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Private health insurance coverage and disability among older Americans.

Publication ,  Journal Article
Landerman, LR; Fillenbaum, GG; Pieper, CF; Maddox, GL; Gold, DT; Guralnik, JM
Published in: J Gerontol B Psychol Sci Soc Sci
September 1998

OBJECTIVES: This study examines the relationship between the lack of private supplemental health insurance coverage and the development of disability among adults aged 65 and older. METHODS: Data are from the baseline and six follow-up waves of the Duke Established Populations for Epidemiologic Studies of the Elderly survey (N = 4,000). Discrete-time hazard models were used to estimate the impact of insurance coverage and other risk factors on the incidence of disability among those unimpaired at baseline. RESULTS: Controlling for education, income, and other potential confounders, the odds of developing disability were 35-49% higher among those without private coverage. Insurance coverage also statistically explained part of the increased risk of disability among low-income persons. DISCUSSION: The results indicate that changes in health insurance coverage as well as in individual behaviors may be needed to reduce disability generally and disability among the socioeconomically disadvantaged, in particular.

Duke Scholars

Published In

J Gerontol B Psychol Sci Soc Sci

DOI

ISSN

1079-5014

Publication Date

September 1998

Volume

53

Issue

5

Start / End Page

S258 / S266

Location

United States

Related Subject Headings

  • United States
  • Male
  • Insurance, Health
  • Insurance Coverage
  • Income
  • Humans
  • Health Status
  • Health Services
  • Health Behavior
  • Gerontology
 

Citation

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Landerman, L. R., Fillenbaum, G. G., Pieper, C. F., Maddox, G. L., Gold, D. T., & Guralnik, J. M. (1998). Private health insurance coverage and disability among older Americans. J Gerontol B Psychol Sci Soc Sci, 53(5), S258–S266. https://doi.org/10.1093/geronb/53b.5.s258
Landerman, L. R., G. G. Fillenbaum, C. F. Pieper, G. L. Maddox, D. T. Gold, and J. M. Guralnik. “Private health insurance coverage and disability among older Americans.J Gerontol B Psychol Sci Soc Sci 53, no. 5 (September 1998): S258–66. https://doi.org/10.1093/geronb/53b.5.s258.
Landerman LR, Fillenbaum GG, Pieper CF, Maddox GL, Gold DT, Guralnik JM. Private health insurance coverage and disability among older Americans. J Gerontol B Psychol Sci Soc Sci. 1998 Sep;53(5):S258–66.
Landerman, L. R., et al. “Private health insurance coverage and disability among older Americans.J Gerontol B Psychol Sci Soc Sci, vol. 53, no. 5, Sept. 1998, pp. S258–66. Pubmed, doi:10.1093/geronb/53b.5.s258.
Landerman LR, Fillenbaum GG, Pieper CF, Maddox GL, Gold DT, Guralnik JM. Private health insurance coverage and disability among older Americans. J Gerontol B Psychol Sci Soc Sci. 1998 Sep;53(5):S258–S266.
Journal cover image

Published In

J Gerontol B Psychol Sci Soc Sci

DOI

ISSN

1079-5014

Publication Date

September 1998

Volume

53

Issue

5

Start / End Page

S258 / S266

Location

United States

Related Subject Headings

  • United States
  • Male
  • Insurance, Health
  • Insurance Coverage
  • Income
  • Humans
  • Health Status
  • Health Services
  • Health Behavior
  • Gerontology