Evidence map›Paper›PMID 29237143›Full record

ArticleJournal of women's health (2002)2018

Trends in Health Insurance Coverage of Title X Family Planning Program Clients, 2005-2015.

Emily J Decker, Katherine A Ahrens, Christina I Fowler, Marion Carter, Loretta Gavin, Susan Moskosky

Open access · greenAbstract read
In one paragraph

Article in Journal of women's health (2002), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

6 citing papers in PubMed, 7 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

6 authors at 3 institutions in 1 country.

Emily J Decker1 U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health , Office of Population Affairs, Rockville, Maryland.
Katherine A Ahrens1 U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health , Office of Population Affairs, Rockville, Maryland.
Christina I Fowler2 RTI International, Research Triangle Park , North Carolina.
Marion Carter3 Centers for Disease Control and Prevention , Division of Sexually Transmitted Disease Prevention and Control, Program Development and Quality Improvement Branch, Atlanta, Georgia .
Loretta Gavin1 U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health , Office of Population Affairs, Rockville, Maryland.
Susan Moskosky1 U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health , Office of Population Affairs, Rockville, Maryland.
Office of the Assistant Secretary for Health · USCenters for Disease Control and Prevention · USRTI International · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThe federal Title X Family Planning Program supports the delivery of family planning services and related preventive care to 4 million individuals annually in the United States. The implementation of the 2010 Affordable Care Act's (ACA's) Medicaid expansion and provisions expanding access to health insurance, which took effect in January 2014, resulted in higher rates of health insurance coverage in the U.S. population; the ACA's impact on individuals served by the Title X program has not yet been evaluated.

methodsUsing administrative data we examined changes in health insurance coverage among Title X clinic patients during 2005-2015.

resultsWe found that the percentage of clients without health insurance decreased from 60% in 2005 to 48% in 2015, with the greatest annual decrease occurring between 2013 and 2014 (63% to 54%). Meanwhile, between 2005 and 2015, the percentage of clients with Medicaid or other public health insurance increased from 20% to 35% and the percentage of clients with private health insurance increased from 8% to 15%.

conclusionsAlthough clients attending Title X clinics remained uninsured at substantially higher rates compared with the national average, the increase in clients with health insurance coverage aligns with the implementation of ACA-related provisions to expand access to affordable health insurance.

Indexed as

Patient Protection and Affordable Care ActAdolescentAdultFamily Planning ServicesFemaleHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthMedicaidMiddle AgedPovertyPreventive Health ServicesReproductive HealthUnited StatesYoung Adulthealth reforminsurance coverageMedicaid expansionreproductive healthTitle X

Identifiers

PMID29237143
PMCPMC6750757
OpenAlexW2773506701

What OpenQuestion holds

Textmetadata
LicenceTDM
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.