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
JournalInternational Journal of Aging and Human Development
Volume61
Issue4
Pagination293-312
Call Numberpubs_2005_Min_etal.pdf
KeywordsDemographics, Medicare/Medicaid/Health Insurance, Net Worth and Assets
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 operation-alized 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.

Endnote Keywords

Economic Status/ADULTS/Medicare

Endnote ID

16090

Citation Key7053