MMWR Morb Mortal Wkly Rep. 1998 Mar 13;47(9):176-80.
Persons without health-care coverage are more likely to have poor health and be at greater risk for chronic disease outcomes than persons who have health-care coverage. In the United States, the number of persons and the proportion of the population without health-care coverage has increased each year since 1987. State-specific surveillance of health-care coverage can be used to identify subgroups of the population who lack such coverage and may be at increased risk for poor health. To determine state-specific estimates of the prevalence of self-assessed health status and risk factors for chronic disease by health-care coverage status among adults aged 18-64 years, CDC analyzed data from the 1994 and 1995 Behavioral Risk Factor Surveillance System (BRFSS). This report summarizes the results of that analysis and indicates that adults without health-care coverage were more likely than those with health-care coverage to have poor health status, to be current smokers, and to be less physically active.
与享有医保的人相比，未享有医保的人健康状况更差，患慢性病的风险更高。在美国，自1987年以来，未享有医保的人数及其占总人口的比例逐年增加。针对各州的医保覆盖情况进行监测，可用于识别那些缺乏医保覆盖且健康状况可能较差的人群亚组。为了确定18至64岁成年人中按医保覆盖状况划分的自我评估健康状况及慢性病风险因素的患病率的各州具体估计值，美国疾病控制与预防中心（CDC）分析了1994年和1995年行为风险因素监测系统（BRFSS）的数据。本报告总结了该分析结果，并表明未享有医保的成年人比享有医保的成年人更有可能健康状况不佳、目前仍在吸烟且身体活动较少。
