TY - JOUR
T1 - Policy Changes and Improvements in Health Insurance Coverage Among MSM
T2 - 20 U.S. Cities, 2008–2014
AU - NHBS Study Group
AU - CDC: Behavioral Surveillance Team
AU - Cooley, Laura A.
AU - Hoots, Brooke
AU - Wejnert, Cyprian
AU - Lewis, Rashunda
AU - Paz-Bailey, Gabriela
AU - Taussig, Jennifer
AU - Gern, Robert
AU - Hoyte, Tamika
AU - Salazar, Laura
AU - White, Jianglan
AU - Todd, Jeff
AU - Bautista, Greg
AU - Flynn, Colin
AU - Sifakis, Frangiscos
AU - German, Danielle
AU - Isenberg, Debbie
AU - Driscoll, Maura
AU - Hurwitz, Elizabeth
AU - Miminos, Maura
AU - Doherty, Rose
AU - Wittke, Chris
AU - Prachand, Nikhil
AU - Benbow, Nanette
AU - Melville, Sharon
AU - Pannala, Praveen
AU - Yeager, Richard
AU - Sayegh, Aaron
AU - Dyer, Jim
AU - Sheu, Shane
AU - Novoa, Alicia
AU - Thrun, Mark
AU - Al-Tayyib, Alia
AU - Wilmoth, Ralph
AU - Higgins, Emily
AU - Griffin, Vivian
AU - Mokotoff, Eve
AU - MacMaster, Karen
AU - Wolverton, Marcia
AU - Risser, Jan
AU - Rehman, Hafeez
AU - Padgett, Paige
AU - Bingham, Trista
AU - Sey, Ekow Kwa
AU - LaLota, Marlene
AU - Metsch, Lisa
AU - Forrest, David
AU - Beck, Dano
AU - Cardenas, Gabriel
AU - Nemeth, Chris
AU - Anderson, Bridget J.
N1 - Funding Information:
The National HIV Behavioral Surveillance (NHBS) system is funded by CDC. Data collection is conducted by funded sites in accordance with a standardized protocol developed by CDC.
Publisher Copyright:
© 2016, Springer Science+Business Media New York (outside the USA).
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Recent policy changes have improved the ability of gay, bisexual, and other men who have sex with men (MSM) to secure health insurance. We wanted to assess changes over time in self-reported health insurance status among MSM participating in CDC’s National HIV Behavioral Surveillance (NHBS) in 2008, 2011, and 2014. We analyzed NHBS data from sexually active MSM interviewed at venues in 20 U.S. cities. To determine if interview year was associated with health insurance status, we used a Poisson model with robust standard errors. Among included MSM, the overall percentage of MSM with health insurance rose 16 % from 2008 (68 %) to 2014 (79 %) (p value for trend < 0.001). The change in coverage over time was greatest in key demographic segments with lower health insurance coverage all three interview years, by age, education, and income. Corresponding with recent policy changes, health insurance improved among MSM participating in NHBS, with greater improvements in historically underinsured demographic segments. Despite these increases, improved coverage is still needed. Improved access to health insurance could lead to a reduction in health disparities among MSM over time.
AB - Recent policy changes have improved the ability of gay, bisexual, and other men who have sex with men (MSM) to secure health insurance. We wanted to assess changes over time in self-reported health insurance status among MSM participating in CDC’s National HIV Behavioral Surveillance (NHBS) in 2008, 2011, and 2014. We analyzed NHBS data from sexually active MSM interviewed at venues in 20 U.S. cities. To determine if interview year was associated with health insurance status, we used a Poisson model with robust standard errors. Among included MSM, the overall percentage of MSM with health insurance rose 16 % from 2008 (68 %) to 2014 (79 %) (p value for trend < 0.001). The change in coverage over time was greatest in key demographic segments with lower health insurance coverage all three interview years, by age, education, and income. Corresponding with recent policy changes, health insurance improved among MSM participating in NHBS, with greater improvements in historically underinsured demographic segments. Despite these increases, improved coverage is still needed. Improved access to health insurance could lead to a reduction in health disparities among MSM over time.
KW - Health disparities
KW - Health insurance
KW - Men who have sex with men
UR - http://www.scopus.com/inward/record.url?scp=84992128676&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84992128676&partnerID=8YFLogxK
U2 - 10.1007/s10461-016-1567-7
DO - 10.1007/s10461-016-1567-7
M3 - Article
C2 - 27771817
AN - SCOPUS:84992128676
SN - 1090-7165
VL - 21
SP - 615
EP - 618
JO - AIDS and behavior
JF - AIDS and behavior
IS - 3
ER -