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August 2002, Vol 92, No. 8 | American Journal of Public Health 1264-1271
© 2002 American Public Health Association

RESEARCH AND PRACTICE

Stability and Change in Health Insurance Among Older Mexican Americans: Longitudinal Evidence From the Hispanic Established Populations for Epidemiologic Study of the Elderly

Ronald J. Angel, PhD, Jacqueline L. Angel, PhD and Kyriakos S. Markides, PhD

Ronald J. Angel is with the Department of Sociology and Jacqueline L. Angel is with the LBJ School of Public Affairs, University of Texas at Austin. Kyriakos S. Markides is with the Department of Preventive Medicine and Community Health, University of Texas at Galveston.

Correspondence: Requests for reprints should be sent to Jacqueline L. Angel, PhD, Center for Health and Social Policy LBJ School of Public Affairs, PO Box Y, The University of Texas at Austin, Austin, TX 78713 (e-mail: jangel{at}mail.utexas.edu).

Objectives. This study examined the association between health insurance coverage, medical care use, limitations in activities of daily living, and mortality among older Mexican-origin individuals.

Methods. We analyzed longitudinal data from the Hispanic Established Populations for Epidemiologic Study of the Elderly (H-EPESE).

Results. The uninsured tend to be younger, female, poor, and foreign born. They report fewer health care visits, are less likely to have a usual source of care, and more often receive care in Mexico. Conversely, those with private health insurance are economically better off and use more health care services. Over time, the data reveal substantial changes in type of insurance coverage.

Conclusions. The data reveal serious vulnerabilities among older Mexican Americans that result from a lack of private Medigap supplemental coverage. (Am J Public Health. 2002;92:1264–1271)




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