OBJECTIVES: This study examined the association between health insurance coverage, medical care use, limitations in activities of daily living, and mortality among older Mexican-origin individuals. METHODS: We analyzed longitudinal data from the Hispanic Established Populations for Epidemiologic Study of the Elderly (H-EPESE). RESULTS: The uninsured tend to be younger, female, poor, and foreign born. They report fewer health care visits, are less likely to have a usual source of care, and more often receive care in Mexico. Conversely, those with private health insurance are economically better off and use more health care services. Over time, the data reveal substantial changes in type of insurance coverage. CONCLUSIONS: The data reveal serious vulnerabilities among older Mexican Americans that result from a lack of private Medigap supplemental coverage.
OBJECTIVES: This study examined the association between health insurance coverage, medical care use, limitations in activities of daily living, and mortality among older Mexican-origin individuals. METHODS: We analyzed longitudinal data from the Hispanic Established Populations for Epidemiologic Study of the Elderly (H-EPESE). RESULTS: The uninsured tend to be younger, female, poor, and foreign born. They report fewer health care visits, are less likely to have a usual source of care, and more often receive care in Mexico. Conversely, those with private health insurance are economically better off and use more health care services. Over time, the data reveal substantial changes in type of insurance coverage. CONCLUSIONS: The data reveal serious vulnerabilities among older Mexican Americans that result from a lack of private Medigap supplemental coverage.
Authors: Angelica P Herrera; Matthew Lee Smith; Marcia G Ory; Hector P Rodriguez; Ruth Warre; Wesley K Thompson; Annette Azcue; Jairo A Romero Journal: J Aging Health Date: 2011-10
Authors: Hector M González; Miguel Ceballos; Wassim Tarraf; Brady T West; Mary E Bowen; William A Vega Journal: Am J Public Health Date: 2009-08-20 Impact factor: 9.308
Authors: Olivia Carter-Pokras; Ruth E Zambrana; Gillermina Yankelvich; Maria Estrada; Carlos Castillo-Salgado; Alexander N Ortega Journal: J Immigr Minor Health Date: 2008-12