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Author: Horne, Gabrielle
Resulting in 1 citation.
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.