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The impact of socioeconomic inequalities and lack of health insurance on physical functioning among middle-aged and older adults in the United States
- Authors:
- KIM Jinhyun, RICHARDSON Virginia
- Journal article citation:
- Health and Social Care in the Community, 20(1), January 2012, pp.42-51.
- Publisher:
- Wiley
Socioeconomic inequalities and lack of private health insurance are significant contributors to health disparities in the United States. As people age, the negative impact of these inequalities on health may increase. The aim of this study was to investigate the impact of socioeconomic inequalities and lack of private health insurance on physical functioning, as measured by activities of daily living, and its rate of change over time. Data were obtained from a longitudinal panel study of individuals over 50 years, the Health and Retirement Study (1994–2006). The sample used for this analysis was 6519 black and white adults who provided in-depth information about health, socioeconomic, financial and health insurance information. The results showed that higher level of income and assets and having private health insurance significantly predicted better physical functioning. In particular, decline in physical functioning was slower among those who had private health insurance. Changes in economic status had a greater impact on women’s physical functioning than on men’s. Black adults did not suffer more rapid declines in physical functioning than white adults after controlling for socioeconomic status. The article concludes that economic security and affordable health insurance should be enhanced to reduce these disparities in physical functioning.
Teaching gerontological social work: a compendium of model syllabi
- Authors:
- RICHARDSON Virginia, comp
- Publisher:
- Council on Social Work Education
- Publication year:
- 1999
- Pagination:
- 161p.,bibliogs.
- Place of publication:
- Alexandria, VA
Collection of course outlines on social work and ageing from the United States. Includes courses on: social work and ageing; social policy and ageing; social work practice with older adults; direct practice in ageing settings; the ageing process; death and bereavement; social work practice with older adults; ageing in American society; ageing and society; social gerontology; current issues in social work practice with older users; treatment approaches; ageing policy and service delivery; policy issues and older people; and diversity in ageing.