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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Jane Nelson Bolin, RN JD, Department of Health Policy & Management, Texas A&M School of Rural Public Health, 3000 Briarcrest Drive Suite 310, Bryan, TX 77802, 979-862-4238, jbolin@srph.tamu.edu
Research Objective: Evaluate and identify important differences in employment across the population of working-age persons with chronic illnesses or impairments. Identify important associations between physical and mental health conditions and ICIDH-2 classified disabilities—and, in turn, analyze which conditions or disabilities strongly predict work, job-based insurance and wages. Study Design: Using the 1995 NHIS-Disability Survey data, this study modeled and quantified the effects of illnesses, impairments, and other important factors on work, insurance and wages of working age persons with one or more chronic condition or impairment. Analysis: Statistical analysis was performed using simple bivariate techniques, and two-stage Heckman statistical methods to quantify the effects of chronic conditions and impairments as well as ICIDH-2 classified disabilities on work, insurance and wages. Principle Findings: There are substantial and significant effects of both physical and mental conditions, and ICIDH-2 disabilities, on work decisions. However, physical conditions, by themselves, do not have as strong of an effect on access to job-based insurance or hourly wages as mental health conditions. Certain mental disorders strongly predict reduced work, decreased wages and reduced access to job-based health insurance. Some ICIDH-2 impairments are also important predictors of reduced access to job-based health insurance and reduced wages. An additional, positive and significant finding was that an impaired or disabled person is more likely to work if their spouse works. These findings are important to understanding the needs of persons with chronic illnesses and creating policy interventions that are relevant to disabled persons unique circumstances and needs.
Learning Objectives:
Keywords: Disability Policy, Employer-Provided Health Insurance
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.