Health insurance and self-assessed health: New evidence from Affordable Care Act repeal fear.

Health Econ

Department of Economics, University of New Mexico, Albuquerque, New Mexico, USA.

Published: September 2020

AI Article Synopsis

  • Self-assessed health is a popular metric used by economists, but it doesn’t always align with actual physical health outcomes.
  • This study indicates that psychological factors play a significant role in how individuals assess their health.
  • When concerns about the repeal of the Affordable Care Act (ACA) rose, low-income childless adults in states that expanded Medicaid reported a decline in their self-assessed health.

Article Abstract

Self-assessed health is one of the most commonly used health measures by economists. However, changes in self-assessed health are not always accompanied by changes in physical health as measured by clinical outcomes. This study provides suggestive evidence that this discrepancy arises because self-assessed health is significantly influenced by psychological factors. Specifically, when the perceived risk of Affordable Care Act (ACA) repeal increased, as documented by Google Trends data, self-assessed health declined among low-income childless adults living in states that expanded Medicaid under the ACA.

Download full-text PDF

Source
http://dx.doi.org/10.1002/hec.4026DOI Listing

Publication Analysis

Top Keywords

self-assessed health
20
health
8
affordable care
8
self-assessed
5
health insurance
4
insurance self-assessed
4
health evidence
4
evidence affordable
4
care repeal
4
repeal fear
4

Similar Publications

Attitudes toward sexual and reproductive health and rights and their associations with reproductive agency: a population-based cross-sectional study in Ethiopia, Kenya, and Zimbabwe.

Sex Reprod Health Matters

January 2025

Associate Professor, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden; Associate Professor, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

We investigated the association between values and attitudes toward sexual and reproductive health and rights (SRHR) and gender equality, with reproductive agency in Ethiopia, Kenya, and Zimbabwe. Using 2020-21 World Values Survey (WVS) data (n = 3,096), we utilized the SRHR Support Index including five subindices to gauge SRHR attitudes, the WVS Equality Index for gender equality values, and the perceived level of freedom of choice and control over whether, when, and how many children to have as a proxy for reproductive agency. Descriptive statistics, bivariate, and multivariable logistic regressions were used to analyse how values and attitudes differed between respondents of high vs low reproductive agency using the median as cutoff, stratified by country and sex.

View Article and Find Full Text PDF

Purpose: While several studies demonstrate an association between reproductive coercion or a lack of reproductive autonomy and decreased mental health in women, little is known about potential mental health impacts when women are denied prescription contraceptives. The aim of this research was to explore associations between prescription contraceptive denial and perceived ease of future access to contraception, and self-assessed mental health.

Patients And Methods: Polish women (N=424) completed an anonymous online survey with demographic questions; perceived stress (PSS-10), state anxiety (STAI-X1), and depression (CESD-R) assessments, and contraceptive access questions.

View Article and Find Full Text PDF

Introduction: Patients diagnosed with COVID-19 may present sequelae which are called Post COVID-19 Syndrome or Long COVID in which physical, psychological and/or social complications are evident. The objective of this study was to evaluate the agreement of the Post-COVID-19 Functional Status Scale (PCFS) of the evaluator-administered version vs patient self-assessed in post-COVID-19 patients.

Methods: Observational study in patients diagnosed with COVID-19 with subsequent recovery.

View Article and Find Full Text PDF

This paper examines the causal impacts of rising housing costs on individual health and satisfaction with life circumstances, using a fixed-effects instrumental variable approach and individual-level panel data from Australia. Relying on the historical patterns of immigrant settlement, we construct an instrumental variable that exploits exogenous variation in housing costs driven by foreign investments that flow differentially into localities. We find that rising housing costs-as measured by composite housing costs faced by homeowners and renters living in an area-have a significant positive impact on individuals' self-assessed physical health and a significant negative impact on satisfaction ratings, but no significant impact on self-assessed emotional health.

View Article and Find Full Text PDF

Self-rated health (SRH) is a significant predictor of future health outcomes. Despite the contribution of psychological factors in individuals' subjective health assessments, prior studies of machine learning-based prediction models primarily focused on health-related factors of SRH. Using the Midlife in the United States (MIDUS 2), the current study employed machine learning techniques to predict SRH based on a broad array of biological, psychological, and sociodemographic factors.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!