Prevalence, Risk Factors for Medical Debt, Subsequent Changes in Social Determinants of Health

JAMA Network Open


Media advisory: The full study is linked to this news release.

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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.


About The Study: The results of this analysis of survey data suggest that medical indebtedness is common, even among the insured, and may be associated with subsequent worsening of social determinants of health, such as the inability to pay rent, mortgage or utilities, eviction or foreclosure, and food insecurity.

Authors: David U. Himmelstein, M.D., of the City University of New York, is the corresponding author.



Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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