Intermittent lack of health insurance coverage and use of preventive services.

TitleIntermittent lack of health insurance coverage and use of preventive services.
Publication TypeJournal Article
Year of Publication2003
AuthorsSudano, JJ, Baker, DW
JournalAm J Public Health
Date Published2003 Jan
ISSN Number0090-0036
Call Numberpubs_2003_Sudano_JAJPH.pdf
KeywordsEpisode of Care, Female, Health Behavior, Health Status, Humans, Insurance Coverage, Logistic Models, Longitudinal Studies, Male, Medically Uninsured, Middle Aged, Outcome Assessment, Health Care, Patient Acceptance of Health Care, Preventive Health Services, Socioeconomic factors, United States

OBJECTIVES: This study examined the association between intermittent lack of health insurance coverage and use of preventive health services.

METHODS: Analyses focused on longitudinal data on insurance status and preventive service use among a national sample of US adults who participated in the Health and Retirement Study.

RESULTS: Findings showed that, among individuals who obtain insurance coverage after histories of intermittent coverage, relatively long periods may be necessary to reestablish clinically appropriate care patterns. Increasing periods of noncoverage led to successively lower rates of use of most preventive services.

CONCLUSIONS: Intermittent lack of insurance coverage-even across a relatively long period-results in less use of preventive services. Studies that examine only current insurance status may underestimate the population at risk from being uninsured.

User Guide Notes

Endnote Keywords

Health Insurance Coverage/Health Services

Endnote ID


Alternate JournalAm J Public Health
Citation Key6849
PubMed ID12511402
PubMed Central IDPMC1447707
Grant ListR01 HS010283 / HS / AHRQ HHS / United States
R01 HS10283-01 / HS / AHRQ HHS / United States