PMID- 23140081
OWN - NLM
STAT- MEDLINE
DCOM- 20121204
LR  - 20221207
IS  - 1049-510X (Print)
IS  - 1049-510X (Linking)
VI  - 22
IP  - 4
DP  - 2012 Autumn
TI  - Health insurance coverage among diabetic adults from three major ethnic groups in 
      the United States.
PG  - 486-91
AB  - OBJECTIVE: The lack of adequate health insurance may result in a downward spiral 
      of the diabetic condition, imposing an increased financial strain on family and 
      the society as a whole. The objective of our study was to assess the insurance 
      type and coverage among diabetic adults from three major ethnic groups. DESIGN 
      AND SETTING: We used data of two cross-sectional national surveys to estimate 
      insurance coverage among diabetic adults aged 20-64 years, 1988-1994 and 
      2003-2008. RESULTS: The prevalence of doctor-diagnosed diabetes has increased by 
      120%, 178% and 135% respectively among non-Hispanic Whites (NHWs), non-Hispanic 
      Blacks (NHBs), and Mexicans & other Hispanics (M&OHs) from 1988-94 to 2003-08. 
      However, during the same period, the percentages of diabetic adults covered by 
      health insurance declined for all three groups. In the 2003-08 period, 15%, 19% 
      and 40% of NHWs, NHBs and M&OHs, respectively, had no insurance. Diabetic NHBs 
      and NHWs had an equal likelihood to be covered by government-sponsored programs. 
      However, 70% of NHWs, in contrast to 37% of NHBs, were covered by private 
      programs exclusively. Diabetic M&OHs remained at the lowest likelihood to be 
      covered by government-sponsored programs. The diabetic citizen's probability of 
      being insured was more than tripled compared with the non-citizens (OR=3.40, 
      95%=1.42-8.14). CONCLUSION: Increasing percentages of diabetics had no insurance. 
      Diabetic Whites were more likely to be covered by private programs than diabetic 
      Blacks. Hispanics were the group falling through the cracks between private 
      programs due to low income and government programs because of immigration status.
FAU - Ekperi, Linda I
AU  - Ekperi LI
AD  - Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, 
      GA 30460, USA.
FAU - Greene, Shamola
AU  - Greene S
FAU - Dehal, Ahmed
AU  - Dehal A
FAU - Lopez-De Fede, Ana
AU  - Lopez-De Fede A
FAU - Zhang, Jian
AU  - Zhang J
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Ethn Dis
JT  - Ethnicity & disease
JID - 9109034
SB  - IM
MH  - Adult
MH  - Black or African American/*statistics & numerical data
MH  - Diabetes Mellitus/*economics/*ethnology
MH  - Female
MH  - Hispanic or Latino/*statistics & numerical data
MH  - Humans
MH  - Insurance Coverage/*statistics & numerical data
MH  - Insurance, Health/*economics
MH  - Male
MH  - Middle Aged
MH  - Nutrition Surveys
MH  - Socioeconomic Factors
MH  - United States
MH  - White People/*statistics & numerical data
MH  - Young Adult
EDAT- 2012/11/13 06:00
MHDA- 2012/12/10 06:00
CRDT- 2012/11/13 06:00
PHST- 2012/11/13 06:00 [entrez]
PHST- 2012/11/13 06:00 [pubmed]
PHST- 2012/12/10 06:00 [medline]
PST - ppublish
SO  - Ethn Dis. 2012 Autumn;22(4):486-91.