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Cover for The Psychological Weight of Uncertainty: An Econometric Analysis of the Relationship Between Uninsurance and Depression
dc.contributor.advisorThompson, Jeffrey P
dc.creator
dc.date.accessioned2018-06-22T14:42:05Z
dc.date.available2018-06-22T14:42:05Z
dc.date.created2018
dc.date.issued
dc.date.submitted01/01/2018
dc.identifier.otherAPT-BAG: georgetown.edu.10822_1050897.tar;APT-ETAG: 327b50ace4c11db0edd56ab551bd40ec; APT-DATE: 2019-04-04_12:03:31en_US
dc.identifier.uri
dc.descriptionM.P.P.
dc.description.abstractAfter centuries of neglect, the causes and effects of mental illness have begun being scientifically studied and treated in recent decades. While corollary links exist between mental health and demographic factors like race, gender, income, and age, there has yet to be a causal relationship demonstrated between being uninsured and higher likelihood of having a symptomatic depressive disorder. The present study hypothesized that uninsurance causes higher depression scores due to lack of access to care and the psychological weight of uncertainty surrounding future medical costs. Using data from the NHANES and hospital utilization and Medicare eligibility as instruments for insurance status, we conducted two-stage least squares regression on the effects of insurance status on scoring on the PHQ-9 depression screener and whether someone had seen a mental healthcare provider within the last year. We found a statistically and substantively significant link between insurance status and depression scores (p=0.041). We found no significant link between insurance status and mental healthcare visits (p=0.275). We infer from these findings that the psychological effects of uncertainty, rather than lack of access to care, is the root cause of the increased depression scores.
dc.formatPDF
dc.format.extent54 leaves
dc.languageen
dc.publisherGeorgetown University
dc.sourceGeorgetown University-Graduate School of Arts & Sciences
dc.sourcePublic Policy & Policy Management
dc.subjectAccess to Care
dc.subjectDepression
dc.subjectInstrumental Variable Analysis
dc.subjectInsurance
dc.subject.lcshEconomics
dc.subject.lcshMedical sciences
dc.subject.otherEconomics
dc.subject.otherHealth sciences
dc.titleThe Psychological Weight of Uncertainty: An Econometric Analysis of the Relationship Between Uninsurance and Depression
dc.typethesis


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