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Table 4 Overview of studies concerning SEX (in alphabetical order)

From: Income-, education- and gender-related inequalities in out-of-pocket health-care payments for 65+ patients - a systematic review

Study

Key findings

Confounders controlled for

Blustein, 2000b

women > rather poor (26% below poverty line, men: 11%); less employed > less insurance coverage > higher OOPP (18% higher than men for drugs)

age, race, education, self-rated health status, insurance coverage

Fahlman, Lynn, Doberman, Gabel, & Finch, 2006d

women > higher OOPP in last year of life ($668 vs. $586)

race, income, Charlson Index, age, insurance type

Hwang, Weller, Ireys, & Anderson, 2001a

women > longer lifespan > higher probability of comorbidities > higher OOPP

none

Klein, Turvey, & Wallace, 2004i

women > higher OOPP > more cost-reducing strategies

none

Lapsley, March, Tribe, Cross, & Brooks, 2001a

women > higher OOPP for drugs & devices

none

McGarry & Schoeni, 2005b

women > longer lifespan > more widowhood; lowest income quartile (<$12.000): 70% of income spent in final two years for health-care (average: 30%); poverty rate: widows 17%, married Elders: 5%

none

Ness, Cirillo, Weir, Nisly, & Wallace, 2005b

women > more CAM utilization > higher OOPP

none

Rice & Desmond, 2006e

women > longer lifespan: partner dies > income plummets >heir above limit > no subsidies > old-age poverty; of 46% widowers failing asset test > 46% female

none

Rogowski, Lillard, & Kington, 1997b

women > equal expenditures, but higher burden (3.3% vs. 2.8%)

age, income, race, education, residential status, marital status, insurance coverage, health status

Sambamoorthi, Shea, & Crystal, 2003b

women > higher OOPP (over 10% of burden > women 9.4%, men 5.7%)

income, race, age, education, marital status, insurance coverage, self-rated health status, place of residence

Selden & Banthin, 2003b

women > higher burden (over 20% of burden 1987 (1996): 19.6% (19.8%), men: 12.7% (15.9%)

none

Wei, Akincigil, Crystal, & Sambamoorthi, 2006a

women > lower income, more utilization, higher absolute OOPP, higher burden; gender-specific illnesses > less generous benefits > higher OOPP

race, age, marital status, education, place of residence, poverty status, insurance coverage, health status