Observational studyJournal of general internal medicine2016
Effect of Gaining Insurance Coverage on Smoking Cessation in Community Health Centers: A Cohort Study.
Observational study in Journal of general internal medicine, 2016. 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 31 papers, 2 of them syntheses 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
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Implementation strategies to increase smoking cessation treatment provision in primary care: a systematic review of observational studies.BMC primary care · 2023Pooled it
- Healthcare financing systems for increasing the use of tobacco dependence treatment.The Cochrane database of systematic reviews · 2017Pooled it
- Noncommunicable diseases risk and protective factors in adults with and without health insurance: A cross-sectional study in Riyadh city.Journal of family medicine and primary care · 2026Article
- Exploring the capacity of smoking cessation services in the Philippines.Tobacco prevention & cessation · 2026Article
- The Association Between Smoker Protection Laws and Smoking, Employment, and Attempting to Quit Smoking.Tobacco use insights · 2026Article
- Smoking and productivity loss among working-age cancer survivors in the United States.Journal of cancer survivorship : research and practice · 2025Article
- Tobacco Use, Electronic Nicotine Delivery Systems, and Vulnerable Populations: Current Landscape and Opportunities for Improvement.JACC. Advances · 2024Review
- Machine learning application for predicting smoking cessation among US adults: An analysis of waves 1-3 of the PATH study.PloS one · 2023Article
- An ethical analysis of endoscopic therapy decision-making in patients with refractory substance use disorder and chronic pancreatitis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022Review
- Affordable Care Act Medicaid expansion and access to primary-care based smoking cessation assistance among cancer survivors: an observational cohort study.BMC health services research · 2022Observational
- Tobacco cessation programs and factors associated with their effectiveness in the Middle East: A systematic review.Tobacco induced diseases · 2022Review
- Emerging political and demographic divides: State politics, welfare generosity, and adult mortality in U.S. states 1977-2017.Health & place · 2021Article
- Prevalence and Trends in Smoking Among Surgical Patients in Michigan, 2012-2019.JAMA network open · 2021Article
- A longitudinal analysis of nondaily smokers: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).Annals of epidemiology · 2020Article
- Tobacco Cessation in Affordable Care Act Medicaid Expansion States Versus Non-expansion States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Observational
- Association of Medicaid Expansion and Health Insurance with Receipt of Smoking Cessation Services and Smoking Behaviors in Substance Use Disorder Treatment.The journal of behavioral health services & research · 2020Article
- Provider-Patient Discussions About Smoking and the Impact of Lung Cancer Screening Guidelines: NHIS 2011-2015.Journal of general internal medicine · 2020Observational
- Comparing smoking behavior between female-to-male and male-to-female transgender adults.Tobacco prevention & cessation · 2020Article
- Where Do Oregon Medicaid Enrollees Seek Outpatient Care Post-affordable Care Act Medicaid Expansion?Medical care · 2019Article
- Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundCommunity health center (CHC) patients have high rates of smoking. Insurance coverage for smoking cessation assistance, such as that mandated by the Affordable Care Act, may aid in smoking cessation in this vulnerable population.
objectiveWe aimed to determine if uninsured CHC patients who gain Medicaid coverage experience greater primary care utilization, receive more cessation medication orders, and achieve higher quit rates, compared to continuously uninsured smokers.
designLongitudinal observational cohort study using electronic health record data from a network of Oregon CHCs linked to Oregon Medicaid enrollment data. PATIENTS: Cohort of patients who smoke and who gained Medicaid coverage in 2008-2011 after ≥ 6 months of being uninsured and with ≥ 1 smoking assessment in the 24-month follow-up period from the baseline smoking status date. This group was propensity score matched to a cohort of continuously uninsured CHC patients who smoke (n = 4140 matched pairs; 8280 patients).
interventionGaining Medicaid after being uninsured for ≥ 6 months. MAIN MEASURES: 'Quit' smoking status (baseline smoking status was 'current every day' or 'some day' and status change to 'former smoker' at a subsequent visit), smoking cessation medication order, and ≥ 6 documented visits (yes/no variables) at ≥ 1 smoking status assessment within the 24-month follow-up period. KEY
resultsThe newly insured had 40 % increased odds of quitting smoking (aOR = 1.40, 95 % CI:1.24, 1.58), nearly triple the odds of having a medication ordered (aOR = 2.94, 95 % CI:2.61, 3.32), and over twice the odds of having ≥ 6 follow-up visits (aOR = 2.12, 95 % CI:1.94, 2.32) compared to their uninsured counterparts.
conclusionsNewly insured patients had increased odds of quit smoking status over 24 months of follow-up than those who remained uninsured. Providing insurance coverage to vulnerable populations may have a significant impact on smoking cessation.
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What OpenQuestion holds
Registered trials
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.