ArticleAmerican journal of public health2018
Racial/Ethnic Variation in the Impact of the Affordable Care Act on Insurance Coverage and Access Among Young Adults.
Article in American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- What role does wealth play in the racial health gap in the United States? Examining differences among African Americans, Latinos, and non-Hispanic Whites.SSM - population health · 2025Article
- Social Risk Factor Domains and Preventive Care Services in US Adults.JAMA network open · 2024Article
- Racial and Ethnic Disparities in Health Insurance Coverage in the USA: Findings from the 2018 National Health Interview Survey.Journal of racial and ethnic health disparities · 2023Article
- Impact of the affordable care act's medicaid expansion on burn outcomes and disposition.Burns : journal of the International Society for Burn Injuries · 2021Article
- Insurance patterns and instability from 2006 to 2016.BMC health services research · 2020Article
- Variations in Access to Care After the Affordable Care Act Among Different Immigrant Groups.Journal of community health · 2020Article
- Medicaid Expansion, HIV Testing, and HIV-Related Risk Behaviors in the United States, 2010-2017.American journal of public health · 2019Article
- Study protocol: a mixed-methods study of women's healthcare in the safety net after Affordable Care Act implementation - EVERYWOMAN.Health research policy and systems · 2019Article
- Trends and Disparities in Sexual and Reproductive Health Behaviors and Service Use Among Young Adult Women (Aged 18-25 Years) in the United States, 2002-2015.American journal of public health · 2018Article
- Loss of job-related right to healthcare associated with employment turnover: challenges for the Mexican health system.BMC health services research · 2018Article
- Unlocking Population-Specific Treatments to Render Equitable Approaches and Management in Cardiovascular Disease: Development of a Situation-Specific Theory for African American Emerging Adults.The Journal of cardiovascular nursingArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine the impact of the Affordable Care Act's (ACA's) 2010 parental insurance coverage extension to young adults aged 19 to 25 years on health insurance coverage and access to care, including racial/ethnic disparities.
methodsWe pooled data from the Behavioral Risk Factor Surveillance System for the periods 2007 to 2009 and 2011 to 2013 (n = 402 777). We constructed quasiexperimental difference-in-differences models in which adults aged 26 to 35 years served as a control group. Multivariable statistical models controlled for covariates guided by the Andersen model for health care utilization.
resultsOn average, insurance rates among young adults increased 6.12 percentage points after ACA implementation (P < .001). All racial/ethnic groups experienced increases in coverage. However, the impact varied by race/ethnicity and was largest for Whites. Young adults had a 2.61 percentage point (P < .001) decrease in experiencing barriers to health care because of cost issues after the ACA, with variation by race/ethnicity.
conclusionsThe ACA's expansion had a significant positive effect for young adults acquiring health insurance and reducing cost-related barriers to accessing health care. However, racial/ethnic disparities in coverage and access persist. Public Health Implications. Policies not dependent on parental insurance could further increase access and reduce disparities.
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