Evidence map›Paper›PMID 28323472›Full record

ArticleAmerican journal of public health2017

The Affordable Care Act, Insurance Coverage, and Health Care Utilization of Previously Incarcerated Young Men: 2008-2015.

Tyler N A Winkelman, HwaJung Choi, Matthew M Davis

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03799315 (Reducing Tobacco-Related Health Disparities Among Incarcerated Individuals in Hennepin County), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
13.4field-weighted citation impact, top 2% of its field
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.

NCT03799315 nacompletednot on this mapstarted 2019, after this paper: background citation

Reducing Tobacco-Related Health Disparities Among Incarcerated Individuals in Hennepin County

TypeinterventionalSponsorHennepin Healthcare Research InstituteRan2019 to 2020Enrolled66ConditionsTobacco UseArmsNicotine Replacement Therapy, Counseling
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 49 citations in OpenAlex.

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  9. Cancer Screening Rates and Outcomes for Justice-Involved Individuals: A Scoping Review.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2023
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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

3 authors at 1 institution in 1 country.

Tyler N A WinkelmanTyler N. A. Winkelman is with the VA Ann Arbor Healthcare System, Ann Arbor, MI, and the Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan Medical School, Ann Arbor. HwaJung Choi is with the Department of Internal Medicine, University of Michigan Medical School. Matthew M. Davis is with the Division of Academic General Pediatrics, Smith Child Health Research Program, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, and the Departments of Pediatrics and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago.
HwaJung ChoiTyler N. A. Winkelman is with the VA Ann Arbor Healthcare System, Ann Arbor, MI, and the Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan Medical School, Ann Arbor. HwaJung Choi is with the Department of Internal Medicine, University of Michigan Medical School. Matthew M. Davis is with the Division of Academic General Pediatrics, Smith Child Health Research Program, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, and the Departments of Pediatrics and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago.
Matthew M DavisTyler N. A. Winkelman is with the VA Ann Arbor Healthcare System, Ann Arbor, MI, and the Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan Medical School, Ann Arbor. HwaJung Choi is with the Department of Internal Medicine, University of Michigan Medical School. Matthew M. Davis is with the Division of Academic General Pediatrics, Smith Child Health Research Program, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, and the Departments of Pediatrics and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago.
Robert Wood Johnson Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate health insurance and health care utilization patterns among previously incarcerated men following implementation of the Affordable Care Act's (ACA's) Medicaid expansion and Marketplace plans in 2014.

methodsWe performed serial cross-sectional analyses using data from the National Survey of Family Growth between 2008 and 2015. Our sample included men aged 18 to 44 years with (n = 3476) and without (n = 8702) a history of incarceration.

resultsUninsurance declined significantly among previously incarcerated men after ACA implementation (-5.9 percentage points; 95% confidence interval [CI] = -11.5, -0.4), primarily because of an increase in private insurance (6.8 percentage points; 95% CI = 0.1, 13.3). Previously incarcerated men accounted for a large proportion of the remaining uninsured (38.6%) in 2014 to 2015. Following ACA implementation, previously incarcerated men continued to be significantly less likely to report a regular source of primary care and more likely to report emergency department use than were never-incarcerated peers.

conclusionsHealth insurance coverage improved among previously incarcerated men following ACA implementation. However, these men account for a substantial proportion of the remaining uninsured. Previously incarcerated men continue to lack primary care and frequently utilize acute care services.

Indexed as

Patient Acceptance of Health CarePatient Protection and Affordable Care ActPrisonersAdolescentAdultCross-Sectional StudiesHealth Services AccessibilityHumansInsurance CoverageMaleMedicaidUnited States

Identifiers

PMID28323472
PMCPMC5388965
OpenAlexW2601857928

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.