scholarly journals Factors Associated with Health Insurance Affordability Concerns Among U.S. Adults Age 50–64: a Cross-Sectional, Nationally Representative Study

Author(s):  
Aaron M. Scherer ◽  
Erica Solway ◽  
Preeti N. Malani ◽  
Jamie Luster ◽  
Jeffrey T. Kullgren ◽  
...  
2020 ◽  
Author(s):  
Kathleen Kenny ◽  
Lisa Merry ◽  
Brownbridge A. Douglas ◽  
ML Urquia

Abstract Objectives There is a paucity of research on patterns of cyber-victimization in minority groups, including immigrants. This study aimed at identifying individual, interpersonal and contextual characteristics associated with cyber-victimization among immigrants and non-immigrants.Methods We drew on nationally representative data from adolescents and adults in the Canadian General Social Survey on victimization (2014). Multivariable logistic regression was employed to identify potential factors associated with cyber-victimization in the last 12 months, stratified by immigrant status and sex.Results Among 27,425 survey respondents, the weighted prevalence of cyber-victimization in the last 12 months was 2.1% among immigrants and 2.3% among non-immigrants. Cyber-victimization rates differed significantly by sex among immigrants (2.8% for males vs. 1.4% for females), but not among non-immigrants (2.1% for males vs. 2.4% for females). While most other factors associated with cyber-victimization were similar for immigrants and non-immigrants, we found pronounced associations of past child maltreatment (adjusted prevalence odds ratio [aPOR] 4.85, 95% confidence interval [CI] 2.76, 8.52) and residence in an unwelcoming neighbourhood (aPOR 5.08, 95% CI 2.44, 10.55) with cyber-victimization among immigrants that were diminished or absent among non-immigrants. Additionally, sex-stratified analyses among immigrants showed cyber-victimization to be strongly associated with having a mental health condition (aPOR 3.50, 95% CI 1.36, 8.97) among immigrant males only, and with perceived discrimination (aPOR 4.08, 95% CI 1.65, 10.08), as well as being under 24 years old (aPOR 3.24, 95% CI 1.09, 9.60) among immigrant females.Conclusions Immigration status and sex were differentially associated with cyber-victimization. Findings support the salience of a social-ecological perspective and gender-stratified analyses to better elucidate complex pathways linking cyber-victimization to potential gender-based health inequities among immigrants.


2020 ◽  
Author(s):  
Kathleen Kenny ◽  
Lisa Merry ◽  
Brownbridge A. Douglas ◽  
ML Urquia

Abstract Objectives: There is a paucity of research on patterns of cyber-victimization in minority groups, including immigrants. This study aimed at identifying individual, interpersonal and contextual characteristics associated with cyber-victimization among immigrants and non-immigrants.Methods: We drew on nationally representative data from adolescents and adults in the Canadian General Social Survey on victimization (2014). Multivariable logistic regression was employed to identify potential factors associated with cyber-victimization in the last 12 months, stratified by immigrant status and sex. Results: Among 27,425 survey respondents, the weighted prevalence of cyber-victimization in the last 12 months was 2.1% among immigrants and 2.3% among non-immigrants. Cyber-victimization rates differed significantly by sex among immigrants (2.8% for males vs. 1.4% for females), but not among non-immigrants (2.1% for males vs. 2.4% for females). While most other factors associated with cyber-victimization were similar for immigrants and non-immigrants, we found pronounced associations of past child maltreatment (adjusted prevalence odds ratio [aPOR] 4.85, 95% confidence interval [CI] 2.76, 8.52) and residence in an unwelcoming neighbourhood (aPOR 5.08, 95% CI 2.44, 10.55) with cyber-victimization among immigrants that were diminished or absent among non-immigrants. Additionally, sex-stratified analyses among immigrants showed cyber-victimization to be strongly associated with having a mental health condition (aPOR 3.50, 95% CI 1.36, 8.97) among immigrant males only, and with perceived discrimination (aPOR 4.08, 95% CI 1.65, 10.08), as well as being under 24 years old (aPOR 3.24, 95% CI 1.09, 9.60) among immigrant females.Conclusions: Immigration status and sex were differentially associated with cyber-victimization. Findings support the salience of a social-ecological perspective and gender-stratified analyses to better elucidate complex pathways linking cyber-victimization to potential gender-based health inequities among immigrants.


BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021212 ◽  
Author(s):  
Albert Navarro ◽  
Sergio Salas-Nicás ◽  
Salvador Moncada ◽  
Clara Llorens ◽  
Emilia Molinero-Ruiz

ObjectivesThe aim of this study was to estimate the prevalence of sickness presenteeism (SP), its associated factors and the reasons given for SP episodes, among the overall salaried population and excluding the ‘healthy’ workers.DesignPopulation-based cross-sectional study.SettingSalaried population in Spain.ParticipantsData were obtained from the third Spanish Psychosocial Risks Survey (2016), carried out between October and December 2016, n=1615.Main outcome measuresSelf-reported episodes of SP and their reasons.Results23.0% (95% CI 19.2 to 26.8) of the workers exhibit SP, whereas among those manifesting having had some health problem in the preceding year, the figure was 53.0% (95% CI 46.9 to 59.1). The factors associated with SP when we study all workers are age, seniority, salary structure, working more than 48 hours, the contribution of worker’s wage to the total household income and downsizing; factors among the ‘unhealthy’ workers are working more than 48 hours and not having a contract. The most common reason for SP is ‘did not want to burden my colleagues’, 45.7% (95% CI 37.3 to 54.4), whereas ‘I could not afford it for economic reasons’ ranked third, 35.9% (29.4% to 42.9%), and 27.5% (21.3% to 34.6%) of the workers report ‘worried about being laid off’ as a reason for going to work despite being ill.ConclusionsThe estimated frequency of SP in Spain is lower than certain other countries, such as the Scandinavian countries. The factors associated vary depending on the population analysed (all workers or excluding ‘healthy’ workers). The reason ‘I was worried about being laid off’ was much more common than the estimates for Sweden or Norway.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kathleen S. Kenny ◽  
Lisa Merry ◽  
Douglas A. Brownbridge ◽  
Marcelo L. Urquia

Abstract Objectives There is a paucity of research on patterns of cyber-victimization in minority groups, including immigrants. This study aimed to identify individual, interpersonal and contextual characteristics associated with cyber-victimization among immigrants and non-immigrants. Methods We drew on nationally representative data from adolescents and adults in the Canadian General Social Survey on victimization (2014). We used multivariable logistic regression to identify potential factors associated with cyber-victimization in the last 12 months, stratified by immigrant status and sex. Results Among 27,425 survey respondents, the weighted prevalence of cyber-victimization in the last 12 months was 2.1% among immigrants and 2.3% among non-immigrants. Cyber-victimization rates differed significantly by sex among immigrants (2.8% for males vs. 1.4% for females), but not among non-immigrants (2.1% for males vs. 2.4% for females). While most other factors associated with cyber-victimization were similar for immigrants and non-immigrants, there were pronounced associations of past child maltreatment (adjusted prevalence odds ratio [aPOR] 4.85, 95% confidence interval [CI] 2.76, 8.52) and residence in an unwelcoming neighbourhood (aPOR 5.08, 95% CI 2.44, 10.55) with cyber-victimization among immigrants that were diminished or absent among non-immigrants. Additionally, sex-stratified analyses among immigrants showed cyber-victimization to be strongly associated with having a mental health condition (aPOR 3.50, 95% CI 1.36, 8.97) among immigrant males only, and with perceived discrimination (aPOR 4.08, 95% CI 1.65, 10.08), as well as being under 24 years old (aPOR 3.24, 95% CI 1.09, 9.60) among immigrant females. Conclusions Immigration status and sex were differentially associated with cyber-victimization. Findings support the salience of a social-ecological perspective and gender-stratified analyses to better elucidate complex pathways linking cyber-victimization to potential gender-based health inequities among immigrants.


Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Saqib Chaudhry ◽  
Ibrahim Laleka ◽  
Zelalem Bahiru ◽  
Hassan S Gill ◽  
Mohammad Rauf Chaudhry ◽  
...  

Background: Recent trials have demonstrated a reduction in death or disability with endovascular treatment in patients with acute ischemic strokes. However, readmission rates and predictors are not known. Objective: To identify rates and factors associated with 30-day readmission after endovascular treatment in ischemic stroke patients. Methods: Nationwide Readmissions Data (NRD) between 2010 and 2017 was utilized to identify endovascular treatment in acute ischemic stroke patients using ICD-9 and ICD-10 codes. We used hierarchical logistic regression model to identify factors associated with 30-day readmissions. Results: Among 17, 562 acute ischemic stroke patients who survived to discharge after endovascular treatment, 2334 (13.29%) were readmitted within 30-days. Age => 65 years (odds ratio [OR]: 1.23, 95% confidence interval [CI]: 1.09 to 1.39, p =0.0005), chronic kidney disease (OR: 1.28, 95%CI: 1.12 to 1.47, p = 0.0004), congestive heart failure (OR: 1.25, 95%CI: 1.13 to 1.39, p <.0001), post procedure intracranial hemorrhage (OR: 1.09, 95%CI: 0.99 to 1.20, p = 0.04) and diabetes mellitus (OR: 1.09, 95%CI: 0.99 to 1.20, p = .09) during the index hospitalization were associated with readmission within 30 days. Conclusion: In this large nationally representative study, nearly one in 10 patients were readmitted within 30 days after discharge in acute ischemic stroke patients undergoing endovascular treatment. Medical comorbidities and post procedure intracranial hemorrhage were associated with 30-day readmission.


2018 ◽  
Vol 76 (3) ◽  
pp. 181-188 ◽  
Author(s):  
Mary R Rooney ◽  
Pamela L Lutsey ◽  
Parveen Bhatti ◽  
Anna Prizment

ObjectiveTo test cross-sectional associations between urinary concentrations of 2,5-dichlorophenol (2,5-DCP) and 2,4-dichlorophenol (2,4-DCP) with the prevalence of cardiovascular disease (CVD), cancer, lung disease, thyroid problems and liver conditions.MethodsLogistic regression was used to evaluate associations of urinary concentrations of 2,5-DCP and 2,4-DCP with prevalence of various medical conditions among 3617 National Health and Nutrition Examination Survey participants from 2007–2008 and 2009–2010. ORs and 95% CIs for each disease were estimated. All regression models were adjusted for urinary creatinine.ResultsWe observed a monotonically increasing association between quartiles of 2,5-DCP and prevalence of CVD. After adjustment for sociodemographic and lifestyle characteristics, participants with the highest versus lowest quartile of urinary 2,5-DCP had an OR=1.84 (95% CI 1.26 to 2.70) (p linear trend=0.006). The association was similar with further adjustment for established clinical CVD risk factors. Higher 2,5-DCP was also associated with prevalence of all cancers combined (ORQ4 vs Q1=1.50 (95% CI 1.00 to 2.26); p trend=0.05) and, in exploratory analyses, with gynaecological cancers (ORQ4 vs Q1=4.15 (95% CI 1.51 to 11.40; p trend=0.01)). No associations were detected between 2,5-DCP and lung diseases, thyroid problems or liver conditions, nor between 2,4-DCP and prevalent disease.ConclusionIn this nationally representative study, higher urinary 2,5-DCP concentrations were associated with greater prevalence of CVD and all cancers combined. Further examination may be warranted to assess whether chronic exposure to 2,5-DCP is associated with incidence of adverse health outcomes.


Author(s):  
Thomas Buchmueller ◽  
Philip Cooper ◽  
Kosali Simon ◽  
Jessica Vistnes

This study uses repeated cross-sectional data from the Medical Expenditure Panel Survey—Insurance Component (MEPS-IC), a large nationally representative survey of establishments, to investigate the effect of the State Children's Health Insurance Program (SCHIP) on health insurance decisions by employers. The data span the years 1997 to 2001, the period when states were implementing SCHIP. We exploit cross-state variation in the timing of SCHIP implementation and the extent to which the program increased eligibility for public insurance. We find evidence suggesting that employers whose workers were likely to have been affected by these expansions reacted by raising employee contributions for family coverage options, and that take-up of any coverage, generally, and family coverage, specifically, dropped in these establishments. We find no evidence that employers stopped offering single or family coverage outright.


2019 ◽  
Vol 26 (2) ◽  
pp. 39-52
Author(s):  
Vike Pebri Giena ◽  
Nikki Sulastry ◽  
Buyung Keraman

The Factors Associated with Participation of Being Member of National Health Insurance in Working Area of Kembang Seri Public Health Center      Bengkulu TengahABSTRAKJaminan Kesehatan Nasional (JKN) merupakan bagian dari Sistem Jaminan Sosial Nasional (SJSN) yang diselenggarakan oleh Badan Penyelenggara Jaminan Sosial (BPJS) dengan tujuan untuk memenuhi kebutuhan dasar kesehatan masyarakat yang layak yang diberikan kepada setiap orang yang telah membayar iuran atau iurannya dibayar oleh Pemerintah. Tujuan penelitian ini adalah untuk mempelajari faktor-faktor yang berhubungan dengan keikutsertaan menjadi peserta Jaminan Kesehatan Nasional (JKN) di Wilayah Puskesmas Kembang Seri Bengkulu Tengah. Desain penelitian ini adalah Cross Sectional. Populasi dalam penelitian ini adalah seluruh warga yang berada di wilayah Puskesmas Kembang Seri sebanyak 8436 orang. Sampel diambil menggunakan teknik Accidental Sampling berdasarakan kriteria inklusi dan eksklusi besar sampel 96 orang. Teknik analisis data dilakukan dengan analisis univariat dan bivariat dengan uji Chi-Square dan uji Contingency Coefficient. Hasil uji penelitian ini didapatkan 80 orang (83,3%) ikut serta dalam JKN, 16 orang (16,7%) tidak ikut serta dalam JKN, ada hubungan antara tingkat pendidikan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan antara pengetahuan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pekerjaan dengan keikutsertaan Jaminan Kesehatan Nasional dengan keeratan sedang. Ada hubungan pendapatan dengan keikutsertaan Jaminan Kesehatan Nasional dengan  keeratan lemah. Diharapkan Badan Penyelenggara Jaminan Sosial (BPJS) untuk meningkatkan pengawasan dan kerjasama dengan pihak Puskesmas guna meningkatkan pengetahuan masyarakat tentang Jaminan Kesehatan Nasional (JKN). Kata Kunci : JKN, pekerjaan, pendapatan, pengetahuan, tingkat pendidikan ABSTRACTNational Health Insurance (JKN) is part of the Social Security System National (SJSN) organized by the Social Security Organizing Agency (BPJS) with the goal of meeting the basic needs of proper public health given to each people who have paid contributions or whose contributions have been paid by the Government.  The aim of this study was to determine factors associated with participation of being member of Nasional Health Insurance in Area of Puskesmas Kembang Seri Bengkulu Tengah. This study used Cross Sectional design. Populasi in this study were all residents in Area of Puskesmas Kembang Seri with the amount of 8436 people. Sampling technique in this study used Accidental Sampling base on inclusion and exclusion criteria with the amount samples of 96 people. Data analysis in this study used univariate analysis and bivariate analysis with Chi-Square test and Contingency Coefficient test. The results of this study found 80 people (83,3%) participated in JKN, 16 people (16,7%) did not participated in JKN, there is significant relationship between education level with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between knowledge with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between occupations with participation of being member of Nasional Health Insurance with moderate category relationship. There is significant relationship between incomes with participation of being member of Nasional Health Insurance with weak category relationship. It is expected that the Social Security Organizing Agency (BPJS) will increase supervision and collaboration with the Puskesmas to increase public knowledge about the National Health Insurance (JKN). Keywords: education level, income, JKN, knowledge, occupation


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