ArticleInternational journal of environmental research and public health2021
Private Insurance and Mental Health among Older Adults with Multiple Chronic Conditions: A Longitudinal Analysis by Race and Ethnicity.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 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
15 citing papers in PubMed, 14 citations in OpenAlex.
- Sensory impairment, activities of daily living, and multimorbidity in middle-aged and older adults: evidence from the China health and retirement longitudinal study.BMC public health · 2026Article
- Depression and psychiatric help-seeking as joint outcomes: a Bayesian multilevel analysis of household-level dependence.Health and quality of life outcomes · 2026Article
- Association between utilization of community- based chronic disease examination services and disease control outcomes among patients with hypertension and diabetes.BMC public health · 2026Article
- Humanistic Care Needs of Elderly Chronic Disease Inpatients from the Perspective of Patient Journey Mapping: A Qualitative Study.Patient preference and adherence · 2026Article
- Discussing the Interplay of Social Determinants of Health, Aging, and Alzheimer's Biomarkers in U.S. Latinos.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Review
- Article
- Family support, social security, commercial insurance, and aging anxiety among Chinese residents: a study based on the 2021 CGSS data.Frontiers in public health · 2025Article
- Effects of Future Subjective Expectations on Cognitive Decline and Dementia among Middle-Aged and Older Adults.Behavioral sciences (Basel, Switzerland) · 2024Article
- The Value of Medicare Coverage on Depressive Symptoms Among Older Immigrants.The Gerontologist · 2024Article
- The relationship of chronic disease conditions to mental and physical health among cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Relationship between Perceived Pain Interference and Poor Psychological Wellbeing among United States Adults.Behavioral sciences (Basel, Switzerland) · 2023Article
- The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis.Frontiers in psychiatry · 2023Article
- Multiple chronic conditions among older adults in China: differences in socio-demographic characteristics.Heliyon · 2022Article
- Can supplementary private health insurance further supplement health.Frontiers in public health · 2022Article
- The Impact of Leisure Activities on the Mental Health of Older Adults: The Mediating Effect of Social Support and Perceived Stress.Journal of healthcare engineering · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Older adults with multiple chronic conditions have a higher risk than those without multiple conditions of developing a mental health condition. Individuals with both physical and mental conditions face many substantial burdens. Many such individuals also belong to racial and ethnic minority groups. Private insurance coverage can reduce the risks of developing mental illnesses by increasing healthcare utilization and reducing psychological stress related to financial hardship. This study examines the association between private insurance and mental health (i.e., depressive symptoms and cognitive impairment) among older adults in the United States with multiple chronic conditions by race and ethnicity. We apply a multivariate logistic model with individual fixed-effects to 12 waves of the Health and Retirement Study. Among adults with multiple chronic conditions in late middle age nearing entry to Medicare and of all racial and ethnic groups, those without private insurance have a stronger probability of having depressive symptoms. Private insurance and Medicare can mediate the risk of cognitive impairment among non-Hispanic Whites with multiple chronic conditions and among Blacks regardless of the number of chronic conditions. Our study has implications for policies aiming to reduce disparities among individuals coping with multiple chronic conditions.
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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.