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Author: Hageman, Sally Anne
Resulting in 3 citations.
1. Hageman, Sally Anne
Health Savings Account Effects on Health and Debt
Ph.D. Dissertation, Department of Social Work, University of Maryland, Baltimore, 2019
Cohort(s): NLSY79
Publisher: ProQuest Dissertations & Theses (PQDT)
Keyword(s): Debt/Borrowing; Health, Chronic Conditions; Savings

Permission to reprint the abstract has not been received from the publisher.

More than a decade ago Health Savings Accounts (HSAs) were deemed contrary to social work values and practice (Gorin, 2006). More recent research, however, demonstrated HSAs may help individuals' access financial resources when encountering financial barriers (Hageman & St. George, 2019). To further examine the potential of HSAs, this study examines HSA effects on health and debt outcomes. Applying the framework of the social determinants of health (Dahlgren & Whitehead, 1991) and the health lifestyles theory (Cockerham, 2005), a subset of 12,686 respondents from three years (2010, 2012, and 2014) of secondary quantitative data from the National Longitudinal Surveys of Youth (NLSY) was drawn. The sample included respondents who answered survey questions about owning an HSA, chronic disease status, health behavior, and health-related debt. Descriptive, bivariate, weighted logistic regression, and generalized estimating equation (GEE) analyses were conducted. Descriptive analyses indicated about 47% of HSA owners were male, 64% were Non-Black/Non-Hispanic race/ethnicity, with an average age of 53.34 (SD=2.26) years old, 99% owned their home, and had an average income of $126,853 (SD=$122,994). About 75% of HSA owners reported they did not have a chronic disease and 70% reported they did not have health-related debt. Weighted logistic regression was conducted to determine if Chronic Disease status was associated with HSA ownership status. Results indicated Chronic Disease status (p=.88) was not significantly associated with owning an HSA. GEE was conducted to determine whether HSA ownership status was associated with respondent debt. Results of the GEE analysis indicated HSA ownership status (p=.76) was not significantly associated with reporting Debt.
Bibliography Citation
Hageman, Sally Anne. Health Savings Account Effects on Health and Debt. Ph.D. Dissertation, Department of Social Work, University of Maryland, Baltimore, 2019.
2. Hageman, Sally Anne
Health-related Debt and Health Savings Accounts over Time
Social Work in Health Care 61,1 (2022): 1-14.
Also: https://www.tandfonline.com/doi/full/10.1080/00981389.2022.2027846
Cohort(s): NLSY79
Publisher: Taylor & Francis
Keyword(s): Debt/Borrowing; Health, Chronic Conditions; Savings

This study examines Health Savings Account (HSA) effects on health-related debt outcomes. Applying the health lifestyles theory, a subset of 12,686 respondents from three years (2010, 2012, and 2014) of secondary quantitative data from the National Longitudinal Surveys of Youth (NLSY) was drawn. The sample included respondents who answered survey questions about owning an HSA, chronic disease status, health behavior, and health-related debt. Descriptive, bivariate, and generalized estimating equation (GEE) analyses were conducted. Results indicate HSA ownership status (p = .76) is not significantly associated with reporting health-related debt. Implications for social work practice are discussed.
Bibliography Citation
Hageman, Sally Anne. "Health-related Debt and Health Savings Accounts over Time." Social Work in Health Care 61,1 (2022): 1-14.
3. Hageman, Sally Anne
Frey, Jodi Jacobson
Health Savings Account Associations from a Social Work Perspective
Journal of Evidence-Based Social Work published online (7 March 2022): DOI: 10.1080/26408066.2022.2029787.
Also: https://www.tandfonline.com/doi/full/10.1080/26408066.2022.2029787
Cohort(s): NLSY79
Publisher: Routledge ==> Taylor & Francis (1998)
Keyword(s): Debt/Borrowing; Health, Chronic Conditions; Savings

Purpose: The research question addressed is whether health and debt variables are associated with HSA ownership status.

Method: This study explores HSA associations using a subset (n = 3,400) of 12,686 respondents from the National Longitudinal Surveys of Youth (NLSY). Descriptive, bivariate, and weighted logistic regressions were conducted.

Results: About 75% of HSA owners reported they did not have a chronic disease or health-related debt. Weighted logistic regressions results indicate chronic disease status and debt are not significantly associated with owning an HSA.

Bibliography Citation
Hageman, Sally Anne and Jodi Jacobson Frey. "Health Savings Account Associations from a Social Work Perspective." Journal of Evidence-Based Social Work published online (7 March 2022): DOI: 10.1080/26408066.2022.2029787.