Racial/Ethnic Variation in the Impact of the Affordable Care Act on Insurance Coverage and Access Among Young Adults.

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 Health

authors

VanGarde A,Yoon J,Luck J,Mendez-Luck CA

doi

10.2105/AJPH.2017.304276

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

544-549

issue

4

eissn

0090-0036

issn

1541-0048

journal_volume

108

pub_type

杂志文章
  • The impact of smoking, alcohol consumption, and physical activity on use of hospital services.

    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

    pub_type: 杂志文章

    doi:10.2105/ajph.89.5.691

    authors: Haapanen-Niemi N,Miilunpalo S,Vuori I,Pasanen M,Oja P

    更新日期:1999-05-01 00:00:00

  • The global dimensions of public health preparedness and implications for US action.

    abstract::The globalization of public health is both real and relevant throughout the United States and to Americans traveling or residing abroad. US public policy responses are evolving, but a crisper and more comprehensive global perspective is needed. I suggest four timely US actions to address today's competing realities o...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300644

    authors: Moore M

    更新日期:2012-06-01 00:00:00

  • Junking good science: undoing Daubert v Merrill Dow through cross-examination and argument.

    abstract::For more than 40 years, the tobacco industry prevailed in lawsuits brought by injured smokers, despite overwhelming epidemiological evidence that smoking caused lung cancer. Tobacco lawyers were able to create doubt about causation. They sought to persuade jurors that "everybody knew" smoking was harmful but "nobody k...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2005.063917

    authors: Givelber D,Strickler L

    更新日期:2006-01-01 00:00:00

  • Aerobic fitness, blood lipids, and body fat in children.

    abstract::This study examined the association between aerobic fitness and serum cholesterol and the effects of controlling for gender, body composition, abdominal fat, and dietary saturated fat in 262 children. The 1-mile run was used to estimate fitness. Skinfolds were used in assessing body fat. Fit children had lower total c...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.85.12.1702

    authors: Hager RL,Tucker LA,Seljaas GT

    更新日期:1995-12-01 00:00:00

  • A Smoke-Free Paso del Norte: impact over 10 years on smoking prevalence using the Behavioral Risk Factor Surveillance System.

    abstract:OBJECTIVES:We assessed the impact of a tobacco control initiative over 10 years on cessation and prevention. METHODS:We examined 2000-2009 Behavioral Risk Factor Surveillance System cases of a metropolitan statistical area (MSA) with systematic tobacco control efforts throughout the decade (El Paso, TX) and 2 comparis...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300346

    authors: Taylor T,Cooper TV,Hernandez N,Kelly M,Law J,Colwell B

    更新日期:2012-05-01 00:00:00

  • The politics of emergency health powers and the isolation of public health.

    abstract::The Model State Emergency Health Powers Act became a contentious document in more than 30 states in 2001 and 2002. Controversy has focused on recommendations by the authors of the Model Act that seemed to accord higher priority to collective action in emergencies than to protecting privacy and property. This situation...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.93.3.397

    authors: Colmers JM,Fox DM

    更新日期:2003-03-01 00:00:00

  • Occurrence of enteroviruses in community swimming pools.

    abstract::Municipal swimming pools and wading pools were examined for the presence of human enteric viruses using a portable virus concentrator at the site to concentrate viruses from 100-gallon to 500-gallon samples. Ten of 14 samples contained viruses; three of these were positive for virus in the presence of residual free ch...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.71.9.1026

    authors: Keswick BH,Gerba CP,Goyal SM

    更新日期:1981-09-01 00:00:00

  • The relationship of smoking and ectopic pregnancy.

    abstract::A case-control study, using data abstracted between 1983 and 1987 from a large perinatal registry, was conducted to explore the relationship between smoking and ectopic pregnancy. Women with ectopic pregnancy (n = 634) seen at University of Illinois Perinatal Network Hospitals were compared to women who were delivered...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.79.9.1239

    authors: Handler A,Davis F,Ferre C,Yeko T

    更新日期:1989-09-01 00:00:00

  • Effect of worldwide oil price fluctuations on biomass fuel use and child respiratory health: evidence from Guatemala.

    abstract:OBJECTIVES:We examined the effect of worldwide oil price fluctuations on household fuel use and child respiratory health in Guatemala. METHODS:We regressed measures of household fuel use and child respiratory health on the average worldwide oil price and a rich set of covariates. We leveraged variation in oil prices o...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300131

    authors: Venkataramani AS,Fried BJ

    更新日期:2011-09-01 00:00:00

  • An analysis of occupational risks for brain cancer.

    abstract::We evaluated the risks of brain cancer in relation to employment history in a case-control study of 312 cases and 1,248 cancer controls. Subjects were identified through the Missouri Cancer Registry for the period 1984 through 1988. Job classification was based on data routinely abstracted from hospital records. Eleva...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.80.2.169

    authors: Brownson RC,Reif JS,Chang JC,Davis JR

    更新日期:1990-02-01 00:00:00

  • Rurality and nursing home quality: results from a national sample of nursing home admissions.

    abstract:OBJECTIVES:We examined differences in quality of care among nursing homes in locales of varying degrees of rurality. METHODS:We classified locales into 4 classes according to rurality. We analyzed a 10% sample of nursing home admissions in the United States in 2000 (n=198613) to estimate survival models for 9 quality ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.94.10.1717

    authors: Phillips CD,Holan S,Sherman M,Williams ML,Hawes C

    更新日期:2004-10-01 00:00:00

  • Prescribing practices among nurse practitioners in adult and family health.

    abstract::Data derived through log recordings of 89 nurse practitioners (NPs) in adult/family practice on 7,086 prescriptions issued during 890 clinical days were analyzed to describe prescribing practices of NPs who held prescriptive authority from the licensing regulatory boards of five western states. Results showed drug uti...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.75.3.258

    authors: Batey MV,Holland JM

    更新日期:1985-03-01 00:00:00

  • Incarceration as forced migration: effects on selected community health outcomes.

    abstract:OBJECTIVES:We estimated the effects of high incarceration rates on rates of sexually transmitted infections and teenage pregnancies. METHODS:We calculated correlations between rates of incarceration in state prisons and county jails and rates of sexually transmitted infections and teenage pregnancies for each of the 1...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2005.081760

    authors: Thomas JC,Torrone E

    更新日期:2006-10-01 00:00:00

  • Lessons from London: the British are reforming their national health service.

    abstract::In an effort to keep abreast of the changing needs of a more affluent society and to ensure better value for money, the British are reforming their National Health Service. They are promoting competition and entrepreneurship, and directing funding to follow a patient rather than flowing directly to institutions. Briti...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.81.12.1566

    authors: Vall-Spinosa A

    更新日期:1991-12-01 00:00:00

  • Food Insecurity, Diet Quality, Home Food Availability, and Health Risk Behaviors Among Emerging Adults: Findings From the EAT 2010-2018 Study.

    abstract::Objectives. To examine emerging adults' experiences of food insecurity in relation to measures of diet quality, food literacy, home food availability, and health behaviors.Methods. We used EAT 2010-2018 (Eating and Activity over Time) study data on 1568 participants who completed surveys as adolescents in 2009 to 2010...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2020.305783

    authors: Larson N,Laska MN,Neumark-Sztainer D

    更新日期:2020-09-01 00:00:00

  • Development of the pediatric environmental health specialty unit network in North America.

    abstract::Training in environmental health in general, and pediatric environmental health in particular, is inadequate. The Agency for Toxic Substances and Disease Registry began to develop pediatric environmental health specialty units (PEHSUs) after noting the dearth of practitioners who could evaluate and manage children wit...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2008.154641

    authors: Paulson JA,Karr CJ,Seltzer JM,Cherry DC,Sheffield PE,Cifuentes E,Buka I,Amler RW

    更新日期:2009-11-01 00:00:00

  • Effects of traditional classroom and distance continuing education: a theory-driven evaluation of a vaccine-preventable diseases course.

    abstract:OBJECTIVES:This study evaluated the effects of a major federal immunization continuing education course, delivered in both traditional classroom and satellite broadcast versions, on public health professionals' knowledge, agreement, self-efficacy, and adherence in practice to recommendations. METHODS:The study used a ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.90.8.1218

    authors: Umble KE,Cervero RM,Yang B,Atkinson WL

    更新日期:2000-08-01 00:00:00

  • Chronic neurological sequelae to organophosphate pesticide poisoning.

    abstract:OBJECTIVES:This work was undertaken to determine whether there are any chronic neurological sequelae to acute organophosphate pesticide poisoning. METHODS:California surveillance data were used in a study of neurological function among 128 men poisoned by organophosphate pesticides in California from 1982 to 1990 and ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.84.5.731

    authors: Steenland K,Jenkins B,Ames RG,O'Malley M,Chrislip D,Russo J

    更新日期:1994-05-01 00:00:00

  • The health impact of restricting public funds for abortion. October 10, 1977--June 10, 1978.

    abstract::The Center for Disease Control (CDC), Atlanta, Georgia implemented an eight-month prospective surveillance system in 24 hospitals distributed among states with and without public funding for abortion. Out of 3,157 visits for abortion-related complications, only 10 women gave a history of non-physician or self-induced ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.69.9.945

    authors: Cates W Jr,Kimball AM,Gold J,Rubin GL,Smith JC,Rochat RW,Tyler CW Jr

    更新日期:1979-09-01 00:00:00

  • Availability of litigation as a public health tool for firearm injury prevention: comparison of guns, vaccines, and motor vehicles.

    abstract::The Protection of Lawful Commerce in Arms Act (PLCAA), enacted in 2005, grants the firearm industry broad immunity from liability. The PLCAA not only prevents most people from receiving compensation for their firearm-related injuries, it erodes litigation's ability to serve its public health role of providing manufact...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2006.092544

    authors: Vernick JS,Rutkow L,Salmon DA

    更新日期:2007-11-01 00:00:00

  • Are tobacco industry campaign contributions influencing state legislative behavior?

    abstract:OBJECTIVES:This study tested the hypothesis that tobacco industry campaign contributions influence state legislators' behavior. METHODS:Multivariate simultaneous equations regression was used to analyze data on tobacco industry campaign contributions to state legislators and legislators' tobacco control policy scores ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.88.6.918

    authors: Monardi F,Glantz SA

    更新日期:1998-06-01 00:00:00

  • Reducing tobacco use and access through strengthened minimum price laws.

    abstract::Higher prices reduce consumption and initiation of tobacco products. A minimum price law that establishes a high statutory minimum price and prohibits the industry's discounting tactics for tobacco products is a promising pricing strategy as an alternative to excise tax increases. Although some states have adopted min...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302069

    authors: McLaughlin I,Pearson A,Laird-Metke E,Ribisl K

    更新日期:2014-10-01 00:00:00

  • Tracking gender-based human rights violations in postwar Kosovo.

    abstract::Four years have passed since the institution of the cease-fire in Yugoslavia, and questions remain as to how Kosovar women are faring in the country's postwar reconstruction. Reports, albeit fragmented, suggest that violence against women began to increase in 1998 and 1999. This trend continued through 2001, even whil...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审

    doi:10.2105/ajph.94.8.1304

    authors: Desai S,Perry MJ

    更新日期:2004-08-01 00:00:00

  • A proposed classification code for farm and agricultural injuries.

    abstract::A fundamental problem with classifying agriculturally related injury is that there is neither a rational nor a comprehensive scheme for grouping incidents into categories describing actual exposures encountered on farms and in agricultural work. Current surveillance systems are unable to differentiate between work tha...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.83.5.736

    authors: Murphy DJ,Purschwitz M,Mahoney BS,Hoskin AF

    更新日期:1993-05-01 00:00:00

  • Preterm birth and prenatal maternal occupation: the role of Hispanic ethnicity and nativity in a population-based sample in Los Angeles, California.

    abstract:OBJECTIVES:We investigated preterm birth (PTB) in relation to maternal occupational exposure and whether effect measures were modified by Hispanic ethnicity and nativity in a population-based sample with high proportion of Hispanics. METHODS:We used a case-control study (n = 2543) nested within a cohort of 58,316 birt...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301457

    authors: von Ehrenstein OS,Wilhelm M,Wang A,Ritz B

    更新日期:2014-02-01 00:00:00

  • Interviewer effects in psychiatric epidemiology: a study of medical and lay interviewers and their impact on reported symptoms.

    abstract::Utilizing data from a field study of psychiatric disorder, the study examined sex differences in patterns of response to interviewers in contrasting status positions. The dependent variables in the analysis were mean scores on nosological scales measuring three dimensions of symptomotology identified in a factor analy...

    journal_title:American journal of public health

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2105/ajph.69.5.485

    authors: Riessman CK

    更新日期:1979-05-01 00:00:00

  • Ownership and performance of outpatient substance abuse treatment centers.

    abstract:BACKGROUND:Little is known about the organization and performance of outpatient substance abuse treatment (OSAT) centers. We examine several performance measures of OSAT units, including clients treated, services provided, revenue sources, financial performance, and access to care, in relation to ownership of the cente...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.82.5.711

    authors: Wheeler JR,Fadel H,D'Aunno TA

    更新日期:1992-05-01 00:00:00

  • A framework for describing health care delivery organizations and systems.

    abstract::Describing, evaluating, and conducting research on the questions raised by comparative effectiveness research and characterizing care delivery organizations of all kinds, from independent individual provider units to large integrated health systems, has become imperative. Recognizing this challenge, the Delivery Syste...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.301926

    authors: Piña IL,Cohen PD,Larson DB,Marion LN,Sills MR,Solberg LI,Zerzan J

    更新日期:2015-04-01 00:00:00

  • Contemporary table salt practices and blood pressure.

    abstract::Salt intake of 978 subjects when compared to 1954 data demonstrated a trend toward the decreased use of table salt. When hypertensives in treatment were excluded, persons reporting low salt use had higher mean systolic and diastolic blood pressures than those reporting high salt use. These findings were the reverse of...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.75.4.405

    authors: Phillips K,Holm K,Wu AC

    更新日期:1985-04-01 00:00:00

  • Declines in Anogenital Warts Among Age Groups Most Likely to Be Impacted by Human Papillomavirus Vaccination, United States, 2006-2014.

    abstract:OBJECTIVES:To detect decreases in anogenital warts (AGW) among sex and age groups likely to be affected by human papillomavirus vaccination. METHODS:We estimated annual AGW prevalence during 2006 to 2014 using health care claims among US private health insurance enrollees aged 15 to 39 years. We derived AGW diagnoses ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2017.304119

    authors: Flagg EW,Torrone EA

    更新日期:2018-01-01 00:00:00