Evidence map›Paper›PMID 28593643›Full record

ArticleHealth services research2018

Did the Affordable Care Act's Dependent Coverage Expansion Affect Race/Ethnic Disparities in Health Insurance Coverage?

Joshua Breslau, Bing Han, Bradley D Stein, Rachel M Burns, Hao Yu

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
14.5field-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.

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

8 citing papers in PubMed, 19 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Joshua BreslauRAND Corporation, Pittsburgh , PA.ORCID 0000-0002-1194-4643
Bing HanRAND Corporation, Santa Monica, CA.
Bradley D SteinRAND Corporation, Pittsburgh , PA.
Rachel M BurnsRAND Corporation, Pittsburgh , PA.
Hao YuRAND Corporation, Pittsburgh , PA.
RAND Corporation · US

Funding

Policy Impacts on Behavioral Health Care DisparitiesR01MD010274 · NIMHD · RAND CORPORATION · PI BRESLAU, JOSHUA A · 2015 to 2019
$3.0M
NIMHD NIH HHS R01 MD010274
6 · The paper itself

Abstract

objectiveTo test the impact of the dependent coverage expansion (DCE) on insurance disparities across race/ethnic groups. DATA SOURCES/STUDY

settingSurvey data from the National Survey of Drug Use and Health (NSDUH). STUDY

designTriple-difference (DDD) models were applied to repeated cross-sectional surveys of the U.S. adult population. DATA COLLECTION/EXTRACTION

methodsData from 6 years (2008-2013) of the NSDUH were combined. PRINCIPAL

findingsFollowing the DCE, the relative odds of insurance increased 1.5 times (95 percent CI 1.1, 1.9) among whites compared to blacks and 1.4 times (95 percent CI 1.1, 1.8) among whites compared to Hispanics.

conclusionsHealth reform efforts, such as the DCE, can have negative effects on race/ethnic disparities, despite positive impacts in the general population.

Indexed as

AdultCross-Sectional StudiesEthnicityFemaleHealthcare DisparitiesHumansInsurance CoverageInsurance, HealthMalePatient Protection and Affordable Care ActRacial GroupsSocioeconomic FactorsUnited StatesYoung Adulthealth disparitiesHealth insurance coverageyoung adults

Identifiers

PMID28593643
PMCPMC5867154
OpenAlexW2622543623

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.