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, Jacqueline L. Angel, Kyriakos S. Markides

Research output: Contribution to journalArticle

56 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1264-1271
Number of pages8
JournalAmerican Journal of Public Health
Issue number8
StatePublished - Jan 1 2002
Externally publishedYes


ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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