Observational studyMedicine2019
The impact of marital status on health care utilization among Medicare beneficiaries.
Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 1 of them a synthesis that pooled it.
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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
83 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Disparities in survival of hematologic malignancies in the context of social determinants of health: a systematic review.Blood advances · 2023Pooled it
- Assessing progress towards Sustainable Development Goal 3.8.2 and determinants of catastrophic health expenditures in Malaysia.PloS one · 2022Trial
- Residential road traffic noise and incidence of depression in Denmark: a nationwide cohort study.The Lancet regional health. Europe · 2026Article
- Mobile money and households' ability to respond to health shocks in Africa: Evidence from Madagascar.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Household firearm ownership, firearm storage, and healthcare engagement.BMC public health · 2026Article
- Rural-Urban Differences in Cervical Cancer Screening Patterns: A Cross-Sectional Analysis of the 2021 National Health Interview Survey (NHIS).The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- The knowledge-perception nexus: socio-linguistic disparities in surgical informed consent among patients at Ethiopian tertiary hospitals.BMC surgery · 2026Article
- Relationship between spiritual pain, physical pain, and existential wellbeing among cancer patients: a correlational study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Frailty Among the Older Adults in Bangladesh: A Comparative Analysis of Rural and Urban Populations.Health science reports · 2026Article
- Patient Digital Engagement With After Visit Summary in Ambulatory Care.JAMA network open · 2026Article
- Chronic conditions and healthcare cost and utilization among underserved Medicare beneficiaries.PloS one · 2026Article
- Social connectedness and healthcare engagement among adults with disabilities: The role of living arrangement.PloS one · 2026Article
- Prevalence and Determinants of Acute Gastrointestinal Illness among Irrigation Farmworkers in Gelan Farm Sites, Sheger City, Ethiopia.Environmental health insights · 2026Article
- Factors influencing emergency department utilisation using Andersen's behavioural model: a cross-sectional study in a public hospital in Malaysia.Frontiers in public health · 2026Article
- Key Factors Associated With Nonuse of Telemedicine in Patients With Hypertension and/or Diabetes: Findings From the 2023 Indonesia Health Survey.International journal of telemedicine and applications · 2026Article
- The relationship between social risk profile of middle-aged and older adults in the united States and circadian syndrome and all-cause mortality: evidence from NHANES 2007-2018.BMC public health · 2025Article
- Temporal Trends, Setting, and Timing of Palliative and Hospice Care in COPD in the Veterans Health Administration, 2010-2020.CHEST pulmonary · 2025Article
- Widowhood mortality among married and cohabiting partners: a nationwide study in Finland.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Factors Associated with Health Service Use for Self-Reported Balance Problems in Community-Dwelling Adults: A Secondary Analysis of Nationally Representative NHANES 2001-2004 Data.Healthcare (Basel, Switzerland) · 2025Article
- Access to essential medicines during the Sudanese civil war: a cross-sectional study.International journal for equity in health · 2025Article
23 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To explain prior literature showing that married Medicare beneficiaries achieve better health outcomes at half the per person cost of single beneficiaries, we examined different patterns of healthcare utilization as a potential driver.Using the Medicare Current Beneficiary Survey (MCBS) data, we sought to understand utilization patterns in married versus currently-not-married Medicare beneficiaries. We analyzed the relationship between marital status and healthcare utilization (classified based on setting of care utilization into outpatient, inpatient, and skilled nursing facility (SNF) use) using logistic regression modeling. We specified models to control for possible confounders based on the Andersen model of healthcare utilization.Based on 13,942 respondents in the MCBS dataset, 12,929 had complete data, thus forming the analytic sample, of whom 6473 (50.3%) were married. Of these, 58% (vs. 36% of those currently-not-married) were male, 45% (vs. 47%) were age >75, 24% (vs. 70%) had a household income below $25,000, 18% (vs. 14%) had excellent self-reported general health, and 56% (vs. 36%) had private insurance. Compared to unmarried respondents, married respondents had a trend toward higher odds of having a recent outpatient visit (unadjusted odds ratio (OR) 1.11, 95% confidence interval (CI) 1.04-1.19, adjusted odds ratio (AOR) 1.10, (CI) 0.99-1.22), and lower odds in the year prior to have had an inpatient stay (AOR 0.84, CI 0.72-0.99) or a SNF stay (AOR 0.55, CI 0.40-0.75).Based on MCBS data, odds of self-reported inpatient and SNF use were lower among married respondents, while unadjusted odds of outpatient use were higher, compared to currently-not-married beneficiaries.
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