ArticleAmerican journal of preventive medicine2023
Veterans Health Administration Healthcare Coverage and Medical Financial Hardship in Low-Income Veterans.
Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 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
6 citing papers in PubMed, 7 citations in OpenAlex.
- Longitudinal association between concurrent changes in social support and mental health symptoms among low-income U.S. veterans: a 2-year follow-up study.The Psychiatric quarterly · 2026Article
- Healthcare Access and Utilization in a National Sample of Cancer Survivors With a History of Military Service.Oncology nursing forum · 2026Article
- Employment and industries that low-income U.S. veterans with mental illness participate in.Psychiatric rehabilitation journal · 2026Article
- Cardiac Rehabilitation Utilization Among Veterans: A Sex-Based Analysis.JACC. Advances · 2026Article
- Financial hardship after COVID-19 infection among US Veterans: a national prospective cohort study.BMC health services research · 2024Observational
- Regional variation in financial hardship among US veterans during the COVID-19 pandemic.Health affairs scholar · 2024Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
introductionThe Veterans Health Administration (VA) provides low- to no-cost care to enrolled veterans with low incomes. This study assessed the associations between VA coverage and medical financial hardship among U.S. veterans with low incomes.
methodsUsing 2015-2018 National Health Interview Survey data, veterans aged ≥18 years with incomes <200% of the Federal Poverty Level were identified (crude n=2,468, weighted n=3,872,252). Four types of medical financial hardship were assessed: objective, and subjective material, psychologic, and behavioral medical financial hardship. Survey-weighted proportions of veterans with medical financial hardship were calculated, and adjusted probabilities of medical financial hardship that accounted for Veteran characteristics, year-fixed effects, and survey sampling design were estimated. Analyses were conducted from August through December 2022.
resultsOverall, 34.5% of veterans with low incomes had VA coverage. Among veterans without VA coverage, 38.7% had Medicare insurance, 18.2% had Medicaid insurance, 16.5% had private insurance, 13.5% had other public insurance, and 13.1% were uninsured. In adjusted analyses, veterans with VA coverage had lower probabilities of objective (-8.13 percentage point, p=0.008), subjective material (-6.55 percentage point, p=0.034), subjective psychologic (-10.33 percentage point, p=0.003), and subjective behavioral (-6.72 percentage point, p=0.031) medical financial hardship than veterans with Medicare and no VA coverage.
conclusionsVA coverage was associated with protection against four types of medical financial hardship among veterans with low incomes, yet many are not enrolled. Research is needed to understand reasons these veterans lack VA coverage and to identify strategies to address medical financial hardship.
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Registered trials
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