|Title||Cumulative inequality and racial disparities in health: private insurance coverage and black/white differences in functional limitations.|
|Publication Type||Journal Article|
|Year of Publication||2014|
|Authors||Kail, BLennox, Taylor, MG|
|Journal||J Gerontol B Psychol Sci Soc Sci|
|Date Published||2014 Sep|
|Keywords||Activities of Daily Living, Aged, Aged, 80 and over, Black or African American, Cross-Sectional Studies, Female, Health Status Disparities, Hispanic or Latino, Humans, Insurance Coverage, Insurance, Health, Longitudinal Studies, Male, Medicare, Socioeconomic factors, United States|
OBJECTIVES: To test different forms of private insurance coverage as mediators for racial disparities in onset, persistent level, and acceleration of functional limitations among Medicare age-eligible Americans.
METHOD: Data come from 7 waves of the Health and Retirement Study (1996-2008). Onset and progression latent growth models were used to estimate racial differences in onset, level, and growth of functional limitations among a sample of 5,755 people aged 65 and older in 1996. Employer-provided insurance, spousal insurance, and market insurance were next added to the model to test how differences in private insurance mediated the racial gap in physical limitations.
RESULTS: In baseline models, African Americans had larger persistent level of limitations over time. Although employer-provided, spousal provided, and market insurances were directly associated with lower persistent levels of limitation, only differences in market insurance accounted for the racial disparities in persistent level of limitations.
DISCUSSION: Results suggest private insurance is important for reducing functional limitations, but market insurance is an important mediator of the persistently larger level of limitations observed among African Americans.
|User Guide Notes|
|Endnote Keywords|| |
Cumulative inequality/Insurance/Functional limitations/Private insurance
|Endnote ID|| |
|Alternate Journal||J Gerontol B Psychol Sci Soc Sci|
|PubMed Central ID||PMC4189650|
|Grant List||2T32AG000139-21 / AG / NIA NIH HHS / United States|