Health Behaviors of Employed and Insured Adults in the United States, 2004-2005

Hughes, M. Courtney; Hannon, Peggy A.; Harris, Jeffrey R.; Patrick, Donald L.

doi:10.4278/ajhp.080603-quan-77

Cited by 33 publications

(34 citation statements)

References 30 publications

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“…Previous studies also find that the most common types of health-related behaviors are gender-specific, which is of interest for health promotion activities. 9,10,16 Although, our results regarding the socioeconomic determinants of daily smoking are compatible with previous studies, 4,9-15 we did not capture all associations found in previous studies for alcohol consumption. 10,17 This may to a certain extent be because of the variation in the way drinking behavior is measured and reported in different studies.…”

Section: Indicators Of Health-related Behaviorssupporting

confidence: 59%

“…9,10,16 Although, our results regarding the socioeconomic determinants of daily smoking are compatible with previous studies, 4,9-15 we did not capture all associations found in previous studies for alcohol consumption. 10,17 This may to a certain extent be because of the variation in the way drinking behavior is measured and reported in different studies. 11 It can also be explained by the fact that we use a wider range of factors which might pick up the effect of other socioeconomic variables.…”

Section: Indicators Of Health-related Behaviorssupporting

confidence: 59%

“…[4][5][6][7][8] For instance, it has been shown that age, gender, marital status, and income determine the prevalence of unhealthy behaviors. 4,[9][10][11][12][13][14][15][16][17] Some studies also show that self-perceived health is associated with those behaviors. 6,18 Insurance coverage could also discourage individual lifestyle improvement and prevention activities, which is known as the ex-ante moral hazard problem.…”

Section: Introductionmentioning

confidence: 99%

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Socio-economic Aspects of Health-Related Behaviors and Their Dynamics: A Case Study for the Netherlands

Rezayatmand¹,

Pavlova²,

Groot³

2015

Int J Health Policy Manag

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Background: Previous studies have mostly focused on socio-demographic and health-related determinants of health-related behaviors. Although comprehensive health insurance coverage could discourage individual lifestyle improvement due to the ex-ante moral hazard problem, few studies have examined such effects. This study examines the association of a comprehensive set of factors including socio-demographic, health status, health insurance, and perceived change in health insurance coverage with health-related behaviors and their dynamics (ie, changes in behavior Conclusion:Our findings show that all above mentioned factors (ie, socio-demographic and health status factors) are associated with health-related behavior but not in a consistent way across all behaviors. Moreover, the dynamics of each behavior (positive or negative change) is not necessarily determined by the same factors that determine the state of that behavior. We also find that better perceived health insurance coverage is associated with a healthier lifestyle which is not compatible with an ex-ante moral hazard interpretation. Our results provide input to target policies towards elderly individuals in need of lifestyle change. However, further research should be done to identify the causal effect of health insurance on health-related behavior. Implications for policy makers • Health-related behavior should not be treated as a uniform concept, each behavior should rather be considered separately. •The dynamics of health-related behavior are not necessarily associated with the same factors that determine the state of that behavior. • A comprehensive understanding of the determinants of health-related behavior is crucial to change individuals' behaviors into a healthier lifestyle.• Ex-ante moral hazard does not seem to undermine healthy behavior. Implications for publicAlthough some studies have found that someone who smokes is more likely also to drink excessively and be physically inactive, in this study, we found that different people engage in different unhealthy behaviors. Additionally, those more likely to desist from such behaviors also vary. Therefore, we recommend that researchers and policy-makers should consider each health behavior separately. Some people have argued that people should pay privately for their healthcare because people will only look after their health if they have to pay when something goes wrong with their health. Our study found that in the Netherlands, this is not the case: people who received more coverage from their health insurer looked after their health more.

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Section: Indicators Of Health-related Behaviorssupporting

confidence: 59%

Section: Indicators Of Health-related Behaviorssupporting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Socio-economic Aspects of Health-Related Behaviors and Their Dynamics: A Case Study for the Netherlands

Rezayatmand¹,

Pavlova²,

Groot³

2015

Int J Health Policy Manag

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“…Even among insured adults, influenza vaccination represented the least frequently received preventative health service among routine recommended services (26%) during a 2-year study period. 18 Second, lack of insurance coverage for vaccine-eligible adults and potential loss of income (because of the need to take time from work for preventive care) add to the challenges. Third, many healthy adults are unaware of the continuing need for immunization and the risks to themselves or others when their immunizations are not current.…”

Section: Barriers To Immunization Of Adultsmentioning

confidence: 99%

“…17 Another study conducted in [2004][2005] reported that 74% of insured adults did not receive influenza vaccine. 18 With evidence to support the benefits of immunization of parents and other close family contacts for the protection of children, several barriers to adult immunization remain. First, there are patient factors, such as a reluctance of healthy adults to seek preventive health care.…”

Section: Barriers To Immunization Of Adultsmentioning

confidence: 99%

Immunizing Parents and Other Close Family Contacts in the Pediatric Office Setting

Lessin¹,

Edwards²,

Hammer³

et al. 2012

Pediatrics

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Additional strategies are needed to protect children from vaccine-preventable diseases. In particular, very young infants, as well as children who are immunocompromised, are at especially high risk for developing the serious consequences of vaccine-preventable diseases and cannot be immunized completely. There is some evidence that children who become infected with these diseases are exposed to pathogens through household contacts, particularly from parents or other close family contacts. Such infections likely are attributable to adults who are not fully protected from these diseases, either because their immunity to vaccine-preventable diseases has waned over time or because they have not received a vaccine. There are many challenges that have added to low adult immunization rates in the United States. One option to increase immunization coverage for parents and close family contacts of infants and vulnerable children is to provide alternative locations for these adults to be immunized, such as the pediatric office setting. Ideally, adults should receive immunizations in their medical homes; however, to provide greater protection to these adults and reduce the exposure of children to pathogens, immunizing parents or other adult family contacts in the pediatric office setting could increase immunization coverage for this population to protect themselves as well as children to whom they provide care.

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