title: Social integration and health insurance status among African American men and women.
abstract: Using 2010 national data, we investigate the relationship between social integration and health insurance for African American adults. During the previous year 21.6% of men and 19.8% of women lacked continuous health insurance. The effect of marital status, income, and employment on insurance coverage differed by age and gender. Additionally, frequency of church attendance was positively associated with continuous health insurance for women aged 51-64. Spiritual/religious identity was marginally associated with insurance status for men aged 36-50. As provisions of the Affordable Care Act take effect, implementation programs should expand enrollment efforts to include the conjugal unit and the church.
authors.affiliation: a Birmingham Veterans Affairs Medical Center , Birmingham , AL.
authors.forename: Beverly Rosa
authors.initials: BR
authors.lastname: Williams
authors.forename: Min Qi
authors.initials: MQ
authors.lastname: Wang
authors.forename: Cheryl L
authors.initials: CL
authors.lastname: Holt
authors.forename: Emily
authors.initials: E
authors.lastname: Schulz
authors.forename: Eddie M
authors.initials: EM
authors.lastname: Clark
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000367:Age Factors; D004651:Employment; D005260:Female; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D007398:Interpersonal Relations; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D058991:Patient Protection and Affordable Care Act; D012067:Religion; D012737:Sex Factors; D012959:Socioeconomic Factors; D014481:United States
keywords: African Americans; conjugal unit; health insurance; religiosity; spiritual identity