Evidence map›Paper›PMID 32693654›Full record

ArticleAmerican journal of men's health

Confidence in Understanding Health Insurance and Challenges Paying Medical Bills Among Men in the United States.

Caress A Dean, Jacqueline Wiltshire, Echu Liu, M Ahinee Amamoo, Edlin Garcia Colato, Keith Elder

Open access · goldAbstract read
In one paragraph

Article in American journal of men's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 13% of its field
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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Caress A DeanDepartment of Public and Environmental Wellness, School of Health Sciences, Oakland University, Rochester, MI, USA.
Jacqueline WiltshireCollege of Public Health, University of South Florida, Tampa, FL, USA.
Echu LiuDepartment of Health Management and Policy, Saint Louis University, Saint Louis, MO, USA.
M Ahinee AmamooSchool of Public Health, Samford University, Birmingham, AL, USA.
Edlin Garcia ColatoCollege of Public Health, University of South Florida, Tampa, FL, USA.ORCID 0000-0002-6927-120X
Keith ElderSchool of Public Health, Samford University, Birmingham, AL, USA.ORCID 0000-0002-4932-0852
Samford University · USUniversity of South Florida · USOakland University · USSaint Louis University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although the number of men with health insurance has increased, men are less likely to utilize health services than females, and experience difficulty in paying medical bills. Understanding the details of health insurance can be challenging and the lack of understanding can have financial consequences. This study, guided by Andersen's model of health-care utilization, assessed the relationship between confidence level in understanding health insurance terms and difficulty in paying medical bills among American men. Data were drawn from the Health Reform Monitoring Survey, 2015-2016. The study included 6,643 men aged between 18 and 64. Descriptive statistics examined participants' difficulty in paying medical bills by predisposing, enabling, and need characteristics, and by confidence in understanding health insurance terms. A modified Poisson regression analysis examined the association between difficulty in paying medical bills, confidence in understanding health insurance terms score, and predisposing, enabling, and need characteristics. An increase in confidence in understanding health insurance terms score was associated with significantly lower reported difficulty in paying medical bills (PR = .98; 95% CI = [.97-.99];

Indexed as

Cost of IllnessAdultHealth ExpendituresHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthMaleMen's HealthMiddle AgedSocioeconomic FactorsUnited StatesYoung Adultconfidencehealth insurancehealth insurance literacymedical debt

Identifiers

PMID32693654
PMCPMC7376301
OpenAlexW3043824667

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.