Supplemental private health insurance and depressive symptoms in older married couples.

TitleSupplemental private health insurance and depressive symptoms in older married couples.
Publication TypeJournal Article
Year of Publication2005
AuthorsMin, MO, Townsend, AL, Miller, B, Rovine, MJ
JournalInt J Aging Hum Dev
Volume61
Issue4
Pagination293-312
Date Published2005
ISSN Number0091-4150
Call Numberpubs_2005_Min_etal.pdf
KeywordsAfrican Continental Ancestry Group, Aged, Aged, 80 and over, Analysis of Variance, Chi-Square Distribution, depression, European Continental Ancestry Group, Female, Humans, Insurance Coverage, Insurance, Health, Linear Models, Male, Risk Factors, Spouses, United States
Abstract

Stress process theory is applied to examine lack of supplemental private health insurance as a risk factor for depressive symptomatology among older married couples covered by Medicare. Dyadic data from 130 African-American couples and 1,429 White couples in the 1993 Asset and Health Dynamics Among the Oldest-Old Survey were analyzed using hierarchical generalized linear modeling. Lack of supplemental insurance is operationalized at the household level in terms of neither spouse covered, one spouse covered, or both spouses covered. Controlling for covariates at both individual and couple levels, supplemental insurance has significant impact on depression, but the pattern differs by race. White couples report the highest depression when neither spouse is covered by private health insurance; African-American couples report the highest depression when only one spouse is covered. Results suggest lack of supplemental private health insurance coverage is a stressor that significantly affects depressive symptoms.

DOI10.2190/21LA-XQCE-BKJF-MC17
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/16320444?dopt=Abstract

Endnote Keywords

Economic Status/ADULTS/Medicare

Endnote ID

16090

Alternate JournalInt J Aging Hum Dev
Citation Key7053
PubMed ID16320444
Grant ListR01 AG17546 / AG / NIA NIH HHS / United States