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Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors

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 hea...

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Autores principales: Lent, Adrienne B., Garrido, Carlos O., Baird, Emily H., Viela, Ruta, Harris, Robin B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872206/
https://www.ncbi.nlm.nih.gov/pubmed/35206354
http://dx.doi.org/10.3390/ijerph19042166
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author Lent, Adrienne B.
Garrido, Carlos O.
Baird, Emily H.
Viela, Ruta
Harris, Robin B.
author_facet Lent, Adrienne B.
Garrido, Carlos O.
Baird, Emily H.
Viela, Ruta
Harris, Robin B.
author_sort Lent, Adrienne B.
collection PubMed
description 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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spelling pubmed-88722062022-02-25 Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors Lent, Adrienne B. Garrido, Carlos O. Baird, Emily H. Viela, Ruta Harris, Robin B. Int J Environ Res Public Health Article 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. MDPI 2022-02-15 /pmc/articles/PMC8872206/ /pubmed/35206354 http://dx.doi.org/10.3390/ijerph19042166 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lent, Adrienne B.
Garrido, Carlos O.
Baird, Emily H.
Viela, Ruta
Harris, Robin B.
Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors
title Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors
title_full Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors
title_fullStr Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors
title_full_unstemmed Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors
title_short Racial/Ethnic Disparities in Health and Life Insurance Denial Due to Cancer among Cancer Survivors
title_sort racial/ethnic disparities in health and life insurance denial due to cancer among cancer survivors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872206/
https://www.ncbi.nlm.nih.gov/pubmed/35206354
http://dx.doi.org/10.3390/ijerph19042166
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