The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Health Insurance and Mortality in US Adults
Open accessAbstract
Objectives. A 1993 study found a 25% higher risk of death among uninsured compared with privately insured adults. We analyzed the relationship between uninsurance and death with more recent data. Methods. We conducted a survival analysis with data from the Third National Health and Nutrition Examination Survey. We analyzed participants aged 17 to 64 years to determine whether uninsurance at the time of interview predicted death. Results. Among all participants, 3.1% (95% confidence interval [CI] = 2.5%, 3.7%) died. The hazard ratio for mortality among the uninsured compared with the insured, with adjustment for age and gender only, was 1.80 (95% CI = 1.44, 2.26). After additional adjustment for race/ethnicity, income, education, self- and physician-rated health status, body mass index, leisure exercise, smoking, and regular alcohol use, the uninsured were more likely to die (hazard ratio = 1.40; 95% CI = 1.06, 1.84) than those with insurance. Conclusions. Uninsurance is associated with mortality. The strength of that association appears similar to that from a study that evaluated data from the mid-1980s, despite changes in medical therapeutics and the demography of the uninsured since that time.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Income, Poverty, and Health Insurance Coverage In The United States: 2006: (668082007-001)
DeNavas-Walt, C., Proctor, B. D., & Smith, J. (2007) · PsycEXTRA Dataset · doi:10.1037/e668082007-001 · Cited by 1,636
Korn, E. L., & Graubard, B. I. (1999) · Wiley eBooks · doi:10.1002/9781118032619 · Cited by 1,044
Free for All? Lessons from the RAND Health Insurance Experiment
Neuberg, L. G., Newhouse, J. P., & Group, I. E. (1995) · Southern Economic Journal · doi:10.2307/1061020 · Cited by 991
(2001) · Technometrics · doi:10.1198/tech.2001.s612 · Cited by 989
Adverse Events Associated With Prescription Drug Cost-Sharing Among Poor and Elderly Persons
Tamblyn, R. (2001) · JAMA · doi:10.1001/jama.285.4.421 · Cited by 873
Unmet Health Needs of Uninsured Adults in the United States
Ayanian, J. Z. (2000) · JAMA · doi:10.1001/jama.284.16.2061 · Cited by 766
Rates of Avoidable Hospitalization by Insurance Status in Massachusetts and Maryland
Weissman, J. S. (1992) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1992.03490170060026 · Cited by 713
The Relation between Health Insurance Coverage and Clinical Outcomes among Women with Breast Cancer
Ayanian, J. Z., Kohler, B. A., Abe, T., & Epstein, A. M. (1993) · New England Journal of Medicine · doi:10.1056/nejm199307293290507 · Cited by 681
Health Insurance and Mortality: Evidence From a National Cohort
Franks, P. (1993) · JAMA · doi:10.1001/jama.1993.03510060083037 · Cited by 328
Cited by
Havranek, E. P., Mujahid, M. S., Barr, D. A., Blair, I. V., Cohen, M. S., Cruz-Flores, S., Davey-Smith, G., Dennison-Himmelfarb, C. R., Lauer, M. S., Lockwood, D. W., et al. (2015) · Circulation · doi:10.1161/cir.0000000000000228 · Cited by 1,472
Building Sustainable Organizations: The Human Factor.
Pfeffer, J. (2010) · Academy of Management Perspectives · doi:10.5465/amp.2010.50304415 · Cited by 862
Miles to Go before We Sleep: Racial Inequities in Health
Williams, D. R. (2012) · Journal of Health and Social Behavior · doi:10.1177/0022146512455804 · Cited by 507
Improving the prognosis of health care in the USA
Galvani, A. P., Parpia, A. S., Foster, E. M., Singer, B. H., & Fitzpatrick, M. C. (2020) · The Lancet · doi:10.1016/s0140-6736(19)33019-3 · Cited by 138
Cho, H. L., Danis, M., & Grady, C. (2018) · Clinical Trials · doi:10.1177/1740774518792277 · Cited by 26
Metadata
- Authors
- Wilper, A. P., Woolhandler, S., Lasser, K. E., McCormick, D., Bor, D. H., & Himmelstein, D. U.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2009-12
- Volume
- 99
- Issue
- 12
- Pages
- 2289-2295
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W2142039787
- Cited by
- 470
- References
- 28
- FWCI
- 65.83
- Type
- journal article
- Language
- en
- Open access
- green
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Health Insurance and Mortality in US Adults. https://app.cochat.ai/papers/10.2105/ajph.2008.157685
- The paper
- Wilper, A. P., Woolhandler, S., Lasser, K. E., McCormick, D., Bor, D. H., & Himmelstein, D. U. (2009). Health Insurance and Mortality in US Adults. American Journal of Public Health. https://doi.org/10.2105/ajph.2008.157685
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
