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Published in:

01-09-2014

Risk of Losing Insurance During the Transition into Adulthood Among Insured Youth with Disabilities

Authors: Grace Wang, David Grembowski, Carolyn Watts

Published in: Maternal and Child Health Journal | Issue 7/2014

Abstract

To compare insured youth (age 15–25 years) with and without disabilities on risk of insurance loss. We conducted a cross-sectional study using data from the Survey of Income and Program Participation (SIPP) 2001. Descriptive statistics characterized insured youth who maintained or who lost insurance for at least 3 months over a 3-year time frame. We conducted logistic regression to calculate the association between disability and insurance loss. Adjustment variables were gender, race, ethnicity, age, work or school status, poverty status, type of insurance at study onset, state generosity, and an interaction between disability and insurance type. This study includes 2,123 insured youth without disabilities, 320 insured youth with non-severe disabilities, and 295 insured youth with severe disabilities. Thirty-six percent of insured youth without disabilities lost insurance compared to 43% of insured youth with non-severe disabilities and 41% of insured youth with severe disabilities (P = .07). Youth with non-severe disabilities on public insurance have an estimated 61% lower odds of losing insurance (OR: 0.39; 95% CI: 0.16, 0.93; P = .03) compared to youth without disabilities on public insurance. Further, youth with severe disabilities on public insurance have an estimated 81% lower odds of losing insurance (OR: 0.19; 95% CI: 0.09, 0.40; P < .001) compared to youth without disabilities. When examining youth with private insurance, we find that youth with non-severe disabilities have 1.63 times higher odds (OR: 1.63; 95% CI: 1.03, 2.57; P = .04) of losing health insurance compared to youth without disabilities. Insurance type interacts with disability severity to affect odds of insurance loss among insured youth.

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Title: Risk of Losing Insurance During the Transition into Adulthood Among Insured Youth with Disabilities
Authors: Grace Wang
David Grembowski
Carolyn Watts
Publication date: 01-09-2014
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 7/2014
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-008-0429-y

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Risk of Losing Insurance During the Transition into Adulthood Among Insured Youth with Disabilities

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