title: Health, disability, and life insurance experiences of working-age persons with multiple sclerosis.
abstract: Working-age Americans with multiple sclerosis (MS) may face considerable financial insecurities when they become unable to work and lack the health, disability, and life insurance typically offered through employers. In order to estimate the rates of having these insurance policies, as well as how insurance status affects reports of financial stress, we conducted half-hour telephone interviews with 983 working-age persons across the US, who reported being diagnosed with MS. The interviews occurred from May through November 2005, and among the sampled individuals contacted and confirmed eligible, 93.2% completed the interview. The study population was largely female (78.9%), Caucasian (86.4%), married (68.6%), with at least some college education (71.5%), and unemployed (60.2%). Overall, 96.3% had some health insurance (40.3% with public health insurance, primarily Medicare), 56.7% had long-term disability insurance (36.4% with public programs), and 68.3% had life insurance. Notably, 27.4% indicated that, since being diagnosed with MS, health insurance concerns had significantly affected employment decisions. In addition, 16.4% reported considerable difficulty paying for health care, 27.4% put off or postponed seeking needed health care because of costs, and 22.3% delayed filling prescriptions, skipped medication doses, or split pills because of costs. Overall, 26.6% reported considerable worries about affording even basic necessities, such as food, utilities, and housing.
authors.affiliation: Department of Medicine, Division of General Medicine and Primary Care, Harvard Medical School, Beth Israel, Deaconess Medical Center, Boston, MA 02215, USA. liezzoni@bidmc.harvard.edu
authors.forename: L I
authors.initials: LI
authors.lastname: Iezzoni
authors.forename: L
authors.initials: L
authors.lastname: Ngo
mesh_terms: D000328:Adult; D003710:Demography; D004185:Disability Evaluation; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D018868:Insurance, Disability / Q000706:statistics & numerical data*; D007352:Insurance, Life / Q000706:statistics & numerical data*; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000191:economics / Q000503:physiopathology*; D013689:Telephone; D014481:United States