Evidence map›Paper›PMID 25693869›Full record

ArticleHealth economics2016

The Impact of Near-Universal Insurance Coverage on Breast and Cervical Cancer Screening: Evidence from Massachusetts.

Lindsay M Sabik, Cathy J Bradley

Abstract read
In one paragraph

Article in Health economics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
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  9. Article
  10. Does Medicare Coverage Improve Cancer Detection and Mortality Outcomes?Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management] · 2020
    Article
  11. Article
  12. Article
  13. The effects of organized screening programs on the demand for mammography in Switzerland.The European journal of health economics : HEPAC : health economics in prevention and care · 2017
    Article
  14. Article
  15. The ACA and Cancer Screening and Diagnosis.Cancer journal (Sudbury, Mass.)
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Lindsay M SabikDepartment of Healthcare Policy and Research, Virginia Commonwealth University, Richmond, VA, USA.
Cathy J BradleyDepartment of Healthcare Policy and Research, Virginia Commonwealth University, Richmond, VA, USA.

Funding

Training Program in Behavioral and Health Services Cancer Control ResearchR25CA093423 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI BROWN, RICHARD FREDERICK · 2002 to 2015
$2.9M
Disparities in Cancer Screening: The Role of Medicaid PolicyR01CA178980 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI SABIK, LINDSAY MARIE · 2013 to 2016
$1.2M
NCI NIH HHS R01 CA178980NCI NIH HHS R01CA178980NCI NIH HHS R25 CA093423NCI NIH HHS R25CA093423
6 · The paper itself

Abstract

This paper investigates the effect of expansion to near-universal health insurance coverage in Massachusetts on breast and cervical cancer screening. We use data from 2002 to 2010 to compare changes in receipt of mammograms and Pap tests in Massachusetts relative to other New England states. We also consider the effect specifically among low-income women. We find positive effects of Massachusetts health reform on cancer screening, suggesting a 4 to 5% increase in mammograms and 6 to 7% increase in Pap tests annually. Increases in both breast and cervical cancer screening are larger 3 years after the implementation of reform than in the year immediately following, suggesting that there may be an adjustment or learning period. Low-income women experience greater increases in breast and cervical cancer screening than the overall population; among women with household income less than 250% of the federal poverty level, mammograms increase by approximately 8% and Pap tests by 9%. Overall, Massachusetts health reform appears to have increased breast and cervical cancer screening, particularly among low-income women. Our results suggest that reform was successful in promoting preventive care among targeted populations.

Indexed as

Universal Health InsuranceAdultBehavioral Risk Factor Surveillance SystemBreast NeoplasmsEarly Detection of CancerFemaleHealth Services AccessibilityHumansMassachusettsMiddle AgedPapanicolaou TestPovertySocioeconomic FactorsUterine Cervical Neoplasmsbreast cancercervical cancerhealth insuranceMassachusettspreventionscreening

Identifiers

PMID25693869
PMCPMC4540679

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.