Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors.
Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors.
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DOI：
10.3390/ijerph19042166
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发表时间：
2022-02-15
影响因子：
--
通讯作者：
Harris RB
中科院分区：
文献类型：
--
作者：
Lent AB;Garrido CO;Baird EH;Viela R;Harris RB
本研究调查了在平价医疗法案（ACA）通过后，癌症幸存者因癌症而拒绝健康/人寿保险的种族/民族差异。行为风险因素监测系统数据采集时间为2012-2020年。因变量的问题是：“你是否曾经因为癌症而被拒绝为你的健康保险或人寿保险？”如果在《平价医疗法案》之后被诊断患有癌症，癌症幸存者也被包括在内（N = 14,815）。对年龄、性别、收入和就业进行未调整和调整后的logistic回归，提供了不同种族/族裔群体因癌症拒绝保险的比值比：非西班牙裔白人、黑人和其他/混合种族；和西班牙裔。被拒者与未被拒者在性别、年龄、种族/民族、收入和就业方面的差异有统计学意义（p < 0.05）。调整后的回归发现，与白人相比，黑人（OR: 3.00, 95% CI: 1.77, 5.08）、其他/混合种族（OR: 2.16, 95% CI: 1.16, 4.02）和西班牙裔（OR: 2.13, 95% CI: 1.02, 4.42）被拒绝保险的比值比明显更高。性别、收入和就业都存在差异。癌症幸存者报告说，尽管政策发生了变化，但在因癌症而被拒绝提供健康和人寿保险方面存在种族/民族差异。这可能对那些因癌症诊断而在经济上处于弱势的人有害，并加剧种族/民族癌症差异。
This study examined racial/ethnic differences in health/life insurance denial due to cancer among cancer survivors after the passage of the Affordable Care Act (ACA). Behavioral Risk Factor Surveillance System data were obtained from 2012–2020. The dependent variable asked: “Were you ever denied health insurance or life insurance coverage because of your cancer?” Cancer survivors were included if they were diagnosed with cancer after the Affordable Care Act (N = 14,815). Unadjusted and adjusted logistic regressions for age, sex, income, and employment provided odds ratios of insurance denial due to cancer across racial/ethnic groups: Non-Hispanic White, Black, and Other/mixed race; and Hispanic. Statistically significant differences (p < 0.05) were found between those who were denied or not denied insurance across sex, age, race/ethnicity, income, and employment. Adjusted regressions found significantly higher odds ratios of insurance denial for Blacks (OR: 3.00, 95% CI: 1.77, 5.08), Other/mixed race (OR: 2.16, 95% CI: 1.16, 4.02), and Hispanics (OR: 2.13, 95% CI: 1.02, 4.42) compared to Whites. Differences were observed across sex, income, and employment. Cancer survivors report racial/ethnic disparities in health and life insurance denial due to their cancer despite policy changes. This may be harmful for those who are already financially vulnerable due to their cancer diagnosis and exacerbate racial/ethnic cancer disparities.
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影响因子：
4.7
作者：
Biddell CB;Wheeler SB;Angove RSM;Gallagher KD;Anderson E;Kent EE;Spees LP
通讯作者：
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