Search Results

Author: Horne, Gabrielle
Resulting in 2 citations.
1. Horne, Gabrielle
Gautam, Amber
Tumin, Dmitry
Short- and Long-Term Health Consequences of Gaps in Health Insurance Coverage among Young Adults
Population Health Management published online (25 Oct 2021): DOI: 10.1089/pop.2021.0211.
Also: https://www.liebertpub.com/doi/full/10.1089/pop.2021.0211
Cohort(s): NLSY97
Publisher: Mary Ann Liebert, Inc.
Keyword(s): Health Care; Health/Health Status/SF-12 Scale; Insurance, Health

Permission to reprint the abstract has not been received from the publisher.

In cross-sectional data, gaps in health insurance coverage are associated with worse health and lower utilization of preventive services. The authors investigated if these associations persisted 2-6 years after disruption of insurance coverage in a cohort of young adults. Data from the National Longitudinal Survey of Youth 1997, a longitudinal cohort study of participants who were ages 13-17 years in 1997, were analyzed. Annual interview data from 2007 through 2017 were included and analyzed in 2021. Health outcomes (general self-rated health, annual preventive care use, and work-related health limitations) in each year were regressed on insurance coverage status, classified as: continuous private coverage, continuous public coverage, gap in coverage, or year-round lack of coverage. In a series of models, insurance coverage status was lagged by 2, 4, or 6 years to capture long-term associations with health outcomes. The analytic sample included 8197 young adults contributing 49,580 observations. Contemporaneous gaps in coverage were associated with 17% lower odds of reporting better self-rated health (odds ratio [OR]: 0.83, 95% confidence interval [CI]: 0.78, 0.88; P < 0.001), compared to year-round private insurance. This association remained similar when the insurance covariate was lagged 2, 4, or 6 years (eg, 6-year lagged OR: 0.82; 95% CI: 0.72, 0.93; P = 0.002). Results were similar for preventive care use and work-related health limitation. Among young adults, gaps in coverage are adversely associated with health status and health care utilization up to 6 years later. Policy efforts should target insurance continuity during this life course stage.
Bibliography Citation
Horne, Gabrielle, Amber Gautam and Dmitry Tumin. "Short- and Long-Term Health Consequences of Gaps in Health Insurance Coverage among Young Adults." Population Health Management published online (25 Oct 2021): DOI: 10.1089/pop.2021.0211.
2. Pooleri, Anand
Yeduri, Rishita
Horne, Gabrielle
Frech, Adrianne
Tumin, Dmitry
Pain Interference in Young Adulthood and Work Participation
PAIN published online (30 August 2022): DOI: 10.1097/j.pain.0000000000002769.
Also: https://journals.lww.com/pain/Abstract/9900/Pain_interference_in_young_adulthood_and_work.168.aspx
Cohort(s): NLSY97
Publisher: Lippincott Williams & Wilkins
Keyword(s): Exits; Health, Chronic Conditions; Labor Force Participation

Permission to reprint the abstract has not been received from the publisher.

Chronic pain is associated with reduced work participation, but longitudinal data on the work impact of chronic pain are limited. We used data from the National Longitudinal Survey of Youth-1997 cohort to analyze how pain interference in early adulthood was associated with subsequent exit from the labor force in a longitudinal survey. Pain interference at age 29 and employment status were self-reported at subsequent biennial interviews. Exit from the labor force, return to employment, and development of new health-related work limitations after age 29 were analyzed using survival analysis methods. Among 5,819 respondents, 10% and 3% endorsed "a little" or "a lot" of pain interference at age 29, respectively. During follow-up (median of 26 months until censoring or labor force exit), 43% of respondents had exited the labor force at least once, and 10% developed a new work-related health limitation. The highest pain interference group (compared to no pain interference) had higher hazard of labor force exit (hazard ratio, HR: 1.26; 95% confidence interval, CI: 1.01, 1.57; p=0.044) and of developing new health-related work limitations (HR: 2.45; 95% CI: 1.64, 3.67; p<0.001), with similar results for the group experiencing "a little" pain interference at age 29. In this nationally representative cohort, any level of pain interference reported at age 29 was found to predict increased hazards of subsequent labor force exit and health-related work limitation. Early identification and treatment of pain problems among young workers can help reduce burdens of future unemployment and disability.
Bibliography Citation
Pooleri, Anand, Rishita Yeduri, Gabrielle Horne, Adrianne Frech and Dmitry Tumin. "Pain Interference in Young Adulthood and Work Participation." PAIN published online (30 August 2022): DOI: 10.1097/j.pain.0000000000002769.