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Despite gains From ACA, lower rates of health insurance coverage persist among those lacking housing basics
Despite gains From ACA, lower rates of health insurance coverage persist among those lacking housing basics
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Health policy fact sheet (Online)
- Author(s):
- Freund, Deborah, author
Zhang, Chengcheng, author
Rasmussen, Petra W., author
Hassan, Safia, author
Kominski, Gerald F., author - Contributor(s):
- UCLA Center for Health Policy Research, issuing body.
- Publication:
- Los Angeles, CA : UCLA Center for Health Policy Research, February 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Housing Instability
Insurance Coverage -- statistics & numerical data
Medically Uninsured -- statistics & numerical data
Poverty
California
United States - Genre(s):
- Technical Report
- Abstract:
- Since the passage in 2010 of the Patient Protection and Affordable Care Act (PPACA, most commonly called the ACA), a great deal of literature has emerged showing that states that have embraced the law's Medicaid expansion have seen significant reductions in the number of uninsured, though disparities in coverage persist by race/ethnicity, employment, and other factors. Similarly, in recent years, other research has shown that there is an important relationship between housing and health outcomes, and that improving housing quality and safety improves overall health. Individuals experiencing unstable housing and poor housing safety, defined in a variety of ways--including instability, an unsafe environment, water leaks, poor ventilation, and pest infestation--have poorer health. However, there is virtually no literature that focuses on the question of whether having stable and safe housing is related to the likelihood of having health insurance coverage. A study by Carroll et al. in 2017 assessed the extent to which housing instability is linked to insurance status in a preschool population. The study found that preschool-age children residing in unstable housing were 27% more likely than stably housed preschool-age children to have gaps in health insurance. Using data from the American Community Survey for 2013 and 2018, with responses from almost 3 million individuals, we compared those ages 0-64 who had complete housing amenities with those whose housing lacked one basic necessity. Basic necessities are defined as these: (1) bathtub or shower (2) sink with a faucet (3) stove or range (4) refrigerator We stratified the data based on the following income categories: up to 100% of the federal poverty level (FPL), 100– 399% FPL, and 400% FPL or greater. For 2018, 100% FPL was $12,060 for an individual and $24,600 for a family of four; 400% FPL was $48,240 for an individual and $98,400 for a family of four.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (3 unnumbered pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918351183006676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918351183006676