IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v29y2020i9p1078-1085.html

Health insurance and self‐assessed health: New evidence from Affordable Care Act repeal fear

Author

Listed:
  • Xiaoxue Li
  • Sarah S. Stith

Abstract

Self‐assessed health is one of the most commonly used health measures by economists. However, changes in self‐assessed health are not always accompanied by changes in physical health as measured by clinical outcomes. This study provides suggestive evidence that this discrepancy arises because self‐assessed health is significantly influenced by psychological factors. Specifically, when the perceived risk of Affordable Care Act (ACA) repeal increased, as documented by Google Trends data, self‐assessed health declined among low‐income childless adults living in states that expanded Medicaid under the ACA.

Suggested Citation

  • Xiaoxue Li & Sarah S. Stith, 2020. "Health insurance and self‐assessed health: New evidence from Affordable Care Act repeal fear," Health Economics, John Wiley & Sons, Ltd., vol. 29(9), pages 1078-1085, September.
    • Handle: RePEc:wly:hlthec:v:29:y:2020:i:9:p:1078-1085
    DOI: 10.1002/hec.4026
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4026
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.4026?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Cardella, Eric & Depew, Briggs, 2014. "The effect of health insurance coverage on the reported health of young adults," Economics Letters, Elsevier, vol. 124(3), pages 406-410.
    2. Gerber, Alan S. & Gimpel, James G. & Green, Donald P. & Shaw, Daron R., 2011. "How Large and Long-lasting Are the Persuasive Effects of Televised Campaign Ads? Results from a Randomized Field Experiment," American Political Science Review, Cambridge University Press, vol. 105(1), pages 135-150, February.
    3. Barış K. Yörük, 2016. "Health insurance coverage and self-reported health: new estimates from the NLSY97," International Journal of Health Economics and Management, Springer, vol. 16(3), pages 285-295, September.
    4. Denise Doiron & Denzil G. Fiebig & Meliyanni Johar & Agne Suziedelyte, 2015. "Does self-assessed health measure health?," Applied Economics, Taylor & Francis Journals, vol. 47(2), pages 180-194, January.
    5. Weathers, Robert R. & Stegman, Michelle, 2012. "The effect of expanding access to health insurance on the health and mortality of Social Security Disability Insurance beneficiaries," Journal of Health Economics, Elsevier, vol. 31(6), pages 863-875.
    6. Lodge, Milton & Steenbergen, Marco R. & Brau, Shawn, 1995. "The Responsive Voter: Campaign Information and the Dynamics of Candidate Evaluation," American Political Science Review, Cambridge University Press, vol. 89(2), pages 309-326, June.
    7. Kosali Simon & Aparna Soni & John Cawley, 2017. "The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 36(2), pages 390-417, March.
    8. Havlena, William J. & Graham, Jeffrey, 2004. "Decay Effects in Online Advertising: Quantifying the Impact of Time Since Last Exposure on Branding Effectiveness," Journal of Advertising Research, Cambridge University Press, vol. 44(4), pages 327-332, December.
    9. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1057-1106.
    Full references (including those not matched with items on IDEAS)

    Citations

    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 21st September 2020
      by Chris Sampson in The Academic Health Economists' Blog on 2020-09-21 11:00:06

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hasanzadeh, Samira & Alishahi, Modjgan, 2020. "COVID-19 Pounds: Quarantine and Weight Gain," MPRA Paper 103074, University Library of Munich, Germany.
    2. Anthony Lepinteur, 2021. "The asymmetric experience of gains and losses in job security on health," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2217-2229, September.
    3. Sleeper, Colin & Cartwright, Kate & van der Goes, David N., 2023. "The relationship between mental health and public attention to the Brett Kavanaugh hearings and confirmation," Social Science & Medicine, Elsevier, vol. 335(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Black, Bernard & Hollingsworth, Alex & Nunes, Letícia & Simon, Kosali, 2022. "Simulated power analyses for observational studies: An application to the Affordable Care Act Medicaid expansion," Journal of Public Economics, Elsevier, vol. 213(C).
    2. Elizabeth Baldwin & Jonas Fooken & David Rowell, 2025. "Private health insurance and health in a healthcare system with comprehensive public insurance," Empirical Economics, Springer, vol. 68(4), pages 2009-2040, April.
    3. Andrey Aistov & Ekaterina Aleksandrova & Christopher J. Gerry, 2021. "Voluntary private health insurance, health-related behaviours and health outcomes: evidence from Russia," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(2), pages 281-309, March.
    4. Sarah Miller & Norman Johnson & Laura R Wherry, 2021. "Medicaid and Mortality: New Evidence From Linked Survey and Administrative Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 136(3), pages 1783-1829.
    5. Francesco Renna & Vasilios D. Kosteas & Kuchibhotla Dinkar, 2021. "Inequality in health insurance coverage before and after the Affordable Care Act," Health Economics, John Wiley & Sons, Ltd., vol. 30(2), pages 384-402, February.
    6. Jiang, Yawen & Ni, Weiyi, 2020. "Impact of supplementary private health insurance on hospitalization and physical examination in China," China Economic Review, Elsevier, vol. 63(C).
    7. Lingxiao Wang & Yuqing Zheng & Steven C. Buck, 2021. "How does the affordable care act Medicaid expansion affect cigarette consumption?—The mechanism and heterogeneity," Journal of Consumer Affairs, Wiley Blackwell, vol. 55(3), pages 763-791, September.
    8. Bhalotra, Sonia & Fernandez, Manuel, 2021. "The Right to Health and the Health Effects of Denials," The Warwick Economics Research Paper Series (TWERPS) 1376, University of Warwick, Department of Economics.
    9. Liu, Yinan & Zai, Xianhua, 2022. "The Benefits of Medicaid Home and Community-Based Services on Health," GLO Discussion Paper Series 1079, Global Labor Organization (GLO).
    10. Costa-Font, Joan & Cowell, Frank & Shi, Xuezhu, 2024. "Health inequality and health insurance coverage: The United States and China compared," Economics & Human Biology, Elsevier, vol. 52(C).
    11. Sarah Miller & Luojia Hu & Robert Kaestner & Bhashkar Mazumder & Ashley Wong, 2021. "The ACA Medicaid Expansion in Michigan and Financial Health," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(2), pages 348-375, March.
    12. M. Taha Kasim & Benjamin Ukert, 2021. "The impact of WIC participation on tobacco use and alcohol consumption," Contemporary Economic Policy, Western Economic Association International, vol. 39(3), pages 608-625, July.
    13. Charles Courtemanche & James Marton & Benjamin Ukert & Aaron Yelowitz & Daniela Zapata, 2019. "Effects of the Affordable Care Act on Health Behaviors After 3 Years," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 45(1), pages 7-33, January.
    14. Lindsey Rose Bullinger, 2021. "Child Support and the Affordable Care Act's Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(1), pages 42-77, January.
    15. Abeer G Alharbi & M Mahmud Khan & Ronnie Horner & Heather Brandt & Cole Chapman, 2019. "Impact of Medicaid coverage expansion under the Affordable Care Act on mammography and pap tests utilization among low-income women," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
    16. Cortnie Shupe, 2023. "Public Health Insurance and Medical Spending: The Incidence of the ACA Medicaid Expansion," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(1), pages 137-165, January.
    17. Lee, Hye Myung & Ko, Hansoo, 2022. "The impact of benefits coverage expansion of social health insurance: Evidence from Korea," Health Policy, Elsevier, vol. 126(9), pages 925-932.
    18. Courtemanche, Charles & Marton, James & Ukert, Benjamin & Yelowitz, Aaron & Zapata, Daniela, 2018. "Effects of the Affordable Care Act on Health Behaviors after Three Years," IZA Discussion Papers 11468, IZA Network @ LISER.
    19. Susanna Thede, 2018. "A model of trade, task offshoring and social insurance," International Economics and Economic Policy, Springer, vol. 15(4), pages 787-802, October.
    20. Marta Bengoa & Christopher Rick, 2020. "Chinese Hukou Policy and Rural-to-Urban Migrants’ Health: Evidence from Matching Methods," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 46(2), pages 224-259, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:29:y:2020:i:9:p:1078-1085. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.