Publications [#272887] of Deborah T. Gold

Papers Published

1. Landerman, LR; Fillenbaum, GG; Pieper, CF; Maddox, GL; Gold, DT; Guralnik, JM (1998). Private health insurance coverage and disability among older Americans.. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 53(5), S258-S266. [9750574], [doi]
   (last updated on 2023/06/01)

   Abstract:
   OBJECTIVES: This study examines the relationship between the lack of private supplemental health insurance coverage and the development of disability among adults aged 65 and older. METHODS: Data are from the baseline and six follow-up waves of the Duke Established Populations for Epidemiologic Studies of the Elderly survey (N = 4,000). Discrete-time hazard models were used to estimate the impact of insurance coverage and other risk factors on the incidence of disability among those unimpaired at baseline. RESULTS: Controlling for education, income, and other potential confounders, the odds of developing disability were 35-49% higher among those without private coverage. Insurance coverage also statistically explained part of the increased risk of disability among low-income persons. DISCUSSION: The results indicate that changes in health insurance coverage as well as in individual behaviors may be needed to reduce disability generally and disability among the socioeconomically disadvantaged, in particular.