Debt and Foregone Medical Care

@article{Kalousov2013DebtAF,
  title={Debt and Foregone Medical Care},
  author={Lucie Kalousov{\'a} and Sarah A. Burgard},
  journal={Journal of Health and Social Behavior},
  year={2013},
  volume={54},
  pages={204 - 220}
}
Most American households carry debt, yet we have little understanding of how debt influences health behavior, especially health care seeking. We examined associations between foregone medical care and debt using a population-based sample of 914 southeastern Michigan residents surveyed in the wake of the late-2000s recession. Overall debt and ratios of debt to income and debt to assets were positively associated with foregoing medical or dental care in the past 12 months, even after adjusting… 
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Household Debt and Adult Depressive Symptoms in the United States
This study used data from Waves 1 (1987–1989) and 2 (1992–1994) of the National Survey of Families and Households in the United States and a series of regression models, some of which included…
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References

SHOWING 1-10 OF 57 REFERENCES
Seeing red: Americans driven into debt by medical bills. Results from a National Survey.
New analysis of the 2003 Commonwealth Fund Biennial Health Insurance Survey reveals that an estimated 77 million Americans age 19 and older--nearly two of five (37%) adults--have difficulty paying…
Rising health costs, medical debt and chronic conditions.
  • H. Tu
  • Computer Science, Medicine
    Issue brief
  • 2004
TLDR
Rising health costs have hit low-income, privately insured people with chronic conditions particularly hard, and nearly half reported medical bill problems, making them much more likely to forgo or delay needed medical care.
Retiring in Debt? Differences between the 1995 and 2004 Near-Retiree Cohorts
TLDR
It is found that near-retirees in 2004-the leading edge of the baby-boom cohort--had more consumer and housing debt than their counterparts in 1995, but no statistical difference in the average ratios.
Over the limit: the association among health, race and debt.
TLDR
It is found that both credit card debt and stress regarding debt are associated with health, and health behaviors and risks explain part of this association.
Tough trade-offs: medical bills, family finances and access to care.
TLDR
People in families with medical bill problems reported much greater trouble getting care because of cost concerns-one in three did not get a prescription drug, one in four delayed care and one in eight went without needed care.
Health insurance status, medical debt, and their impact on access to care in Arizona.
TLDR
At least in Arizona, health insurance does not protect individuals from medical debt, and medical debt and lack of insurance coverage both predict reduced access to care.
Debt, social disadvantage and maternal depression.
Depression is common among women with young children, and is strongly associated with financial adversity. Debt is a common feature of such adversity, yet its relationship with depression has not…
Age, debt and anxiety.
  • P. Drentea
  • Psychology, Medicine
    Journal of health and social behavior
  • 2000
TLDR
Using data from a 1997 representative sample of more than 1,000 adults in Ohio, results show that anxiety does increase with the ratio ofcredit card debt to income, and with being in default; but credit card debt accounts for little of the age-anxiety association.
Health care use and decision making among lower-income families in high-deductible health plans.
TLDR
Lower-income families with out-of-pocket expenditures in an HDHP were more likely than higher- Income families to report cost-related delayed or foregone care but did not report more difficulty understanding or using their plans, and might be more likely to question services requiring out- of- pocket expenditures.
Debt and distress: Evaluating the psychological cost of credit
In this paper we explore the association between debt and psychological well-being amongst heads of households using the British Household Panel Survey. Our principle finding is that those household…
...
1
2
3
4
5
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