TY  - CHAP
AB  - Purpose To examine associations by gender between cancer history and major health insurance transitions (gains and losses), and relationships between insurance transitions and access to care.Methodology Longitudinal 2008–2013 Medical Expenditure Panel Survey data were pooled yielding 2,223 cancer survivors and 50,692 individuals with no cancer history ages 18–63 years upon survey entry, with gender-specific sub-analyses. Access-to-care implications of insurance loss or gain were compared by cancer history and gender.Findings Initially uninsured cancer survivors were significantly more likely to gain insurance coverage than individuals with no cancer history (RR: 1.25; 95% CI: 1.08–1.44). Females in particular were significantly more likely to gain insurance (unmarried RR: 1.16; 95% CI: 1.06–1.28; married RR: 1.09; 95% CI: 1.02–1.16). Significantly higher rates of difficulty accessing needed medical care and prescription medications were reported by those remaining uninsured, those who lost insurance, and women in general. Remaining uninsured, losing insurance, and male gender were associated with lack of a usual source of care.Research implications Additional outreach to disadvantaged populations is needed to improve access to affordable insurance and medical care. Future longitudinal studies should assess whether major Affordable Care Act (ACA) provisions enacted after the 2008–2013 study period (or those of ACA’s replacement) are addressing these important issues.Originality Loss of health insurance coverage can reduce health care access resulting in poor health outcomes. Cancer survivors may be particularly at risk of insurance coverage gaps due to the long-term chronic disease trajectory. This study is novel in exploring associations between cancer history by gender and health insurance transitions, both gains and losses, in a national non-elderly adult sample.
VL  - 36
SN  - 978-1-78756-175-5, 978-1-78756-176-2/0275-4959
DO  - 10.1108/S0275-495920180000036003
UR  - https://doi.org/10.1108/S0275-495920180000036003
AU  - Virgo Katherine S.
AU  - Lin Chun Chieh
AU  - Davidoff Amy
AU  - Guy Gery P.
AU  - de Moor Janet S.
AU  - Ekwueme Donatus U.
AU  - Kent Erin E.
AU  - Chawla Neetu
AU  - Yabroff K. Robin
PY  - 2018
Y1  - 2018/01/01
TI  - Role of Cancer History and Gender in Major Health Insurance Transitions: A Longitudinal Nationally Representative Study
T2  - Gender, Women’s Health Care Concerns and Other Social Factors in Health and Health Care
T3  - Research in the Sociology of Health Care
PB  - Emerald Publishing Limited
SP  - 59
EP  - 84
Y2  - 2024/09/19
ER  -