Liu Echu, Bach Alison, Gumireddy Lionel, Hwang Joel Jihwan
Department of Health Management and Policy, Saint Louis University, Saint Louis, USA.
School of Medicine, Saint Louis University, Saint Louis, USA.
J Community Health. 2025 Feb;50(1):178-186. doi: 10.1007/s10900-024-01407-9. Epub 2024 Oct 5.
This study examines the relationship between health insurance literacy, as indicated by confidence in comprehending health insurance terms, and health status using cross-sectional data from 8 waves of the Health Reform Monitoring Survey (HRMS), covering 61,895 individuals from 2013 to 2017. An ordered logistic regression model was employed with self-rated health status on a five-point Likert scale as the dependent variable and the score of confidence in understanding health insurance terms as the primary independent variable. The model adjusts for variables such as access to care, insurance status, concerns about affordability leading to missed care, household size, family income, employment, education, race, marital status, and gender. Results suggest a positive association between higher confidence in understanding health insurance and superior health statuses. These findings underscore the significance of improving health insurance literacy and advocating for potential policy interventions to enhance public understanding of health insurance benefits and coverage options.
本研究利用来自8轮健康改革监测调查(HRMS)的横断面数据,考察了以理解健康保险条款的信心所体现的健康保险素养与健康状况之间的关系,该调查涵盖了2013年至2017年的61895名个体。采用有序逻辑回归模型,以五点李克特量表自评健康状况作为因变量,以理解健康保险条款的信心得分作为主要自变量。该模型对诸如获得医疗服务的机会、保险状况、对负担能力的担忧导致错过治疗、家庭规模、家庭收入、就业、教育、种族、婚姻状况和性别等变量进行了调整。结果表明,对理解健康保险的信心越高与健康状况越好之间存在正相关。这些发现强调了提高健康保险素养以及倡导潜在政策干预措施以增强公众对健康保险福利和覆盖选项理解的重要性。