Employer Sponsored Medical Benefits: The Influence of Occupational Characteristics and Gender

Seccombe, Karen

doi:10.1111/j.1533-8525.1993.tb00106.x

Cited by 22 publications

(18 citation statements)

References 38 publications

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“…The uninsured are typically working poor; they neither qualify for Medicaid, nor do their jobs provide insurance, and they cannot afford to pay the premiums on their own (Seccombe 1993;Seccombe and Amey 1995). About 35 million Americans do not have health insurance.…”

Section: Process Studiesmentioning

confidence: 99%

Does Medical Insurance Contribute to Socioeconomic Differentials in Health?

2000

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T he positive association between socioeconomic status (SES) and health is well established, but the question of whether medical insurance accounts for any part of the relationship is not. The higher a person's SES, the better his or her average level of health. People who are both well off economically and highly educated experience better health than those who are poor and less educated, as indicated by the former group's high levels of selfreported health and physical functioning and low levels of morbidity and mortality. In contrast, low educational attainment, poverty, and economic hardship are associated with high rates of infectious diseases, many chronic, noninfectious diseases, self-reported poor health, disability, shorter survival if sick, and lower life expectancy (Adler, Boyce, Chesney, et al.

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Section: Process Studiesmentioning

confidence: 99%

Does Medical Insurance Contribute to Socioeconomic Differentials in Health?

2000

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“…First, individualistic perspectives assert that human capital and rational choice predict insurance coverage. They claim coverage results from adequate human capital accumulation including education, job training, and job tenure, as well as individual choices to maintain an uninterrupted employment trajectory instead of reducing work hours or engaging in intermittent labor to manage family responsibilities (Becker, 1993; for a review, Seccombe, 1993). Indeed, education is often associated with private health insurance above and beyond occupational characteristics (Keene and Prokos, 2007; Seccombe, Clarke, and Coward, 1994), and intermittent labor force attachment is a barrier to stable, employment-based insurance (Moen and Roehling, 2005).…”

Section: Theory and Evidencementioning

confidence: 99%

“…On the other hand, structural perspectives assert that an individual's position in the labor market, as opposed to human capital, determines health insurance (Seccombe, 1993; Seccombe and Beeghley, 1992). Indeed, larger companies, unions, the public sector, fulltime jobs, and higher wage occupations are more likely to offer health insurance (Fronstin, 2007).…”

Section: Theory and Evidencementioning

confidence: 99%

Employment, Marriage, and Inequality in Health Insurance for Mexican-Origin Women

Montez¹,

Angel

Angel³

2009

J Health Soc Behav

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In the United States, a woman's health insurance coverage is largely determined by her employment and marital roles. This research evaluates competing hypotheses regarding how the combination of employment and marital roles shapes insurance coverage among Mexican-origin, non-Hispanic white, and African-American women. We use data from the 2004 and 2006 March Supplements to the Current Population Surveys. Results show these roles largely substitute for each other among non-Hispanic white and African-American women, although marriage generally increases the odds of coverage slightly more than employment among non-Hispanic white women. In contrast, these roles cumulatively increase the odds among Mexican-origin women. Yet, neither employment, nor marriage, nor their combination assures their coverage. Married Mexican-origin women are particularly disadvantaged. As women increasingly spend a smaller fraction of their lives married, and as benefit-rich occupations are the purview of few women, stable and equitable coverage may require a universal health insurance system.In the United States, a woman's health insurance coverage is largely determined by her employment and marital roles. During the second half of the twentieth century, women increasingly entered the workforce and many now assume full responsibility for their health insurance coverage. Yet for women, as for men, employment is no guarantee of health insurance. While highly educated professional women tend to have health insurance, poorly educated women who work in the low-wage service sector often do not. Despite the growing number of women who obtain health insurance through their own employment, marriage continues to represent a significant source of insurance for a large fraction of women (Harrington Meyer and Pavalko, 1996;Moen and Roehling, 2005). As is the case with employment, marriage is no guarantee of health insurance. The smaller economic gains from marriage for some women, coupled with the current climate of marital instability, means that marriage is neither a likely nor a long-term source of insurance for many. Furthermore, historically institutionalized gender roles, occupational segregation, and wage gaps place many women at a disadvantage relative to men in terms of their own employment-based health insurance, which can increase their reliance on men as the primary economic provider in marriage (Orloff, 1993;Pascall and Lewis, 2004).In addition to gender, minority group status constitutes a significant structural barrier to health insurance in the United States. Compared to non-Hispanic whites, African-American and Mexican-origin adults are more likely to be employed in low-wage jobs that do not offer coverage. Among the working age population, 45% of Mexican-origin adults lack coverage, compared to 24% of non-Hispanic Blacks, and 13% of non-Hispanic whites (Angel, Angel, and Lein, 2007b). Given the long history of minority exclusion from full employment in the *Address correspondence to Jennifer Karas Montez, University of Texas...

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“…The difficulties in attributing differences observed in a comparison of two distinct surveys to "change" is acknowledged. However, a comparable analysis (Seccombe, 1993) included comparisons of sample composition on variables known to affect health insurance status (e.g. occupation, industry, education, age, gender, ethnicity, marital status, and mal/urban residence).…”

Section: Age Is Dichotomized Into Categories Representingmentioning

confidence: 99%

Changes in Health Insurance Coverage Within Rural and Urban Environments—1977 to 1987

Duncan¹,

Seccombe²,

Amey³

1995

The Journal of Rural Health

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This study examines changes in the health insurance coverage of the nonelderly population in rural and urban areas between 1977 and 1987, using data from the National Medical Care Expenditure Survey (NMCES) and the National Medical Expenditure Survey (NMES). It was designed to test the hypothesis that differences in the rates of health insurance coverage in rural and urban areas have diminished over time, and to explore the composition of changes in coverage within rural and urban environments. The data suggest that the proportions of the populations that are without health insurance in rural and urban areas have converged since 1977. Although both rural and urban settings witnessed increases in the proportion of their populations without health insurance from any source, urban regions experienced a greater increase than did rural areas. These changes occurred among most subgroups within the population. In no subgroup did the percentage of the population without insurance in urban areas exceed that found in rural areas in either 1977 or 1987.

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Employer Sponsored Medical Benefits: The Influence of Occupational Characteristics and Gender

Cited by 22 publications

References 38 publications

Does Medical Insurance Contribute to Socioeconomic Differentials in Health?

Does Medical Insurance Contribute to Socioeconomic Differentials in Health?

Employment, Marriage, and Inequality in Health Insurance for Mexican-Origin Women

Changes in Health Insurance Coverage Within Rural and Urban Environments—1977 to 1987

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