ArticleMedical care2017
Association of the Affordable Care Act With Smoking and Tobacco Treatment Utilization Among Adults Newly Enrolled in Health Care.
Article in Medical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 29 citations in OpenAlex.
- History and Correlates of Smoking Cessation Behaviors Among Individuals With Current or Past Major Depressive Disorder Enrolled in a Smoking Cessation Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Trial
- History and Correlates of Smoking Cessation Behaviors Among Smokers With Serious Mental Illness.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Trial
- Cognitive Distortions as Barriers to Seeking Smoking Cessation Treatment: A Comparative Study.Journal of clinical medicine · 2024Article
- The association of the Affordable Care Act with nutrient consumption in adults in the United States.Frontiers in public health · 2023Article
- Community Health Centers' Performance in Cancer Screening and Prevention.American journal of preventive medicine · 2022Observational
- Tobacco control policies and smoking cessation treatment utilization: A moderated mediation analysis.PloS one · 2021Article
- Impact of Medicaid expansion on smoking prevalence and quit attempts among those newly eligible, 2011-2019.Tobacco prevention & cessation · 2021Article
- Smoking and cessation treatment among persons with and without HIV in a U.S. integrated health system.Drug and alcohol dependence · 2020Article
- Cigarette excise taxes, clean indoor air laws, and use of smoking cessation treatments: A mediation analysis.Preventive medicine · 2020Article
- Remission From Unhealthy Drinking Among Patients With an Alcohol Use Disorder: A Longitudinal Study Using Systematic, Primary Care-Based Alcohol Screening Data.Journal of studies on alcohol and drugs · 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
- Associations Between Medical Conditions and Alcohol Consumption Levels in an Adult Primary Care Population.JAMA network open · 2020Article
- Benzodiazepine and unhealthy alcohol use among adult outpatients.The American journal of managed care · 2019Article
- Current smoking and quit-attempts among US adults following Medicaid expansion.Preventive medicine reports · 2019Article
- Disparities in knowledge and use of tobacco treatment among smokers in California following healthcare reform.Preventive medicine reports · 2019Article
- Characteristics of patients with substance use disorder before and after the Affordable Care Act.Drug and alcohol dependence · 2018Article
- Disparities in the Receipt of Tobacco Treatment Counseling within the US Context of the Affordable Care Act and Meaningful Use Implementation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018Article
- Evaluating the Impact of Eliminating Copayments for Tobacco Cessation Pharmacotherapy.Medical care · 2018Article
- Tobacco Screening and Counseling in the U.S.: Smokers With Mental Health and Substance Use Problems.American journal of preventive medicine · 2018Article
- Disparities in Smoking Cessation Assistance in US Primary Care Clinics.American journal of public health · 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
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo examine rates of smoking and tobacco treatment utilization by insurance coverage status (Medicaid, commercial, exchange) among newly enrolled patients in the post Affordable Care Act (ACA) era.
methodsWe examined new members who enrolled in Kaiser Permanente Northern California through Medicaid, the California exchange, or nonexchange commercial plans (N=122,298) in the first 6 months of 2014 following ACA implementation. We compared these groups on smoking prevalence and tested whether smokers in each group differed on sociodemographic characteristics and in their utilization of tobacco treatment (pharmacotherapy and counseling) in 2014.
resultsSmoking prevalence was higher among Medicaid (22%) than exchange (13%) or commercial (12%) patients (P<0.0001). Controlling for key sociodemographic and clinical characteristics, Medicaid (odds ratio, 1.49; 95% confidence interval, 1.29-1.73) smokers had greater odds of tobacco treatment use than commercial smokers. Other groups at risk for underuse included men, younger patients, Asians, and Latinos.
conclusionsIn this cohort of newly enrolled patients after ACA implementation, Medicaid patients were more likely to be smokers compared with exchange and commercial patients, but they were also more likely to use tobacco treatment. Low tobacco treatment use among exchange and commercial plan smokers, as well as younger men, Asians and Latinos poses a significant obstacle to improving public health and additional targeted outreach strategies may be needed to engage these patients with available health services.
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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.