Abstract:
OBJECTIVES:We estimated the effect of the ACA expansion of dependents' coverage on health care expenditures and utilization for young adults by race/ethnicity. METHODS:We used difference-in-difference models to estimate the impact of the ACA expansion on health care expenditures, out-of-pocket payments (OOP) as a share of total health care expenditure, and utilization among young adults aged 19 to 26 years by race/ethnicity (White, African American, Latino, and other racial/ethnic groups), with adults aged 27 to 30 years as the control group. RESULTS:In 2011 and 2012, White and African American young adults aged 19 to 26 years had significantly lower total health care spending compared with the 27 to 30 years cohort. OOP, as a share of health care expenditure, remained the same after the ACA expansion for all race/ethnicity groups. Changes in utilization following the ACA expansion among all racial/ethnic groups for those aged 19 to 26 years were not significant. CONCLUSIONS:Our study showed that the impact of the ACA expansion on health care expenditures differed by race/ethnicity.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Chen J,Bustamante AV,Tom SEdoi
10.2105/AJPH.2014.302542subject
Has Abstractpub_date
2015-07-01 00:00:00pages
S499-507eissn
0090-0036issn
1541-0048journal_volume
105 Suppl 3pub_type
杂志文章abstract:OBJECTIVE:We examined circumstances surrounding swimming pool drownings among US residents aged 5 to 24 years to understand why Black males and other racial/ethnic groups have high drowning rates. METHODS:We obtained data about drowning deaths in the United States (1995-1998) from death certificates, medical examiner ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.057067
更新日期:2006-04-01 00:00:00
abstract::Curriculum development in masters of public health programs that effectively meets the complex challenges of the 21st century is an important part of public health education and requires purposeful thinking. Current approaches to training the public health work-force do not adequately prepare professionals to be cultu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062950
更新日期:2006-07-01 00:00:00
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
更新日期:2015-04-01 00:00:00
abstract::Homeless children in New York City had an extremely high asthma prevalence-40%-in a cross-sectional study at 3 shelters (n=740) during 1998 to 1999. We used the same protocol to summarize subsequent data through December 2002. Asthma prevalence was 33% (n=1636); only 15% of the children previously diagnosed were takin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.070482
更新日期:2007-03-01 00:00:00
abstract::A deeper understanding of how structure and environment shape the sexual and reproductive health vulnerabilities of youths across a range of outcomes has implications for the development of successful policies and programs. We have discussed some of the key structural and environmental factors that influence the sexua...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2015.302740
更新日期:2015-10-01 00:00:00
abstract::Entrenched poor health and health inequity are important public health problems. Conventionally, solutions to such problems originate from the health care sector, a conception reinforced by the dominant biomedical imagination of health. By contrast, attention to the social determinants of health has recently been give...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.154856
更新日期:2009-11-01 00:00:00
abstract::Research evidence indicates that 2 forms of racial discrimination-perceived interpersonal discrimination and racial/ethnic residential segregation (a form of institutional discrimination)-may influence children's health and disparities. Although research on these 2 forms of discrimination and health has primarily focu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300986
更新日期:2013-10-01 00:00:00
abstract::We explore how a 1987 New York State court decision-Boreali v. Axelrod-affected public health rule-making nationally and, with considerable impact, locally in New York City (NYC).We discuss the history of the origin of the NYC Board of Health (BOH), and establish that legislatures can be challenging venues in which to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304755
更新日期:2019-01-01 00:00:00
abstract::In 2004, Murray et al. reviewed methodological developments in the design and analysis of group-randomized trials (GRTs). We have updated that review with developments in analysis of the past 13 years, with a companion article to focus on developments in design. We discuss developments in the topics of the earlier rev...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2017.303707
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVES:The National AIDS Behavioral Survey (1990-1992) of heterosexual adults (18-49 years) measured human immunodeficiency virus (HIV) risk factors, condom use, and HIV antibody testing, with a focus on major "high-risk" cities. METHODS:A longitudinal survey was conducted. RESULTS:There was little reduction in t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.11.1492
更新日期:1995-11-01 00:00:00
abstract::Increasing knowledge is an important goal of human immunodeficiency virus (HIV) prevention strategies, although increased knowledge may not be associated with increased preventive behaviors. This study examines the association of (1) objective and subjective acquired immunodeficiency syndrome (AIDS) knowledge, and (2)...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.10.1460
更新日期:1993-10-01 00:00:00
abstract::The author reviews scientific and societal developments in artificial reproductive technologies during the past year in the U.S., the United Kingdom, and Australia. Successful births resulted from surrogate embryo transfer and from transfer of an embryo following in vivo fertilization. Recommendations on social poli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.12.1415
更新日期:1984-12-01 00:00:00
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 ident...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302892
更新日期:2015-11-01 00:00:00
abstract::Holding that workers exposed to toxic substances in the workplace have a right to know about the extent to which they may have been put at risk, Bayer describes the history of the political controversy over whether the National Institute of Occupational Safety and Health (NIOSH) ought to provide individual notificatio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.11.1352
更新日期:1986-11-01 00:00:00
abstract::This paper examines the relative importance of various independent variables for predicting five separate measures of physician utilization in a rural community. The independent variables include socioeconomic, demographic, attitudinal, and health status factors. The results are comparable to those of national studies...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.9.865
更新日期:1976-09-01 00:00:00
abstract::We estimated the extent to which time spent watching television is associated with obesity and super-obesity among 6,138 employed adult males. After adjustment for age, smoking status, length of work week, measured physical fitness, and reported weekly hours of exercise, people who viewed TV more than three hours/day ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.4.516
更新日期:1989-04-01 00:00:00
abstract:OBJECTIVES:We surveyed young men on their experiences of police encounters and subsequent mental health. METHODS:Between September 2012 and March 2013, we conducted a population-based telephone survey of 1261 young men aged 18 to 26 years in New York City. Respondents reported how many times they were approached by Ne...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302046
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:This population-based study examined the effect of all major congenital anomalies on the mortality of White and Black infants by infant sex, birthweight, gestational age, and lethality of the anomaly. The study also determined the total contribution of anomalies to infant mortality. METHODS:California Birth...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.6.887
更新日期:1999-06-01 00:00:00
abstract::Most health research with American Indian and Alaska Native (AI/AN) people has focused on tribal communities on reservation lands. Few studies have been conducted with AI/AN people living in urban settings despite their documented health disparities compared with other urban populations. There are unique consideration...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302027
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:The goal of this project was to develop an interactive CD-ROM for nutrition screening and counseling, designed to produce dietary behavior change in fat and fruit and vegetable intake. METHODS:The design was based on principles of relevance to the learner, readiness for change, feedback, individualization, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.5.781
更新日期:2000-05-01 00:00:00
abstract:OBJECTIVES:This study investigated the effect of moderate prenatal alcohol exposure on psychomotor development of preschool-age children in a longitudinal study. METHODS:Pregnant women were interviewed about their alcohol consumption at their first visit to the maternity hospital in Roubaix, France. Alcohol consumptio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.12.1654
更新日期:1995-12-01 00:00:00
abstract::The AIDS Interfaith Council of Houston, sponsored by the Foundation for Interfaith Research and Ministry, recruits, trains, and coordinates volunteers for home-based care for adults and children with AIDS (acquired immunodeficiency syndrome). The program provides compassionate, non-judgmental care for the sick and res...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.8.970
更新日期:1990-08-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate rates of cervical cancer and Papanicolaou testing among Aboriginal and non-Aboriginal women in Manitoba, Canada. METHODS:Data were derived through linking of administrative databases. RESULTS:In comparison with non-Aboriginal women, Aboriginal women had 1.8 and 3.6 times the a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.9.1466
更新日期:2000-09-01 00:00:00
abstract::Randomized controlled trials were conducted at two residential drug abuse treatment facilities to compare programs that differed in planned duration. One trial compared a 6-month and a 12-month therapeutic community program (n = 184), and the second compared a 3-month and a 6-month relapse prevention program (n = 444)...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/ajph.85.10.1426
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVES:We estimated the effectiveness of child restraints in preventing death during motor vehicle collisions among children 3 years or younger. METHODS:We conducted a matched cohort study using Fatality Analysis Reporting System data from 1996 to 2005. We estimated death risk ratios using conditional Poisson regr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.131128
更新日期:2009-02-01 00:00:00
abstract::Estimates from the National Study of the Incidence and Severity of Child Abuse and Neglect suggest that hospitals recognized over 77,000 cases of child abuse between May 3, 1979, and April 30, 1980. Compared to other agencies in the sample, hospitals identified children who were younger, Black, lived in urban areas, a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.1.56
更新日期:1985-01-01 00:00:00
abstract::The US Public Health Service began the medical examination of immigrants at US ports in 1891. By 1924, national origin had become a means to justify broad-based exclusion of immigrants after Congress passed legislation restricting immigration from southern and eastern European countries. This legislation was passed ba...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.84.12.2011
更新日期:1994-12-01 00:00:00
abstract::Objectives. To determine the impact of city-level cannabis decriminalization and medical marijuana laws (MMLs) on fatal traffic crashes in US cities.Methods. Using a census of fatal traffic crashes from the 2010 to 2017 Fatality Analysis Reporting System, we examined MMLs and cannabis decriminalization on fatal crashe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305484
更新日期:2020-03-01 00:00:00
abstract::An epidemic of morbidity and mortality has swept across the United States related to the use of prescription opioids for chronic noncancer pain. More than 100,000 people have died from unintentional overdose, making this one of the worst manmade epidemics in history. Much of health care delivery in the United States i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302367
更新日期:2015-03-01 00:00:00
abstract::The environmental justice movement has stimulated community-driven research about the living and working conditions of people of color and low-income communities. We describe an epidemiological study designed to link research with community education and organizing for social justice. In eastern North Carolina, high-d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.110486
更新日期:2008-08-01 00:00:00