Full Citation
Title: Self-reported Reasons and Patterns of Noninsurance Among Cancer Survivors Before and After Implementation of the Affordable Care Act, 2000-2017
Citation Type: Journal Article
Publication Year: 2019
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Abstract: Importance Cancer survivors experience difficulties in maintaining health care coverage, but the reasons and risk factors for lack of insurance are poorly defined. Objective To assess self-reported reasons for not having insurance and demographic and socioeconomic factors associated with uninsured status among cancer survivors, before and after implementation of the Affordable Care Act (ACA) in 2014. Design, Setting, and Participants This survey study analyzes National Health Interview Survey (NHIS) data from January 1, 2000, through December 31, 2017. Included were adult participants (age, 18-64 years) reporting a cancer diagnosis; however, those with a diagnosis of nonmelanoma skin cancer were excluded. Exposures Insurance status. Main Outcomes and Measures Multivariable logistic regression was used to define the association between demographic and socioeconomic variables and odds of being uninsured. The prevalence of the most common self-reported reasons for not having insurance (cost, unemployment, employment-related reason, family-related reason) were estimated, with adjusted odds ratios (aORs) for each of the reasons defined by multivariable logistic . . .
Url: https://jamanetwork.com/journals/jamaoncology/article-abstract/2733838
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Authors: Sanford, Nina, N
Periodical (Full): JAMA Oncol
Issue: 10
Volume: 5
Pages: 9
Data Collections: IPUMS Health Surveys - NHIS
Topics: Health, Population Health and Health Systems
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