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Health insurance coverage of the elderly and socioepidemiological characteristics associated
To examine sociodemographic and epidemiological factors associated with private health insurance coverage in the elderly. A total of 2,143 individuals aged 60 years or more were interviewed in the city of São Paulo in 2000 and 2006. Having private health insurance was the dichotomous dependent varia...
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Published in: | Revista de saúde pública 2012-12, Vol.46 (6), p.1030-1038 |
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creator | Hernandes, Elizabeth S C Lebrão, Maria Lúcia Duarte, Yeda A O Santos, Jair L Ferreira |
description | To examine sociodemographic and epidemiological factors associated with private health insurance coverage in the elderly.
A total of 2,143 individuals aged 60 years or more were interviewed in the city of São Paulo in 2000 and 2006. Having private health insurance was the dichotomous dependent variable. Independent variables included sociodemographic characteristics and self-reported health status. The proportions of the variables studied were described and a logistic regression model considering those variables significant at p < 0.05 was constructed.
The elderly with private insurance coverage had significantly higher income and education. The elderly with no private insurance were screened less for cancer and more for respiratory diseases; they waited longer for appointments; they performed less medical tests; they reported fewer conditions and more falls and had a more negative self-rated health. The insured respondents reported lower vaccination rates and, among those hospitalized, 11.1% had their medical costs covered by the Brazilian National Health System (SUS) in 2000 and 17.9% in 2006. Osteoporosis was the single condition associated with private health insurance.
The elderly with private insurance coverage had significantly higher income and education than those with no private coverage, and these differences were associated with service utilization and social determinants of health. |
doi_str_mv | 10.1590/S0034-89102012000600013 |
format | article |
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A total of 2,143 individuals aged 60 years or more were interviewed in the city of São Paulo in 2000 and 2006. Having private health insurance was the dichotomous dependent variable. Independent variables included sociodemographic characteristics and self-reported health status. The proportions of the variables studied were described and a logistic regression model considering those variables significant at p < 0.05 was constructed.
The elderly with private insurance coverage had significantly higher income and education. The elderly with no private insurance were screened less for cancer and more for respiratory diseases; they waited longer for appointments; they performed less medical tests; they reported fewer conditions and more falls and had a more negative self-rated health. The insured respondents reported lower vaccination rates and, among those hospitalized, 11.1% had their medical costs covered by the Brazilian National Health System (SUS) in 2000 and 17.9% in 2006. Osteoporosis was the single condition associated with private health insurance.
The elderly with private insurance coverage had significantly higher income and education than those with no private coverage, and these differences were associated with service utilization and social determinants of health.</description><identifier>EISSN: 1518-8787</identifier><identifier>DOI: 10.1590/S0034-89102012000600013</identifier><identifier>PMID: 23503540</identifier><language>por</language><publisher>Brazil</publisher><subject>Age Distribution ; Aged ; Aged, 80 and over ; Brazil ; Cohort Studies ; Educational Status ; Female ; Health Services for the Aged - statistics & numerical data ; Humans ; Income ; Insurance Coverage - statistics & numerical data ; Male ; Prepaid Health Plans - statistics & numerical data ; Private Sector ; Sex Distribution ; Socioeconomic Factors ; Time Factors ; Waiting Lists</subject><ispartof>Revista de saúde pública, 2012-12, Vol.46 (6), p.1030-1038</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23503540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hernandes, Elizabeth S C</creatorcontrib><creatorcontrib>Lebrão, Maria Lúcia</creatorcontrib><creatorcontrib>Duarte, Yeda A O</creatorcontrib><creatorcontrib>Santos, Jair L Ferreira</creatorcontrib><title>Health insurance coverage of the elderly and socioepidemiological characteristics associated</title><title>Revista de saúde pública</title><addtitle>Rev Saude Publica</addtitle><description>To examine sociodemographic and epidemiological factors associated with private health insurance coverage in the elderly.
A total of 2,143 individuals aged 60 years or more were interviewed in the city of São Paulo in 2000 and 2006. Having private health insurance was the dichotomous dependent variable. Independent variables included sociodemographic characteristics and self-reported health status. The proportions of the variables studied were described and a logistic regression model considering those variables significant at p < 0.05 was constructed.
The elderly with private insurance coverage had significantly higher income and education. The elderly with no private insurance were screened less for cancer and more for respiratory diseases; they waited longer for appointments; they performed less medical tests; they reported fewer conditions and more falls and had a more negative self-rated health. The insured respondents reported lower vaccination rates and, among those hospitalized, 11.1% had their medical costs covered by the Brazilian National Health System (SUS) in 2000 and 17.9% in 2006. Osteoporosis was the single condition associated with private health insurance.
The elderly with private insurance coverage had significantly higher income and education than those with no private coverage, and these differences were associated with service utilization and social determinants of health.</description><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brazil</subject><subject>Cohort Studies</subject><subject>Educational Status</subject><subject>Female</subject><subject>Health Services for the Aged - statistics & numerical data</subject><subject>Humans</subject><subject>Income</subject><subject>Insurance Coverage - statistics & numerical data</subject><subject>Male</subject><subject>Prepaid Health Plans - statistics & numerical data</subject><subject>Private Sector</subject><subject>Sex Distribution</subject><subject>Socioeconomic Factors</subject><subject>Time Factors</subject><subject>Waiting Lists</subject><issn>1518-8787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNo10MFLwzAYBfAgiJvTf0Fz9FJN8qVtepShThh4UG9CSZMvWyRdatIK---dOA-Pd_nxDo-Qa85uedmwu1fGQBaq4UwwLhhj1SEcTsicl1wVqlb1jJzn_MmYAAHqjMwElAxKyebkY4U6jFvqd3lKemeQmviNSW-QRkfHLVIMFlPYU72zNEfjIw7eYu9jiBtvdKBmq5M2IyafR28y1fmX6RHtBTl1OmS8PPaCvD8-vC1Xxfrl6Xl5vy4GLvlY8Aqd6ZoOnOQClURhGyGcFLKUXQfKaldpYJXAzjLXAAOFZQ0OK2NkZRQsyM3f7pDi14R5bHufDYagdxin3HLgtSoBFD_QqyOduh5tOyTf67Rv_x-BH3eZY_g</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Hernandes, Elizabeth S C</creator><creator>Lebrão, Maria Lúcia</creator><creator>Duarte, Yeda A O</creator><creator>Santos, Jair L Ferreira</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201212</creationdate><title>Health insurance coverage of the elderly and socioepidemiological characteristics associated</title><author>Hernandes, Elizabeth S C ; Lebrão, Maria Lúcia ; Duarte, Yeda A O ; Santos, Jair L Ferreira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-16efcb9b3f412e84e2d922f42454bb38daf6a3062ebd0f93038e573fe6cc46c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>por</language><creationdate>2012</creationdate><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Brazil</topic><topic>Cohort Studies</topic><topic>Educational Status</topic><topic>Female</topic><topic>Health Services for the Aged - statistics & numerical data</topic><topic>Humans</topic><topic>Income</topic><topic>Insurance Coverage - statistics & numerical data</topic><topic>Male</topic><topic>Prepaid Health Plans - statistics & numerical data</topic><topic>Private Sector</topic><topic>Sex Distribution</topic><topic>Socioeconomic Factors</topic><topic>Time Factors</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hernandes, Elizabeth S C</creatorcontrib><creatorcontrib>Lebrão, Maria Lúcia</creatorcontrib><creatorcontrib>Duarte, Yeda A O</creatorcontrib><creatorcontrib>Santos, Jair L Ferreira</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista de saúde pública</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hernandes, Elizabeth S C</au><au>Lebrão, Maria Lúcia</au><au>Duarte, Yeda A O</au><au>Santos, Jair L Ferreira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health insurance coverage of the elderly and socioepidemiological characteristics associated</atitle><jtitle>Revista de saúde pública</jtitle><addtitle>Rev Saude Publica</addtitle><date>2012-12</date><risdate>2012</risdate><volume>46</volume><issue>6</issue><spage>1030</spage><epage>1038</epage><pages>1030-1038</pages><eissn>1518-8787</eissn><abstract>To examine sociodemographic and epidemiological factors associated with private health insurance coverage in the elderly.
A total of 2,143 individuals aged 60 years or more were interviewed in the city of São Paulo in 2000 and 2006. Having private health insurance was the dichotomous dependent variable. Independent variables included sociodemographic characteristics and self-reported health status. The proportions of the variables studied were described and a logistic regression model considering those variables significant at p < 0.05 was constructed.
The elderly with private insurance coverage had significantly higher income and education. The elderly with no private insurance were screened less for cancer and more for respiratory diseases; they waited longer for appointments; they performed less medical tests; they reported fewer conditions and more falls and had a more negative self-rated health. The insured respondents reported lower vaccination rates and, among those hospitalized, 11.1% had their medical costs covered by the Brazilian National Health System (SUS) in 2000 and 17.9% in 2006. Osteoporosis was the single condition associated with private health insurance.
The elderly with private insurance coverage had significantly higher income and education than those with no private coverage, and these differences were associated with service utilization and social determinants of health.</abstract><cop>Brazil</cop><pmid>23503540</pmid><doi>10.1590/S0034-89102012000600013</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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identifier | EISSN: 1518-8787 |
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issn | 1518-8787 |
language | por |
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source | SciELO Brazil |
subjects | Age Distribution Aged Aged, 80 and over Brazil Cohort Studies Educational Status Female Health Services for the Aged - statistics & numerical data Humans Income Insurance Coverage - statistics & numerical data Male Prepaid Health Plans - statistics & numerical data Private Sector Sex Distribution Socioeconomic Factors Time Factors Waiting Lists |
title | Health insurance coverage of the elderly and socioepidemiological characteristics associated |
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