The association between becoming uninsured and forgoing medical care among middle-aged and older adults in Mexico with chronic health conditions
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View abstract on PubMed
Summary
This summary is machine-generated.Losing health insurance in Mexico was linked to higher rates of discontinuing chronic condition medications and seeking less medical care due to cost. This highlights negative impacts on health care utilization for older adults.
Area Of Science
- Public Health
- Health Economics
- Health Services Research
Background
- Mexico's transition from Seguro Popular to Instituto de Salud para el Bienestar (INSABI) in 2020 increased the uninsured population.
- Understanding the impact of insurance loss on vulnerable populations is crucial for health policy.
- Middle-aged and older adults are a key demographic affected by health insurance changes.
Purpose Of The Study
- To examine the association between losing public health insurance and medication adherence for chronic conditions.
- To investigate the impact of insurance loss on healthcare utilization, including physician visits and medication costs.
- To analyze the reasons for reduced healthcare access among those who lost insurance.
Main Methods
- Utilized data from the 2018 and 2021 Mexican Health and Aging Study.
- Included 6,051 participants with chronic conditions like hypertension, diabetes, heart disease, stroke, asthma, or arthritis.
- Employed logistic regression to assess the relationship between insurance status changes and health outcomes.
Main Results
- Approximately 20% of insured participants in 2018 became uninsured by 2021.
- Insurance loss significantly increased the odds of discontinuing chronic condition medications (OR=2.11).
- Becoming uninsured raised odds of stopping medications due to cost (OR=1.95) and delaying care for serious issues (OR=1.50).
Conclusions
- The shift in health insurance policy negatively impacted healthcare utilization among middle-aged and older adults.
- Increased medication non-adherence and reduced access to care due to cost are significant consequences.
- Policy interventions are needed to mitigate the adverse health effects of insurance loss.
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