2012
DOI: 10.1111/j.1549-0831.2012.00091.x
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What Explains Divorced Women's Poorer Health? The Mediating Role of Health Insurance and Access to Health Care in a Rural Iowan Sample

Abstract: The economic restructuring in rural areas in recent decades has been accompanied by rising marital instability. To examine the implications of the increase in divorce for the health of rural women, we examine how marital status predicts adequacy of health insurance coverage and health care access, and whether these factors help to account for the documented association between divorce and later illness. Analyzing longitudinal data from a cohort of over 400 married and recently divorced rural Iowan women, we de… Show more

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Cited by 7 publications
(8 citation statements)
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References 68 publications
(116 reference statements)
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“…Being uninsured also means women are less likely to go to the doctor or to get medical care when they do get sick, potentially exacerbating conditions and illnesses (McWilliams 2009). Future studies using longitudinal data on health as well as health insurance should formally test whether loss of insurance coverage helps to account for some of the health declines women experience after marital disruption (see Lavelle, Lorenz, and Wickrama forthcoming for preliminary evidence).…”
Section: Discussionmentioning
confidence: 99%
“…Being uninsured also means women are less likely to go to the doctor or to get medical care when they do get sick, potentially exacerbating conditions and illnesses (McWilliams 2009). Future studies using longitudinal data on health as well as health insurance should formally test whether loss of insurance coverage helps to account for some of the health declines women experience after marital disruption (see Lavelle, Lorenz, and Wickrama forthcoming for preliminary evidence).…”
Section: Discussionmentioning
confidence: 99%
“…F. Parker, Mancik, & Stansfield, 2017) and theoretically related to the perpetration of IPV: the percentage of families in poverty, the percentage of family households headed by a female, the percentage of households who received public assistance, the percentage of people without health insurance, and the percentage of the population over the age of 25 without a 4-year college education. Although less often used in traditional disadvantage indexes, lacking health insurance has become increasingly linked to economic deprivation since the Great Recession starting in 2008 (Dhongde & Haveman, 2017), particularly among rural samples (Lavelle, Lorenz, & Wickrama, 2012) and Hispanic immigrants (Gelatt, 2016). Acceptable factors were generated for the total population, Hispanic population, and non-Hispanic White and Black populations.…”
Section: Independent Variablesmentioning
confidence: 99%
“…Notably, there is some evidence to suggest that in the US, marriage is a significant predictor of having health insurance, especially for women. [158][159][160] El-Bassel et al 54 reported that 75% of individuals within HIV-serodiscordant African American couples had some form of health insurance coverage.…”
Section: Drug Costsmentioning
confidence: 99%