Unmarried Older Women Are Twice as Likely to Lack Health Insurance

Abstract

Older women who are divorced, separated, widowed, or who have never married have twice the uninsured rate of their married peers, according to a new policy brief from the UCLA Center for Health Policy Research. The study, “Health and Health Care Access Among California Women, Ages 50–64,” examines a range of health issues and trends among California's approximately 3 million older women, an age group that often faces new and accelerated chronic health conditions, according to lead author Roberta Wyn, associate director of the center. “It's a time of critical change for older women,” Wyn said. “Not only are they at risk of new and complex health conditions, but as they near the age of retirement, their insurance status may change too.” The authors note that women between the ages of 50 and 64 are more prone than younger women to a wide range of health conditions, including asthma, diabetes, and heart disease. Nearly 4 in 10 women in this age group will be diagnosed with high blood pressure, and nearly 6 in 10 are either obese or overweight. In both cases, the percentages are higher than for younger women, say the researchers. The likelihood of having health insurance, the study found, was related to a woman's marital status. Using data from the 2007 California Health Interview Survey, Wyn and her co-author found that one quarter of older women who had never married and 21% of divorced, separated, or widowed women were uninsured—more than twice the rates of married women. The California Health Interview Survey is the nation's largest state health survey and among the largest health surveys in the United States. Among all women, low-income women are the most likely to be uninsured (34%) and the least likely to have employment-based coverage (24%), according to the policy brief. Lack of insurance can result in a delay in accessing needed care. One third (32%) of uninsured women aged 50–64 reported that they delayed or did not get needed medical care in the past year, a rate twice as high as that for women with employment-based coverage in this age group. Uninsured women between 50 and 64 were also much more likely to report not having had cervical cancer screening during the previous three years than women with employment-based coverage (28% vs 5%) and were more likely to report not having had a mammogram during the previous 2 years (39% vs 10%). The data were collected in 2007, before the recession, and Wyn noted that “the economic recession and subsequent widespread job loss may have pushed uninsurance rates even higher.” The study authors also stressed the need for proactive policies and programs that promote healthy behaviors and environments to help stem the rising rates of obesity in this age group. See the policy brief at: http://www.healthpolicy.ucla.edu/pubs/Publication.aspx?pubID=400.