Corman Hope, Noonan Kelly, Carroll Anne, Reichman Nancy E
Rider University-Economics, Lawrenceville, NJ 08648, USA.
J Health Care Poor Underserved. 2009 Feb;20(1):152-64. doi: 10.1353/hpu.0.0120.
We examine the prevalence and correlates of health insurance status among low-income fathers, a group not previously studied in this context. In a sample of 1,653 low-income fathers from a national urban birth cohort study, 29% had private, 14% had public, and 58% had no insurance. Privately insured fathers had greater levels of human capital than did publicly insured fathers; the latter more closely resembled uninsured fathers than they did privately insured fathers. Multinomial logistic regression analysis indicates that being older, being employed, being married, and having a job offering health insurance all increase the likelihood of having private (vs. no) insurance, and that being disabled and married to or cohabiting with the child's mother increase the likelihood of having public (vs. no) insurance. Public policy should focus on increasing access to health insurance among low-income men, which may improve their health, productivity, and ability to support themselves and their children.
我们研究了低收入父亲群体的医疗保险状况的患病率及其相关因素，这是一个此前未在此背景下进行过研究的群体。在一项来自全国城市出生队列研究的1653名低收入父亲样本中，29%拥有私人保险，14%拥有公共保险，58%没有保险。拥有私人保险的父亲比拥有公共保险的父亲拥有更高水平的人力资本；后者与未参保父亲的相似程度高于与参保父亲的相似程度。多项逻辑回归分析表明，年龄较大、就业、已婚以及有提供医疗保险的工作都会增加拥有私人（而非无）保险的可能性，而残疾以及与孩子的母亲结婚或同居会增加拥有公共（而非无）保险的可能性。公共政策应侧重于增加低收入男性获得医疗保险的机会，这可能会改善他们的健康状况、提高生产力以及增强他们养活自己和子女的能力。
