Evidence map›Paper›PMID 29599046›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2018

Health Care Coverage and Access Among Children, Adolescents, and Young Adults, 2010-2016: Implications for Future Health Reforms.

Donna L Spencer, Margaret McManus, Kathleen Thiede Call, Joanna Turner, Christopher Harwood, Patience White, Giovann Alarcon

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Using the Social-Ecological Model to Improve Access to Care for Adolescents and Young Adults.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Donna L SpencerState Health Access Data Assistance Center (SHADAC), University of Minnesota School of Public Health, Minneapolis, Minnesota. Electronic address: donna.spencer@lewin.com.
Margaret McManusThe National Alliance to Advance Adolescent Health, Washington, DC.
Kathleen Thiede CallState Health Access Data Assistance Center (SHADAC), University of Minnesota School of Public Health, Minneapolis, Minnesota.
Joanna TurnerState Health Access Data Assistance Center (SHADAC), University of Minnesota School of Public Health, Minneapolis, Minnesota.
Christopher HarwoodThe National Alliance to Advance Adolescent Health, Washington, DC.
Patience WhiteThe National Alliance to Advance Adolescent Health, Washington, DC.
Giovann AlarconState Health Access Data Assistance Center (SHADAC), University of Minnesota School of Public Health, Minneapolis, Minnesota.

Funding

Minnesota Population Center Science and Technical CoreP2CHD041023 · NICHD · UNIVERSITY OF MINNESOTA · PI THERESA LOUISE OSYPUK · 2016 to 2026
$4.3M
NICHD NIH HHS P2C HD041023
6 · The paper itself

Abstract

purposeWe examine changes to health insurance coverage and access to health care among children, adolescents, and young adults since the implementation of the Affordable Care Act.

methodsUsing the National Health Interview Survey, bivariate and logistic regression analyses were conducted to compare coverage and access among children, young adolescents, older adolescents, and young adults between 2010 and 2016.

resultsWe show significant improvements in coverage among children, adolescents, and young adults since 2010. We also find some gains in access during this time, particularly reductions in delayed care due to cost. While we observe few age-group differences in overall trends in coverage and access, our analysis reveals an age-gradient pattern, with incrementally worse coverage and access rates for young adolescents, older adolescents, and young adults.

conclusionsPrior analyses often group adolescents with younger children, masking important distinctions. Future reforms should consider the increased coverage and access risks of adolescents and young adults, recognizing that approximately 40% are low income, over a third live in the South, where many states have not expanded Medicaid, and over 15% have compromised health.

Indexed as

AdolescentAdultAge DistributionChildChild, PreschoolCross-Sectional StudiesFemaleHealth Care ReformHealth Services AccessibilityHealth SurveysHumansInfantInfant, NewbornInsurance CoverageMalePatient Protection and Affordable Care ActAdolescentChildHealth insuranceHealth services accessibilityYoung adult

Identifiers

PMID29599046
PMCPMC5964030

What OpenQuestion holds

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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.