Abstract:
OBJECTIVES:We examined prereform patterns in insurance coverage, access to care, and preventive services use by race/ethnicity in adults targeted by the coverage expansions of the Patient Protection and Affordable Care Act (ACA). METHODS:We used pre-ACA household data from the Medical Expenditure Panel Survey to identify groups targeted by the coverage provisions of the Act (Medicaid expansions and subsidized Marketplace coverage). We examined racial/ethnic differences in coverage, access to care, and preventive service use, across and within ACA relevant subgroups from 2005 to 2010. The study took place at the Agency for Healthcare Research and Quality in Rockville, Maryland. RESULTS:Minorities were disproportionately represented among those targeted by the coverage provisions of the ACA. Targeted groups had lower rates of coverage, access to care, and preventive services use, and racial/ethnic disparities were, in some cases, widest within these targeted groups. CONCLUSIONS:Our findings highlighted the opportunity of the ACA to not only to improve coverage, access, and use for all racial/ethnic groups, but also to narrow racial/ethnic disparities in these outcomes. Our results might have particular importance for states that are deciding whether to implement the ACA Medicaid expansions.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Abdus S,Mistry KB,Selden TMdoi
10.2105/AJPH.2015.302892subject
Has Abstractpub_date
2015-11-01 00:00:00pages
S668-75eissn
0090-0036issn
1541-0048journal_volume
105 Suppl 5pub_type
杂志文章abstract::We reviewed the outpatient medical records of 265 homeless children less than 5 years of age in New York City and compared them with children of similar low socioeconomic status (SES) attending the same pediatric clinic. The frequency of health problems among the homeless children, including delayed immunizations, ele...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.9.1232
更新日期:1988-09-01 00:00:00
abstract::As one element of Baltimore's effort to combat its high rate of teenage pregnancy, the Baltimore City Health Department added the implantable contraceptive Norplant to the array of services offered at one of its school-based health centers in early 1993. The initial findings with the adolescents who received this cont...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.3.309
更新日期:1995-03-01 00:00:00
abstract:OBJECTIVES:This study examined how immunization-related beliefs, attitudes, and perceived control mediate up-to-date immunization among various sociodemographic groups. METHODS:Statewide estimates of immunization rates among children up to the age of 2 years were obtained via a multistage cluster sample. In-person int...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.12.1821
更新日期:1998-12-01 00:00:00
abstract::Nauru is a small phosphate-rich independent island country situated in the Central Pacific. The population is Micronesian and was estimated to be 4,680 in mid-1981. An analysis of mortality data for the years 1976-81 indicates a high adult male mortality due to accidents, injuries, cardiovascular disease, and diabetes...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.2.149
更新日期:1985-02-01 00:00:00
abstract::This study was designed to evaluate the effectiveness of a large scale program to improve health care for high-risk adolescents. Seven clinics, funded to provide comprehensive primary care to adolescents, were compared to three non-funded clinics. The majority of the 2,788 adolescent patients sampled in these clinics ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.8.999
更新日期:1989-08-01 00:00:00
abstract::Nondaily intermittent smokers (ITS) are common, but their cessation behavior remains elusive. We examined cessation of native-ITS (n = 2040), converted-ITS (n = 1808), and daily smokers (DS; n = 25 344). All ITS were more likely than were DS to make a quit attempt (native-ITS adjusted odds ratio [AOR] = 1.60, 95% conf...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300186
更新日期:2011-07-01 00:00:00
abstract::Dietary intakes of nutrients implicated in cardiovascular disease were studied in 143 Black females, age 9 years. Dietary recall interviews were conducted and data compared with recommendations of several authoritative groups. A majority of subjects reported intakes: exceeding recommendations for total fat, saturated ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.11.1323
更新日期:1985-11-01 00:00:00
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
更新日期:2006-10-01 00:00:00
abstract::Since the 1915 launch of the first international eradication initiative targeting a human pathogen, much has been learned about the determinants of eradicability of an organism. The authors outline the first 4 eradication efforts, summarizing the lessons learned in terms of the 3 types of criteria for disease eradicat...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.90.10.1515
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:We quantified the relationship between gonorrheal infection rates in California and a measure of poverty status and investigated how this relationship and the spatial dispersion of cases varied among the 4 dominant racial/ethnic groups in the state. METHODS:We geocoded gonorrhea cases reported in California...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.172965
更新日期:2010-06-01 00:00:00
abstract::This paper reports register data concerning somatic and psychiatric hospital care on 117 battered women who were identified in a surgical emergency department and offered a treatment program. Data were collected during a period of 10 years before to 5 years after the battering in question. It was concluded that the ba...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.11.1486
更新日期:1991-11-01 00:00:00
abstract::The Patient Protection and Affordable Care Act mandates that there be no out-of-pocket cost for Food and Drug Administration-approved contraceptive methods. Among 987 privately insured reproductive aged Pennsylvania women, fewer than 5% were aware that their insurance covered tubal sterilization, and only 11% were awa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302829
更新日期:2015-11-01 00:00:00
abstract::Food fortification is an effective public health tool for addressing micronutrient deficiencies. The mandatory fortification of enriched cereal grains (e.g., wheat flour) with folic acid, which began in the United States in 1998, is an example of a successful intervention that significantly reduced the rate of neural ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300135
更新日期:2011-08-01 00:00:00
abstract::State-level income inequality has been found to have an effect on individual health outcomes, even when controlled for important individual-level variables such as income, education, age, and gender. The effect of income inequality on health may not be immediate and may, in fact, have a substantial lag time between ex...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.134940
更新日期:2008-12-01 00:00:00
abstract::To assess the impact of adoption of a national health program on homeless care in the United States, care for this group in Britain's National Health Service (NHS) was evaluated. Although hospital and medication charges are eliminated, primary care for the homeless lacks central government directive, suffers from over...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.8.1033
更新日期:1989-08-01 00:00:00
abstract::We prospectively identified 102 mechanically restrained hospital patients and determined their hospital course. The cohort was elderly, cognitively impaired with multiple chronic diseases. The in-hospital mortality was 21 percent. Nosocomial infection developed in 12 percent and new pressure sores in 22 percent. Prolo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.735
更新日期:1989-06-01 00:00:00
abstract::Members of the Reorganized Church of Jesus Christ of Latter-Day Saints (RLDS) are dissuaded from the use of tobacco, alcohol, and hot drinks. A well-balanced diet is also stressed. This study compares the 1972-78 mortality experience of the Missouri RLDS with three other population groups. The findings show Missouri R...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.12.1350
更新日期:1981-12-01 00:00:00
abstract::This study considered days missed from work or usual activities for emotional reasons associated with a range of specific psychopathologic disorders, psychosocial distress, and persons found to be asymptomatic. Analyses were performed with the presence or absence of emotional disability days as the dependent variable ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.8.1304
更新日期:1994-08-01 00:00:00
abstract:BACKGROUND:Interventions are needed to assist drug abusers in reducing risky drug and sexual behavior. METHODS:A randomized controlled trial compared three small-group AIDS educational interventions among 567 clients of a 21-day inpatient drug detoxification program: a two-session informational intervention, given eit...
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.82.4.533
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVES:We examined associations among 3 dimensions of sexual orientation (identity, behavior, and attraction) and key health-related indicators commonly studied among sexual minority populations: depressive symptoms, perceived stress, smoking, binge drinking, and victimization. METHODS:We analyzed data from the Na...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300262
更新日期:2012-06-01 00:00:00
abstract::Mortality rates were examined among 3,324 Black and White daily opioid drug users for a four-year period following treatment in community-based agencies located across the United States. A total of 179 of these addicts died during this follow-up period, yielding a death rate of 15.2 per 1,000 person-years at risk. Whe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.7.703
更新日期:1982-07-01 00:00:00
abstract:OBJECTIVES:We examined the relationship between continuity of care and diabetes control. METHODS:We analyzed data on 1400 adults with diabetes who took part in the Third National Health and Nutrition Examination Survey. We examined the relationship of continuity of care with glycemic, blood pressure, and lipid control...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.1.66
更新日期:2004-01-01 00:00:00
abstract::Fifty-one infants born to women employed at two capacitor manufacturing facilities with a history of high exposure to polychlorinated biphenyls (PCBs) had a mean birthweight of 153 grams less than that of 337 infants born to women who had worked in low-exposure areas (90 per cent confidence interval, -286 to -20 g); m...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.10.1153
更新日期:1984-10-01 00:00:00
abstract:OBJECTIVES:We sought to examine relationships between sociodemographic indicators of risk and depression symptoms within the Black and White populations. METHODS:In a national probability sample, differences in sex, age, marital status, religion, social class, employment status, urbanicity, and region were evaluated a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.2.240
更新日期:1993-02-01 00:00:00
abstract:OBJECTIVES:We identified barriers to care seeking for pneumonia and diarrhea among rural Guatemalan children. METHODS:A population-based survey was conducted twice from 2008 to 2009 among 1605 households with children younger than 5 years. A 14-day calendar recorded episodes of carer-reported pneumonia (n = 364) and d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301658
更新日期:2014-04-01 00:00:00
abstract::Low income families were interviewed to determine factors related to the number of family food servings per week. A multiple regression model indicated that participation in WIC (supplemental food program for women, infants and children), household size, and number of different income sources were associated with more...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.11.1376
更新日期:1990-11-01 00:00:00
abstract::Unanswered questions about racial and socioeconomic health disparities may be addressed using community-based participatory research and systems science. Community-based participatory research is an orientation to research that prioritizes developing capacity, improving trust, and translating knowledge to action. Syst...
journal_title:American journal of public health
pub_type: 信件
doi:10.2105/AJPH.2015.302944
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVES:This study determined the prevalence and factors associated with hepatitis B virus (HBV) infection among men who have sex with men. METHODS:At the baseline visit of an HIV study among men who have sex with men, we asked about HBV vaccination status and tested for HBV markers. RESULTS:Of 625 subjects, 48% h...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.10.1570
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:We conducted a meta-analysis summarizing the effects of interventions designed to increase physical activity among healthy adults. METHODS:Our comprehensive searches located 358 reports eligible for inclusion. We used random-effects analyses to synthesize data, and we used meta-analytic analogues of regress...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/AJPH.2010.194381
更新日期:2011-04-01 00:00:00
abstract::This paper uses monthly time-series data from 1968 through 1988 to test whether the observed increase in the incidence of low birthweight in New York City represents a reversal of the downward trend that existed prior to 1984. We find that the trend has shifted for both Whites and Blacks. We estimate that between July...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.682
更新日期:1990-06-01 00:00:00