ArticleInternational journal for equity in health2021
The convergence of racial and income disparities in health insurance coverage in the United States.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 1 of them a synthesis that pooled it.
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Who cites it
77 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A global systematic overview of socioeconomic factors associated with antidiabetic medication adherence in individuals with type 2 diabetes.Journal of health, population, and nutrition · 2023Pooled it
- Operational Ethics in the Cardiovascular Intensive Care Unit: A Practical Framework for Ethical Decision-Making.Journal of clinical medicine · 2026Review
- Eating disorder severity and treatment outcome across race/ethnicity, sexual orientation, and socioeconomic status: Intersectional inequities in a clinical sample.Social science & medicine (1982) · 2026Article
- Sociocultural and Structural Determinants of Black Maternal Mental Health: A Scoping Review.Birth (Berkeley, Calif.) · 2026Article
- Trends in Telehealth Use and Changes in Associated Disparities: 2022-2024 HINTS.Journal of general internal medicine · 2026Article
- Racial and Ethnic Variations in a Multi-Channel Psychiatric Emergency Services Program.Community mental health journal · 2026Article
- Cannabis Use and Mental Health Coping Behavior among Black, Indigenous, and People of Color Women during the COVID-19 Pandemic: Results from the COVID-19 Cannabis Health Study.Journal of racial and ethnic health disparities · 2026Article
- Health Insurance as a Moderator of Cardiovascular Risk Among Adults with Depression: A Cross-Sectional and Geographic Analysis Using BRFSS 2019-2023 Data.Healthcare (Basel, Switzerland) · 2026Article
- Waiting for a hospital bed: Disparities in emergency department boarding.Journal of hospital medicine · 2026Article
- Barriers Individuals From Racial-Ethnic Minority Groups Face in Accessing Eating Disorder Treatment and Proposed Solutions.Psychiatric services (Washington, D.C.) · 2026Review
- Analysis of the current situation and influencing factors of burnout of medical insurance specialists in public hospitals in Guangxi, China under the background of the "Sanming Model" reform- cases of healthcare system reform from low and middle income regions.BMC health services research · 2026Article
- Medical insurance coverage and its associated factors among children in urban and rural Chongqing, China.International health · 2026Article
- Integrating an antiracism curriculum into public health core courses.Frontiers in public health · 2026Article
- Cardiogenic Shock; Health Disparities; Equity; Mechanical Circulatory Support; Sex Differences; Multidisciplinary Care; Protocolized Care.Current heart failure reports · 2025Review
- Understanding barriers to adjuvant therapy in resected non-small cell lung cancer: A multicenter analysis.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
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- Racial/Ethnic variation in health insurance coverage and early midlife depressive symptoms in the U.S.BMC health services research · 2025Article
- Who stays? Understanding the attrition in a longitudinal aging study of older Chinese immigrants in the United States.Innovation in aging · 2025Article
- Maternal Sleep Disorders and Maternal and Birth Outcomes: A Retrospective US Claims-Based Study.Brain and behavior · 2025Article
17 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study applied the vulnerability framework and examined the combined effect of race and income on health insurance coverage in the US. DATA SOURCE: The household component of the US Medical Expenditure Panel Survey (MEPS-HC) of 2017 was used for the study. STUDY
designLogistic regression models were used to estimate the associations between insurance coverage status and vulnerability measure, comparing insured with uninsured or insured for part of the year, insured for part of the year only, and uninsured only, respectively. DATA COLLECTION/EXTRACTION
methodsWe constructed a vulnerability measure that reflects the convergence of predisposing (race/ethnicity), enabling (income), and need (self-perceived health status) attributes of risk. PRINCIPAL
findingsWhile income was a significant predictor of health insurance coverage (a difference of 6.1-7.2% between high- and low-income Americans), race/ethnicity was independently associated with lack of insurance. The combined effect of income and race on insurance coverage was devastating as low-income minorities with bad health had 68% less odds of being insured than high-income Whites with good health.
conclusionResults of the study could assist policymakers in targeting limited resources on subpopulations likely most in need of assistance for insurance coverage. Policymakers should target insurance coverage for the most vulnerable subpopulation, i.e., those who have low income and poor health as well as are racial/ethnic minorities.
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