ArticleJournal of racial and ethnic health disparities2017
In Low-Income Latino Patients, Post-Affordable Care Act Insurance Disparities May Be Reduced Even More than Broader National Estimates: Evidence from Oregon.
Article in Journal of racial and ethnic health disparities, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02657499 (Post Affordable Care Act), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled 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.
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.
Post Affordable Care Act: Evaluation of Community Health Centers
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What Interventions Work to Reduce Cost Barriers to Primary Healthcare in High-Income Countries? A Systematic Review.International journal of environmental research and public health · 2024Pooled it
- Prevalence of Colorectal Cancer Screening Among Latino Adults Following the Medicaid Eligibility Amendment Expansion.JAMA network open · 2026Article
- Atherosclerotic Cardiovascular Disease Primary and Secondary Prevention in Latino Subgroups.Journal of general internal medicine · 2024Article
- Factors Associated with Insured Children's Use of Physician Visits, Dentist Visits, Hospital Care, and Prescribed Medications in the United States: An Application of Behavioral Model of Health-Services Use.International journal of environmental research and public health · 2024Article
- Differences in up-to-date colorectal and cervical cancer screening rates by ethnicity and preferred language: An analysis across patient-, clinic-, and area-level data sources.SSM - population health · 2024Article
- Disaggregating Latino nativity in equity research using electronic health records.Health services research · 2023Article
- Comparison of associations of household-level and neighbourhood-level poverty markers with paediatric asthma care utilisation by race/ethnicity in an open cohort of community health centre patients.Family medicine and community health · 2023Article
- Role of ethnicity/language in documented rates of pediatric asthma prescription refills.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Article
- Caregivers with Cancer Patients: Focus on Hispanics.Cancers · 2023Review
- Racial, ethnic, and language differences in screening measures for statin therapy following a major guideline change.Preventive medicine · 2022Article
- Differences in Cancer Screening Responses to State Medicaid Expansions by Race and Ethnicity, 2011‒2019.American journal of public health · 2022Article
- Nativity moderates the relationship between nationality and healthcare access for some Latinx women in the United States.Ethnicity & health · 2022Article
- Racial disparities in health care utilization, the affordable care act and racial concordance preference.International journal of health economics and management · 2022Article
- Medical service utilization and out-of-pocket spending among near-poor National Health Insurance members in South Korea.BMC health services research · 2021Article
- Using Electronic Health Record Data to Study Latino Immigrant Populations in Health Services Research.Journal of immigrant and minority health · 2020Article
- Effects of citizenship status, Latino ethnicity, and household language on health insurance coverage for U.S. adolescents, 2007-2016.Health services research · 2019Article
- What the Group Threat Hypothesis Notes About States' Medicaid Spending.Journal of racial and ethnic health disparities · 2019Article
- Asthma/COPD Disparities in Diagnosis and Basic Care Utilization Among Low-Income Primary Care Patients.Journal of immigrant and minority health · 2019Article
- Racial/Ethnic Differential Effects of Medicaid Expansion on Health Care Access.Health services research · 2018Article
- Oregon Medicaid Expenditures After the 2014 Affordable Care Act Medicaid Expansion: Over-time Differences Among New, Returning, and Continuously Insured Enrollees.Medical care · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundEarly survey evidence suggests a reduction of disparities in insurance coverage between Latinos and non-Hispanic Whites post-Affordable Care Act (ACA). These findings may not describe the insurance status of vulnerable, low-income Latino populations served in community health centers (CHCs) over the course of this policy change. Cross-sectional surveys also may be of limited use in describing longitudinal phenomena such as changes in health insurance status.
methodsUsing electronic health record (EHR) data, we compared the insurance status of N = 42,392 low-income patients served in 23 CHCs in Oregon, by race/ethnicity and language, over a period of 6 years straddling the implementation of ACA-related Medicaid expansion on January 1, 2014.
findingsPrior to 2014, Spanish-preferring Latinos were more likely to be uninsured than English-preferring Latinos and non-Hispanic Whites. Among uninsured patients who returned for at least one visit in 2014, Spanish-preferring Latinos had the largest increase in insurance coverage rates, and all three racial/ethnic/language groups had similar rates of insurance coverage. There were no racial/ethnic/language differences between those who did and did not have visit in 2014.
conclusionAmong previously uninsured low-income patients returning to Oregon CHCs, insurance disparities were eliminated after Medicaid expansion, especially in Spanish-speaking Latinos. Further study is needed to understand the elimination of insurance disparities in this cohort.
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