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Health insurance and subjective health status: Data from the 1987 National Medical Expenditure Survey

Author

Listed:
  • Franks, P.
  • Clancy, C.M.
  • Gold, M.R.
  • Nutting, P.A.

Abstract

Objectives. The relationship between health insurance and subjective health status was investigated. It was hypothesized that persons without health insurance would have lower levels of subjective health status than those with health insurance and that this relationship would hold for both poor and nonpoor persons. Methods. Data from the 1987 National Medical Expenditure Survey were analyzed to examine the relationship between health insurance and self-reported health status. The analysis controlled for sociodemographic and attitudinal variables and medical conditions. Results. Persons without health insurance had significantly lower levels of subjective health status than did persons with insurance. This adverse effect persisted after adjustments were made for the effects of age, sex, race, income, attitude toward the value of medical care and health insurance, and medical conditions. The detrimental effect of lacking health insurance on subjective health status was present for persons at all income levels and was greater than the effect on subjective health status found for 2 of the 11 reported medical conditions. Conclusions. Lacking health insurance is associated with clinically significant lower levels of subjective health status in both poor and non-poor persons.

Suggested Citation

  • Franks, P. & Clancy, C.M. & Gold, M.R. & Nutting, P.A., 1993. "Health insurance and subjective health status: Data from the 1987 National Medical Expenditure Survey," American Journal of Public Health, American Public Health Association, vol. 83(9), pages 1295-1299.
    • Handle: RePEc:aph:ajpbhl:1993:83:9:1295-1299_2
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    Cited by:

    1. Lingguo Cheng & Hong Liu & Ye Zhang & Ke Shen & Yi Zeng, 2015. "The Impact of Health Insurance on Health Outcomes and Spending of the Elderly: Evidence from China's New Cooperative Medical Scheme," Health Economics, John Wiley & Sons, Ltd., vol. 24(6), pages 672-691, June.
    2. Syeda Anam Fatima Rizvi, 2020. "Cost effectiveness of health expenditures: A macro level study for developing and developed countries," Post-Print hal-03341702, HAL.
    3. Yingying Meng & Xiaodong Zhang & Junqiang Han, 2020. "The impact of medical insurance programmes on the health of the insured: Evidence from China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(3), pages 718-734, May.
    4. Christina J. Diaz & Liwen Zeng & Ana P. Martinez-Donate, 2018. "Investigating Health Selection Within Mexico and Across the US Border," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(2), pages 181-204, April.
    5. Quan-Hoang Vuong & Kien-Cuong P. Nghiem & Viet-Phuong La & Thu-Trang Vuong & Hong-Kong T. Nguyen & Manh-Toan Ho & Kien Tran & Thu-Hong Khuat & Manh-Tung Ho, 2019. "Sex Differences and Psychological Factors Associated with General Health Examinations Participation: Results from a Vietnamese Cross-Section Dataset," Sustainability, MDPI, vol. 11(2), pages 1-13, January.

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