Battery-Powered Health Insurance? Stability In Coverage Of The Uninsured

Short, Pamela Farley; Graefe, Deborah Roempke

doi:10.1377/hlthaff.22.6.244

Cited by 101 publications

(72 citation statements)

References 3 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although most schools now provide HIV/STI education, 91,92 youth who are frequently truant, such as delinquent and homeless youth, are unlikely to receive school-based interventions. 93 Moreover, delinquent youth are over-represented in groups that are uninsured --including the poor, 94 youth living in central cities, 95 and older adolescents [95][96][97][98] --reducing the likelihood that they will have a primary care physician from whom they could receive primary interventions. [99][100][101] Public clinics and emergency services are often the primary source of health care for high-risk youth.…”

Section: Discussionmentioning

confidence: 99%

A Longitudinal Study of the Prevalence, Development, and Persistence of HIV/Sexually Transmitted Infection Risk Behaviors in Delinquent Youth: Implications for Health Care in the Community

Romero

Teplin²,

McClelland³

et al. 2007

Pediatrics

View full text Add to dashboard Cite

Objective-. To examine the prevalence, development, and persistence of sex and drug behaviors that place delinquent youth at risk for human immunodeficiency virus and other sexually transmitted infections (HIV/STI).Methods-At the baseline interview, HIV/STI drug and sex risk behaviors were assessed in a stratified random sample of 800 juvenile detainees, aged 10 to 18 years. Participants were reinterviewed approximately 3 years later (mean [SD] follow-up, 3.2 [0.3] years; median follow-up, 3.1 years). The final sample in these analyses (n = 724) includes 316 females and 408 males, 393 African Americans, 198 Hispanics, 131 non-Hispanic whites, and 2 participants who self-identified as "other."Results-Nearly three quarters of youth engaged in one or more unprotected sexual risk behaviors at follow-up. Over 60% had engaged in 10 or more risk behaviors at their baseline interview, and nearly two thirds of them persisted in 10 or more risk behaviors at follow-up. Among youth living in the community, many behaviors were more prevalent at follow-up than at baseline. Among incarcerated youth, the opposite pattern prevailed. Development and persistence of HIV/STI risk behaviors differed by gender, race/ethnicity, and age, even after adjusting for incarceration status. Compared with females, males had higher prevalence rates of many HIV/STI risk behaviors and were more likely to persist in some behaviors and develop new ones. Yet, injection risk behaviors were more prevalent among females than males and were also more likely to develop and persist. Compared with persons younger than 18, persons 18 and older had higher prevalence rates of many HIV/STI risk behaviors at follow-up. Overall, there were few racial and ethnic differences in patterns of HIV/STI risk behaviors; most involved the initiation and persistence of substance use among nonHispanic whites and Hispanics.Conclusions-Because detained youth have a median stay of only 2 weeks, HIV/STI risk behaviors in delinquent youth are a community public health problem, not just a problem for the juvenile justice system. Improving the coordination among systems that provide HIV/STI interventions to youth -primary care, education, mental health, and juvenile justice -can reduce the prevalence of risk behaviors and substantially reduce the spread of HIV/STI in young people.Corresponding Author: Linda A. Teplin, PhD, Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, 710 N. Lakeshore Drive, Suite 900, Chicago, IL 60611. . psycholegal@northwestern.edu. NIH Public Access Author ManuscriptPediatrics. Author manuscript; available in PMC 2010 January 29. Published in final edited form as:Pediatrics. 10-14Minorities are also overrepresented in the juvenile justice system, where HIV/STI risk behaviors are prevalent. 15-20 Detained youth report more risk behaviors and initiate them at younger ages than do youth in the community.21 Detained youth are likely to be at continued risk for HIV infection as they age. Adults in p...

show abstract

Section: Discussionmentioning

confidence: 99%

A Longitudinal Study of the Prevalence, Development, and Persistence of HIV/Sexually Transmitted Infection Risk Behaviors in Delinquent Youth: Implications for Health Care in the Community

Romero

Teplin²,

McClelland³

et al. 2007

Pediatrics

View full text Add to dashboard Cite

show abstract

“…6 Nationally, Spanishspeaking Hispanic adults are least likely to have health insurance of any ethnic group. 40 Periodic gaps in coverage contribute to lack of insurance in rural areas, 41 and because of preexisting condition exclusions, can hinder access when insurance is regained. 42 More than a third of rural children (36%) experienced insurance gaps over a 3-year period, compared with 31% of urban children.…”

Section: Rural Racial/ethnic Minorities and Health Insurancementioning

confidence: 99%

Person and Place: The Compounding Effects of Race/Ethnicity and Rurality on Health

Probst

Moore²,

Glover³

et al. 2004

Am J Public Health

284

264

View full text Add to dashboard Cite

Rural racial/ethnic minorities constitute a forgotten population. The limited research addressing rural Black, Hispanic, and American Indian/Alaska Native populations suggests that disparities in health and in health care access found among rural racial/ethnic minority populations are generally more severe than those among urban racial/ethnic minorities. We suggest that disparities must be understood as both collective and contextual phenomena. Rural racial/ethnic minority disparities in part stem from the aggregation of disadvantaged individuals in rural areas. Disparities also emerge from a context of limited educational and economic opportunity. Linking public health planning to the education and economic development sectors will reduce racial/ethnic minority disparities while increasing overall well-being in rural communities.

show abstract

“…Over the four-year period from 1996 through 1999, some 85 million nonelderly people experienced a gap in coverage-twice the number of uninsured at any point in time. 1 Individuals lose and regain insurance coverage for a variety of reasons. In our predominantly employer-based system, changes in health insurance status are most often driven by job-related changes, such as a new job, more or fewer hours of employment, or changes in employment status.…”

Section: Introductionmentioning

confidence: 99%

Instability of Public Health Insurance Coverage for Children and Their Families: Causes, Consequences, and Remedies

Mann¹,

Summer²

2006

CMWF Fund Reports

View full text Add to dashboard Cite

This report examines the extent, causes, and consequences of instability in public coverage programs for children and families. It focuses particularly on the phenomenon of "churning," which occurs when individuals lose and regain coverage in a short period of time. It also looks at strategies to make public program coverage more stable for children and families. Findings are drawn from a variety of sources, including national and state-based studies, roundtable discussions and interviews with stakeholders and experts, and an examination of the effect of state and local policies on instability and churning in four states: Louisiana, Rhode Island, Virginia, and Washington. The experiences of these states demonstrate that coverage instability can be averted to a significant degree by adopting key policies and procedures, like limiting the frequency of required renewals; developing easy, seamless transitions among public coverage programs; and setting affordable limits on premium costs. Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and not necessarily those of The Commonwealth Fund or its directors, officers, or staff. This report and other Fund publications are available online at www.cmwf.org. To learn more about new publications when they become available, visit the Fund's Web site and register to receive e-mail alerts. Commonwealth Fund pub. no. 935.iii CONTENTS

show abstract

Battery-Powered Health Insurance? Stability In Coverage Of The Uninsured

Cited by 101 publications

References 3 publications

A Longitudinal Study of the Prevalence, Development, and Persistence of HIV/Sexually Transmitted Infection Risk Behaviors in Delinquent Youth: Implications for Health Care in the Community

A Longitudinal Study of the Prevalence, Development, and Persistence of HIV/Sexually Transmitted Infection Risk Behaviors in Delinquent Youth: Implications for Health Care in the Community

Person and Place: The Compounding Effects of Race/Ethnicity and Rurality on Health

Instability of Public Health Insurance Coverage for Children and Their Families: Causes, Consequences, and Remedies

Contact Info

Product

Resources

About