Table 4.
Association of Health Changes with Employment and Ability to Work among Employed Enrollees, and Job Seeking Ability among Enrollees Who Were Out of Work or had a Recent Job Change
| Characteristics | Outcomes* | |||||||
|---|---|---|---|---|---|---|---|---|
| Employed/self-employed† (weighted N = 106,619) |
Better job at work‡ (weighted N = 75,282) |
Better able to look for job§ (weighted N = 35,711) |
Helped get a better jobǁ (weighted N = 9275) |
|||||
| aOR (95% CI) | p value | aOR (95% CI) | p value | aOR (95% CI) | p value | aOR (95% CI) | p value | |
| Physical or mental health better since HMP enrollment | 1.08 (0.89, 1.30) | 0.44 | 4.08 (3.11, 5.35) | < 0.001 | 2.82 (1.93, 4.10) | < 0.001 | 3.20 (1.69, 6.09) | < 0.001 |
| Age | ||||||||
| 18–34 | Reference | Reference | Reference | Reference | ||||
| 35–50 | 0.98 (0.78, 1.24) | 0.89 | 0.96 (0.70, 1.31) | 0.78 | 1.36 (0.87, 2.11) | 0.17 | 1.01 (0.55, 1.87) | 0.97 |
| 51–64 | 0.56 (0.45, 0.70) | < 0.001 | 1.10 (0.80, 1.51) | 0.57 | 1.76 (1.14, 2.72) | 0.01 | 1.30 (0.65, 2.59) | 0.46 |
| Female gender | 1.00 (0.83, 1.21) | 0.98 | 1.42 (1.08, 1.85) | 0.01 | 0.73 (0.50, 1.07) | 0.10 | 0.72 (0.41, 1.25) | 0.24 |
| Race | ||||||||
| White | Reference | Reference | Reference | Reference | ||||
| Black | 0.96 (0.77, 1.21) | 0.74 | 1.55 (1.10, 2.19) | 0.01 | 0.80 (0.53, 1.22) | 0.30 | 1.31 (0.68, 2.55) | 0.42 |
| Other | 0.87 (0.61, 1.23) | 0.44 | 1.24 (0.69, 2.21) | 0.47 | 1.52 (0.73, 3.19) | 0.27 | 1.69 (0.65, 4.41) | 0.28 |
| More than one race | 1.10 (0.67, 1.82) | 0.71 | 1.70 (0.79, 3.67) | 0.18 | 0.51 (0.22, 1.23) | 0.13 | 0.46 (0.13, 1.67) | 0.24 |
| Income, % of federal poverty level (FPL) | ||||||||
| 0–35 | Reference | Reference | Reference | Reference | ||||
| 36–99 | 3.72 (3.02, 4.58) | < 0.001 | 0.79 (0.54, 1.15) | 0.22 | 0.83 (0.53, 1.29) | 0.40 | 0.90 (0.47, 1.73) | 0.76 |
| 100–133 | 4.40 (3.51, 5.52) | < 0.001 | 0.62 (0.42, 0.90) | 0.01 | 0.74 (0.41, 1.36) | 0.33 | 0.60 (0.31, 1.17) | 0.13 |
| Fair or poor health | 0.67 (0.53, 0.83) | < 0.001 | 1.09 (0.76, 1.57) | 0.64 | 1.17 (0.79, 1.74) | 0.42 | 1.17 (0.56, 2.45) | 0.67 |
| Chronic health condition | 0.84 (0.67, 1.06) | 0.14 | 1.57 (1.18, 2.09) | 0.002 | 0.87 (0.54, 1.40) | 0.57 | 1.31 (0.72, 2.36) | 0.37 |
| Functional limitation, physical or mental | 0.26 (0.19, 0.34) | < 0.001 | 1.20 (0.69, 2.09) | 0.53 | 0.85 (0.56, 1.30) | 0.46 | 1.51 (0.47, 4.89) | 0.49 |
Associations with p < 0.05 are in italic
aOR adjusted odds ratio, CI confidence interval; HMP Healthy Michigan Plan
*Each column represents a different multivariable logistic regression model, adjusted for age, gender, race, income, health status, presence of chronic health condition, and functional limitation
†Employment status was dichotomized as employed/self-employed vs. all other responses
‡Employed enrollees who responded “Yes” to the question, “Has getting health insurance through the Healthy Michigan Plan helped you do a better job at work?”
§Out of work enrollees who strongly agreed or agreed that “Having health insurance through the Healthy Michigan Plan has made me better able to look for a job”
ǁEnrollees with a recent job change who strongly agreed or agreed that “Having health insurance through the Healthy Michigan Plan helped me get a better job”