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1.
Demography ; 51(4): 1397-421, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25012788

RESUMO

Despite the high levels of marital disruption in the United States and the fact that a significant portion of health insurance coverage for those less than age 65 is based on family membership, surprisingly little research is available on the consequences of marital disruption for the health insurance coverage of men, women, and children. We address this shortfall by examining patterns of coverage surrounding marital disruption for men, women, and children, further subset by educational level. Using the 1996, 2001, and 2004 panels of the Survey of Income and Program Participation (SIPP), we find large differences in health insurance coverage across marital status groups in the cross-section. In longitudinal analyses that focus on within-person change, we find small overall coverage changes but large changes in type of coverage following marital disruption. Both men and women show increases in private coverage in their own names, but offsetting decreases in dependent coverage tend to be larger. One surprising result is that dependent coverage for children also declines after marital dissolution, even though children are still likely to be eligible for that coverage. Children and (to a lesser extent) women show increases in public coverage around the time of divorce or separation. We also find that these patterns differ by education. The most vulnerable group appears to be lower-educated women with children because the increases in private, own-name, and public insurance are not large enough to offset the large decrease in dependent coverage. As the United States implements federal health reform, it is critical that we understand the ways in which life course events-specifically, marital disruption-shape the dynamic patterns of coverage.


Assuntos
Características da Família , Cobertura do Seguro/estatística & dados numéricos , Seguro Saúde/estatística & dados numéricos , Estado Civil/estatística & dados numéricos , Divórcio , Planos de Assistência de Saúde para Empregados/estatística & dados numéricos , Humanos , Casamento , Fatores Socioeconômicos , Estados Unidos
2.
Demography ; 49(1): 101-24, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22203451

RESUMO

Researchers continue to question fathers' willingness to report their biological children in surveys and the ability of surveys to adequately represent fathers. To address these concerns, this study evaluates the quality of men's fertility data in the 1979 and 1997 cohorts of the National Longitudinal Survey of Youth (NLSY79 and NLSY97) and in the 2002 National Survey of Family Growth (NSFG). Comparing fertility rates in each survey with population rates based on data from Vital Statistics and the U.S. Census Bureau, we document how the incomplete reporting of births in different surveys varies according to men's characteristics, including their age, race, marital status, and birth cohort. In addition, we use Monte Carlo simulations based on the NSFG data to demonstrate how birth underreporting biases associations between early parenthood and its antecedents. We find that in the NSFG, roughly four out of five early births were reported; but in the NLSY79 and NLSY97, almost nine-tenths of early births were reported. In all three surveys, incomplete reporting was especially pronounced for nonmarital births. Our results suggest that the quality of male fertility data is strongly linked to survey design and that it has implications for models of early male fertility.


Assuntos
Coeficiente de Natalidade , Projetos de Pesquisa/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , População Negra/estatística & dados numéricos , Censos , Estudos de Coortes , Demografia , Humanos , Estudos Longitudinais , Masculino , Pessoa Solteira/estatística & dados numéricos , Estados Unidos , Estatísticas Vitais , População Branca/estatística & dados numéricos , Adulto Jovem
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