Health insurance coverage and self-reported health: new estimates from the NLSY97

Yörük, Barış K.

doi:10.1007/s10754-016-9189-1

Cited by 10 publications

(5 citation statements)

References 15 publications

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“…32 Thus, SROH is regarded as a practical and easily interpreted measure to assess inequalities in the oral health of a population. 11,12,33,34 We confirmed the same patterns of the outcome variable through a sensitivity analysis and robustness check. The supplemental table (eTable 1) shows the results separating "poor" versus "very poor".…”

Section: Discussionsupporting

confidence: 61%

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Kim

Kawachi²

2020

Journal of Epidemiology

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Background: In 2009, the South Korean government expanded universal health insurance to include oral health services. In the present study, we sought to examine whether improved access resulted in a reduction in income-based self-reported oral health inequalities. Methods: We analyzed repeated cross-sectional data from the Korea National Health and Nutrition Examination Survey (KNHANES) waves IV through VI (2007-2015). We analyzed self-reported oral health status among 68,431 subjects. Changes in oral health inequalities across four income levels (low, middle-low, middle-high, and high) were assessed with the Slope Index of Inequality (SII) and the Relative Index of Inequality (RII). Results: The average oral health status of children and adolescents improved the most over the observation period. The absolute magnitude of oral health inequalities (measured by the SII) improved for most groups, with the notable exception of young male adults. By contrast, the ratio of poor oral health between high-and low-income groups (measured by the RII) changed little over time, indicating that relative inequalities remained resistant to change. Conclusions: The expansion of dental health insurance may not be sufficient to move the needle on self-reported oral health inequalities among adults.

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Section: Discussionsupporting

confidence: 61%

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Kim

Kawachi²

2020

Journal of Epidemiology

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“…The effect of health insurance coverage on self-reported health has been investigated in different countries with no compulsory medical insurance and no publicly provided universal health coverage, see for example Simon, Soni, and Cawley (2017), Sommers, Maylone, Blendon, Orav, andEpstein (2017), Baicker, Taubman, Allen, Bernstein, Gruber, Newhouse, Schneider, Wright, Zaslavsky, andFinkelstein (2013), Yörük (2016) and Cardella and Depew (2014) for the U.S. and King, Gakidou, Imai, Lakin, Moore, Nall, (2009) for Mexico). Most of these studies find a significant positive effect of insurance coverage on self-reported health.…”

Section: Applicationmentioning

confidence: 99%

Causal mediation analysis with double machine learning

Farbmacher¹,

Huber²,

Lafférs³

et al. 2020

Preprint

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This paper combines causal mediation analysis with double machine learning to control for observed confounders in a data-driven way under a selection-on-observables assumption in a highdimensional setting. We consider the average indirect effect of a binary treatment operating through an intermediate variable (or mediator) on the causal path between the treatment and the outcome, as well as the unmediated direct effect. Estimation is based on efficient score functions, which possess a multiple robustness property w.r.t. misspecifications of the outcome, mediator, and treatment models. This property is key for selecting these models by double machine learning, which is combined with data splitting to prevent overfitting in the estimation of the effects of interest. We demonstrate that the direct and indirect effect estimators are asymptotically normal and root-n consistent under specific regularity conditions and investigate the finite sample properties of the suggested methods in a simulation study when considering lasso as machine learner. We also provide an empirical application to the U.S. National Longitudinal Survey of Youth, assessing the indirect effect of health insurance coverage on general health operating via routine checkups as mediator, as well as the direct effect. We find a moderate short term effect of health insurance coverage on general health which is, however, not mediated by routine checkups.

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“…Regarding the causal effect of health insurance on health, a review concluded that the observed correlation between insurance and good health might be driven by other factors (6). Two current studies indicated that the effect relied on the health insurance coverage (7, 8). Also, health insurance had some limitations.…”

Section: Introductionmentioning

confidence: 98%

Associations Between Schemes of Social Insurance and Self-Rated Health Comparison: Evidence From the Employed Migrants in Urban China

Guan

2019

Front. Public Health

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Background: Little was known about the relationship between social insurance without health insurance and self-rated health comparison (SRHC). The present study aimed to investigate how social insurance schemes improved SRHC among employed migrants in urban China.Methods: The employed migrants aged 18 and above were selected from the 2009 Rural-Urban Migration in China project. Multiple probit regression models were adopted to identify the determinants of participation of social insurance. Multiple logistic regression models were used to analyze the relationship between unemployment insurance, pension insurance, and work injury insurance and SRHC.Results: In the sample, most of the participants were middle-aged, male, and uninsured persons. However, over 80% of them reported better SRHC. Health insurance contributed to the participation of social insurance. The social insurance schemes were associated with financial risk. Regarding the confounding effects of health insurance, the three schemes of social insurance were associated with SRHC.Conclusions: The result indicated that not all three, but two schemes of social insurance, could improve SRHC among the employed migrants.

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Health insurance coverage and self-reported health: new estimates from the NLSY97

Cited by 10 publications

References 15 publications

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Did the Expansion of Insurance Coverage for Oral Health Reduce Self-reported Oral Health Inequalities in Korea? Results of Repeated Cross-Sectional Analysis, 2007–2015

Causal mediation analysis with double machine learning

Associations Between Schemes of Social Insurance and Self-Rated Health Comparison: Evidence From the Employed Migrants in Urban China

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