Place as a predictor of health insurance coverage

A multivariate analysis of counties in the United States

Lisa Cacari Stone, Blake Boursaw, Sonia P. Bettez, Tennille Marley, Howard Waitzkin

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

This study assessed the importance of county characteristics in explaining county-level variations in health insurance coverage. Using public databases from 2008 to 2012, we studied 3112 counties in the United States. Rates of uninsurance ranged widely from 3% to 53%. Multivariate analysis suggested that poverty, unemployment, Republican voting, and percentages of Hispanic and American Indian/Alaskan Native residents in a county were significant predictors of uninsurance rates. The associations between uninsurance rates and both race/ethnicity and poverty varied significantly between metropolitan and non-metropolitan counties. Collaborative actions by the federal, tribal, state, and county governments are needed to promote coverage and access to care.

Original languageEnglish (US)
Pages (from-to)207-214
Number of pages8
JournalHealth and Place
Volume34
DOIs
StatePublished - Jul 1 2015

Fingerprint

health insurance
insurance coverage
Insurance Coverage
Poverty
Health Insurance
multivariate analysis
Multivariate Analysis
poverty
State Government
Local Government
Federal Government
Unemployment
North American Indians
American Indian
Politics
Population Groups
Hispanic Americans
voting
unemployment
ethnicity

Keywords

  • County government
  • Health care access
  • Health reform
  • Insurance coverage

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Geography, Planning and Development
  • Health(social science)

Cite this

Place as a predictor of health insurance coverage : A multivariate analysis of counties in the United States. / Stone, Lisa Cacari; Boursaw, Blake; Bettez, Sonia P.; Marley, Tennille; Waitzkin, Howard.

In: Health and Place, Vol. 34, 01.07.2015, p. 207-214.

Research output: Contribution to journalArticle

Stone, Lisa Cacari ; Boursaw, Blake ; Bettez, Sonia P. ; Marley, Tennille ; Waitzkin, Howard. / Place as a predictor of health insurance coverage : A multivariate analysis of counties in the United States. In: Health and Place. 2015 ; Vol. 34. pp. 207-214.
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