Abstract:
OBJECTIVES:To examine the impact of the Affordable Care Act's (ACA's) 2010 parental insurance coverage extension to young adults aged 19 to 25 years on health insurance coverage and access to care, including racial/ethnic disparities. METHODS:We pooled data from the Behavioral Risk Factor Surveillance System for the periods 2007 to 2009 and 2011 to 2013 (n = 402 777). We constructed quasiexperimental difference-in-differences models in which adults aged 26 to 35 years served as a control group. Multivariable statistical models controlled for covariates guided by the Andersen model for health care utilization. RESULTS:On average, insurance rates among young adults increased 6.12 percentage points after ACA implementation (P < .001). All racial/ethnic groups experienced increases in coverage. However, the impact varied by race/ethnicity and was largest for Whites. Young adults had a 2.61 percentage point (P < .001) decrease in experiencing barriers to health care because of cost issues after the ACA, with variation by race/ethnicity. CONCLUSIONS:The ACA's expansion had a significant positive effect for young adults acquiring health insurance and reducing cost-related barriers to accessing health care. However, racial/ethnic disparities in coverage and access persist. Public Health Implications. Policies not dependent on parental insurance could further increase access and reduce disparities.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
VanGarde A,Yoon J,Luck J,Mendez-Luck CAdoi
10.2105/AJPH.2017.304276subject
Has Abstractpub_date
2018-04-01 00:00:00pages
544-549issue
4eissn
0090-0036issn
1541-0048journal_volume
108pub_type
杂志文章abstract:OBJECTIVES:This study investigated the associations of smoking, excess alcohol consumption, and physical inactivity with the use of hospital care. METHODS:A cohort of 19- to 63-year-old Finnish men (n = 2534) and women (n = 2668) were followed prospectively for 16 years. Number of hospital days was extracted from the ...
journal_title:American journal of public health
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doi:10.2105/ajph.89.5.691
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journal_title:American journal of public health
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journal_title:American journal of public health
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更新日期:2006-01-01 00:00:00
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journal_title:American journal of public health
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journal_title:American journal of public health
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doi:10.2105/ajph.94.10.1717
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doi:10.2105/AJPH.2005.081760
更新日期:2006-10-01 00:00:00
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更新日期:2020-09-01 00:00:00
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更新日期:2009-11-01 00:00:00
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更新日期:2000-08-01 00:00:00
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pub_type: 杂志文章
doi:10.2105/ajph.84.5.731
更新日期:1994-05-01 00:00:00
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journal_title:American journal of public health
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更新日期:1993-05-01 00:00:00
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更新日期:2014-02-01 00:00:00
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更新日期:1979-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:1992-05-01 00:00:00
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更新日期:2015-04-01 00:00:00
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更新日期:1985-04-01 00:00:00
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journal_title:American journal of public health
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更新日期:2018-01-01 00:00:00