Probst Janice C, Wang Jong-Yi, Moore Charity G, Powell M Paige, Martin Amy Brock
University of South Carolina.
Med Care Res Rev. 2008 Aug;65(4):450-77. doi: 10.1177/1077558708317759. Epub 2008 May 19.
While a lack of health insurance or interrupted coverage has been shown to lead to poorer health status among preretirement populations, this phenomenon has not been examined among a large population of younger, working-age adults. We analyzed a nationally representative data set of persons born between 1957 and 1961, the National Longitudinal Survey of Youth-1979, to examine the links between insurance continuity and self-assessed physical and mental health at age 40. Among respondents turning 40 in 1998 or 2000, 59.8% had been continuously insured during the decade before they reached age 40. In unadjusted analysis, persons who were continuously covered had the highest scores for both physical and mental health. After controlling for respondent characteristics, insurance coverage was not significantly associated with perceived physical or mental health.
虽然缺乏医疗保险或保险中断已被证明会导致退休前人群的健康状况较差，但这一现象尚未在大量年轻的工作年龄成年人中进行研究。我们分析了1957年至1961年出生人群具有全国代表性的数据集——《1979年全国青年纵向调查》，以研究保险连续性与40岁时自我评估的身心健康之间的联系。在1998年或2000年年满40岁的受访者中，59.8%在40岁之前的十年中一直拥有保险。在未经调整的分析中，持续参保的人在身心健康方面得分最高。在控制了受访者特征后，保险覆盖与感知到的身心健康没有显著关联。
