The Impact of Family Labor Market Status on Access to Health Care

项目总结（见说明）： 不同人群可用的资源有限，这是影响他们管理 并改善他们的健康状况。本项目研究如何就业和劳动力市场的地位，个人 家庭成员影响家庭获得健康保险和保健的能力。先前的研究 显示，美国劳动力市场的工作分为三个部分：“初级”，“次级”， 或“中介”工作。好工作的定义是年收入超过120%的工作 对于一个典型的三口之家，雇主提供解雇补助， 雇主提供健康保险;坏工作被定义为没有这些东西的工作。 2005年，大约26%的“中介工人”和100%的“二级工人” 这些工作不为他们提供医疗保险。45%的美国工人 这些工作不为他们提供医疗保险。在那些被雇用的人中，几乎有18人 %的人没有任何来源的医疗保险。虽然大多数美国人退出“中学”， 到30岁时，少数民族工人继续就业的风险增加 在“二级”或“中介”劳动力市场。因为雇主提供健康 保险是美国提供医疗保健的主要机制， 少数族裔在不提供医疗保险的工作中的过度代表性是一个主要的问题， 黑人和白人之间发病率和死亡率差异的原因。为了获得一个 充分了解健康保险的动态和健康不同的人口，这是 重要的是，评估《平价医疗法案》可能产生的影响也很重要。 在卫生资源分配中的作用。

PROJECT SUMMARY (See instructions): The limited resources available to disparate populations are a major factor in their ability to both manage and improve their health. This project examines how the employment and labor market status of individual family members affect the family's ability to obtain health insurance and health care. Previous research has shown that jobs in the American labor market cluster into three segments: "primary", "secondary", or "intermediary" jobs. Good jobs are defined as jobs that have annual earnings above 120 percent ofthe poverty level for a typical family of three, an employer provided refirement benefit, and employer provided health insurance; bad jobs are defined as jobs that have none of these things. In 2005 about 26 percent of "intermediary workers" and 100 percent of "secondary workers" had jobs that did not provide them with health insurance. Overall 45 percent ofAmerican workers had jobs that did not provide them with health insurance. Ariiong those who were employed, almost 18 percent did not have health insurance from any source. While most Americans exit the "secondary" labor market by age thirty, minority workers have an increased risk of continued employment in either the "secondary" or the "intermediary" labor market. Because employer provided health insurance is the primary mechanism for delivering health care in the United States, it is possible that the overrepresentafion of minorifies in jobs that do not provide health insurance is a major reason for the morbidity and mortality disparity between blacks and whites. In an effort to gain a full understanding of the dynamics of health insurance and the health disparate populafion, it is important to also important to evaluate the probable affects which the Affordable Care Act may play in allocation of health care resources for the disparity populafion.