The Association between Health Insurance and All-Cause, Cardiovascular Disease, Cancer and Cause-Specific Mortality
A Prospective Cohort Study
Bibliographic Data
| ID | 15466816 |
|---|---|
| Authors | Liying Song (0000-0002-9860-2602, Xi'an Jiaotong University, corresponding author), Yan Wang (0009-0009-9633-0023, Wuhan University), Baodong Chen (0000-0002-1790-7800, Xi'an Polytechnic University), Yang Tan (0000-0001-7912-1742, Xi'an University of Finance and Economics), Tan Yang (0000-0002-7919-4615, Xi'an University of Technology), Zhang Wei-liang (Xi'an University of Finance and Economics), Weiliang Zhang (Xi'an International Studies University), Yafeng Wang (0009-0002-8134-4886, Xi'an Jiaotong University, corresponding author) |
| Year | 2020 |
| Volume | 17 |
| Issue | 5 |
| Pages | 1525-1525 |
| Publication date | 2020-02-27 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph17051525 |
| PMID | 32120888 |
| OpenAlex | W3007565255 |
| Language | EN |
| Citations received | 3 |
| References cited | 29 |
The purpose of this study was to evaluate the association of insurance status with all-cause and cause-specific mortality. A total of 390,881 participants, aged 18-64 years and interviewed from 1997 to 2013 were eligible for a mortality follow-up in December 31, 2015. Cox proportional hazards models were used to calculate the hazards ratios (HR) and 95% confidence intervals (CI) to determine the association between insurance status and all-cause and cause-specific mortality. The sample group cumulatively aged 4.22 million years before their follow-ups, with a mean follow-up of 10.4 years, and a total of 22,852 all-cause deaths. In fully adjusted models, private insurance was significantly associated with a 17% decreased risk of mortality (HR = 0.83; 95% CI = 0.80-0.87), but public insurance was associated with a 21% increased risk of mortality (HR = 1.21; 95% CI = 1.15-1.27). Compared to noninsurance, private coverage was associated with about 21% lower CVD mortality risk (HR = 0.79, 95% CI = 0.70-0.89). In addition, public insurance was associated with increased mortality risk of kidney disease, diabetes and CLRD, compared with noninsurance, respectively. This study supports the current evidence for the relationship between private insurance and decreased mortality risk. In addition, our results show that public insurance is associated with an increased risk of mortality
Cohort · Cohort study · Confidence interval · Diabetes mellitus · Disease · Hazard ratio · Lower risk · Pathology · Proportional hazards model · Prospective cohort study · Public health · Relative risk · Risk of mortality · Demography · Global Health Care Issues · Healthcare cost, quality, practices · Healthcare Policy and Management · Medicine · Internal Medicine
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| Unique citing works | 3 |
|---|---|
| Citations per year | 0,75 |
| Citation span | 2022 - 2024 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |