| Titre : | The Persistent Gap in Health-Care Coverage Between Low-and High-Income Workers in Washington State : BRFSS, 2003-2007. (2011) |
| Auteurs : | Z. JOYCE FAN ; Naomi-J ANDERSON ; Michael FOLEY ; Eddy RAUSER ; Barbara-A SILVERSTEIN ; Washington State Department of Labor & Industries. Safety and Health Assessment and Research for Prevention. Olympia. WA. USA |
| Type de document : | Article |
| Dans : | Public health reports (vol. 126, n° 5, 2011) |
| Pagination : | 690-699 |
| Langues: | Anglais |
| Mots-clés : | Protection sociale ; Assurance maladie ; Soins ; Facteur socioéconomique ; Revenu ; Ouvrier ; Homme ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 89BDR0x8. Diffusion soumise à autorisation]. Objectives. We examined the disparities in health-care coverage between low-and high-income workers in Washington State (WA) to provide support for possible policy decisions for uninsured workers. Methods. We examined data from the WA Behavioral Risk Factor Surveillance System 2003-2007 and compared workers aged 18-64 years of low income (annual household income<$35,000) and high income (annual household income>=$35,000) on proportions and sources of health-care coverage. We conducted multivariable logistic regression analyses on factors that were associated with the uninsured. Results. Of the 54,536 survey respondents who were working-age adults in WA, 13,922 (25.5%) were low-income workers. The proportions of uninsured were 38.2% for low-income workers and 6.3% for high-income workers. While employment-based health benefits remained a dominant source of health insurance coverage, they covered only 40.2% of low-income workers relative to 81.5% of high-income workers. Besides income, workers were more likely to be uninsured if they were younger ; male ; Hispanic ; less educated ; not married ; current smokers ; self-employed ; or employed in agriculture/forestry/fisheries, construction, and retail. More low-income workers (28.7%) reported cost as an issue in paying for health services than did their high-income counterparts (6.7%). Conclusion. A persistent gap in health-care coverage exists between low-and high-income workers. The identified characteristics of these workers can be used to implement policies to expand health insurance coverage. |
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