Same-Sex Marriage and Gains in Employer-Sponsored Insurance for US Adults, 2008–2017 | Zendy

Janelle Downing | Zendy; Paulette Cha | Zendy

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Same-Sex Marriage and Gains in Employer-Sponsored Insurance for US Adults, 2008–2017

Author(s) -

Janelle Downing,

Paulette Cha

Publication year - 2020

Publication title -

american journal of public health

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.284

H-Index - 264

eISSN - 1541-0048

pISSN - 0090-0036

DOI - 10.2105/ajph.2019.305510

Subject(s) - health insurance , demography , percentage point , american community survey , medicine , demographic economics , political science , business , economics , health care , law , sociology , population , finance , census

Objectives. To estimate the effects of same-sex marriage recognition on health insurance coverage. Methods. We used 2008-2017 data from the American Community Survey that represent 18 416 674 adult respondents in the United States. We estimated changes to health insurance outcomes using state-year variation in marriage equality recognition in a difference-in-differences framework. Results. Marriage equality led to a 0.61 percentage point ( P = .03) increase in employer-sponsored health insurance coverage, with similar results for men and women. Conclusions. US adults gained employer-sponsored coverage as a result of marriage equality recognition over the study period, likely because of an increase in dependent coverage for newly recognized same-sex married partners.

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