteristics Associated with Admission Among Patients With Minor Isolated Extremity Firearm Injuries: A Propensity-Matched Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Gender Differences in Unhealthy Lifestyle Behaviors among Adults with Diabetes in the United States between 1999 and 2018.International journal of environmental research and public health · 2022Article
- Do Disruptions in Health Insurance Continue to Affect Access to Care Even After Coverage Is Regained?Journal of general internal medicine · 2022Article
- Association Between High Deductible Health Plans and Cost-Related Non-adherence to Medications Among Americans with Diabetes: an Observational Study.Journal of general internal medicine · 2022Observational
- Health insurance coverage and switching among people with hemophilia A in the United States.Journal of managed care & specialty pharmacy · 2022Article
- Inconsistent Medicaid Coverage is Associated with Negative Health Events for People with Epilepsy.Journal of health care for the poor and underserved · 2022Article
- Telehealth for Young Adults With Diabetes: Addressing Social Determinants of Health.Diabetes spectrum : a publication of the American Diabetes Association · 2021Article
- The Underground Exchange of Diabetes Medications and Supplies: Donating, Trading, and Borrowing, Oh My!Journal of diabetes science and technology · 2020Article
- Coverage for Adults With Chronic Disease Under the First 5 Years of the Affordable Care Act.Medical care · 2020Article
- Hospital admissions for hyperglycemic emergencies in young adults at an inner-city hospital.Diabetes research and clinical practice · 2019Article
- The Impact of Medicaid Expansion on Continuous Enrollment: a Two-State Analysis.Journal of general internal medicine · 2019Article
- Duration of Insulin Supply in Type 1 Diabetes: Are 90 Days Better or Worse Than 30 Days?Diabetes spectrum : a publication of the American Diabetes Association · 2019Article
- Prevalence of Type 1 Diabetes Among People Aged 19 and Younger in the United States.Preventing chronic disease · 2018Article
- Challenges for younger adults with diabetes.Minnesota medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 5 institutions in 2 countries.
Funding
Abstract
Type 1 diabetes mellitus, which often originates during childhood, is a lifelong disease that requires intensive daily medical management. Because health care services are critical to patients with this disease, we investigated the frequency of interruptions in private health insurance, and the outcomes associated with them, for working-age adults with type 1 diabetes in the United States in the period 2001-15. We designed a longitudinal study with a nested self-controlled case series, using the Clinformatics Data Mart Database. The study sample consisted of 168,612 adults ages 19-64 with type 1 diabetes who had 2.6 mean years of insurance coverage overall. Of these adults, 24.3 percent experienced an interruption in coverage. For each interruption, there was a 3.6 percent relative increase in glycated hemoglobin. The use of acute care services was fivefold greater after an interruption in health insurance compared to before the interruption and remained elevated when stratified by age, sex, or diabetic complications. An interruption was associated with lower perceived health status and lower satisfaction with life. We conclude that interruptions in private health insurance are common among adults with type 1 diabetes and have serious consequences for their well-being.
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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.