Cumulative inequality and racial disparities in health: private insurance coverage and black/white differences in functional limitations.

TitleCumulative inequality and racial disparities in health: private insurance coverage and black/white differences in functional limitations.
Publication TypeJournal Article
Year of Publication2014
AuthorsKail, BLennox, Taylor, MG
JournalJ Gerontol B Psychol Sci Soc Sci
Volume69
Issue5
Pagination798-808
Date Published2014 Sep
ISSN Number1758-5368
KeywordsActivities of Daily Living, African Americans, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Health Status Disparities, Hispanic Americans, Humans, Insurance Coverage, Insurance, Health, Longitudinal Studies, Male, Medicare, Socioeconomic factors, United States
Abstract

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.

URLhttp://psychsocgerontology.oxfordjournals.org/content/early/2014/02/24/geronb.gbu005.abstract
DOI10.1093/geronb/gbu005
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/24569001?dopt=Abstract

Endnote Keywords

Cumulative inequality/Insurance/Functional limitations/Private insurance

Endnote ID

999999

Alternate JournalJ Gerontol B Psychol Sci Soc Sci
Citation Key8006
PubMed ID24569001
PubMed Central IDPMC4189650
Grant List2T32AG000139-21 / AG / NIA NIH HHS / United States