PMID- 34558483
OWN - NLM
STAT- MEDLINE
DCOM- 20211015
LR  - 20220426
IS  - 0019-557X (Print)
IS  - 0019-557X (Linking)
VI  - 65
IP  - 3
DP  - 2021 Jul-Sep
TI  - Health insurance coverage and its determinants among middle-income households in 
      Urban Puducherry: A mixed methods study.
PG  - 231-236
LID - 10.4103/ijph.IJPH_1357_20 [doi]
AB  - BACKGROUND: In India, there exists public health insurance for government 
      employees and poor people. However, the middle-income households (MIHs) remain 
      neglected. OBJECTIVES: The study was conducted to find out the coverage of health 
      insurance and its determinants among MIH. METHODS: It was a community-based 
      sequential exploratory mixed methods study. Group interview and key informant 
      interview were conducted among various stakeholders related to insurance 
      coverage. The quantitative survey was done among 400 randomly selected head of 
      households (HoHs) in an urban area of Puducherry. Manual content analysis was 
      done for qualitative data. Generalized linear model with Poisson distribution was 
      used to calculate the adjusted prevalence ratio (aPR) using Stata software. 
      RESULTS: The coverage of health insurance among the MIH was 41% (95% confidence 
      interval [CI]: 36.1-50). The major reasons reported for not having insurance were 
      poor financial status (63.7%) and lack of felt needs (59.4%). The significant 
      determinants for the lack of health insurance among MIH were unskilled occupation 
      (aPR: 1.62, 95% CI: 1.13-2.34) and lower education status (aPR: 1.79, 95% CI: 
      1.22-2.64) of HoH and less monthly family income (aPR: 2.19, 95% CI: 1.18-4.08). 
      CONCLUSION: The health insurance coverage of 41% among MIH is better despite the 
      fact that there was no public insurance scheme available for them in Puducherry. 
      The MIH with the identified determinants might be considered in future for 
      including them under publicly sponsored health insurance scheme.
FAU - Ponnusamy, Poomathy
AU  - Ponnusamy P
AD  - Assistant Professor, Community Medicine, Government Tiruppur Medical College, 
      Tamil Nadu, India.
FAU - Venugopal, Vinayagamoorthy
AU  - Venugopal V
AD  - Associate Professor, Community Medicine, Sri Manakula Vinayagar Medical College 
      and Hospital, Puducherry, India.
FAU - Dongre, Amol R
AU  - Dongre AR
AD  - Professor in Community Medicine, Head, Department of Extension Programme, 
      Pramukhswami Medical College, Karamsad, Gujarat, India.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Public Health
JT  - Indian journal of public health
JID - 0400673
SB  - IM
MH  - Cross-Sectional Studies
MH  - Family Characteristics
MH  - Humans
MH  - *Income
MH  - India/epidemiology
MH  - Insurance Coverage
MH  - *Insurance, Health
OTO - NOTNLM
OT  - Health insurance
OT  - India
OT  - middle-income family
OT  - predictors
COIS- None
EDAT- 2021/09/25 06:00
MHDA- 2021/10/16 06:00
CRDT- 2021/09/24 08:46
PHST- 2021/09/24 08:46 [entrez]
PHST- 2021/09/25 06:00 [pubmed]
PHST- 2021/10/16 06:00 [medline]
AID - IndianJPublicHealth_2021_65_3_231_326382 [pii]
AID - 10.4103/ijph.IJPH_1357_20 [doi]
PST - ppublish
SO  - Indian J Public Health. 2021 Jul-Sep;65(3):231-236. doi: 
      10.4103/ijph.IJPH_1357_20.