ArticleInternational journal of environmental research and public health2018
Affordable Care Act and Disparities in Health Services Utilization among Ethnic Minority Breast Cancer Survivors: Evidence from Longitudinal Medical Expenditure Panel Surveys 2008⁻2015.
Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 27 citations in OpenAlex.
- An innovative approach to the multidisciplinary treatment of uninsured breast cancer patients.Cancer causes & control : CCC · 2025Article
- Medicaid expansion in California and breast cancer incidence across neighborhoods with varying social vulnerabilities.Cancer causes & control : CCC · 2024Article
- Examining Health-Seeking Behavior among Diverse Ethnic Subgroups within Black Populations in the United States and Canada: A Cross-Sectional Study.International journal of environmental research and public health · 2024Article
- Article
- A latent profile analysis to assess physical, cognitive and emotional symptom clusters in women with breast cancer.Psychology & health · 2022Article
- Timing of Medicaid Enrollment, Late-Stage Breast Cancer Diagnosis, Treatment Delays, and Mortality.JNCI cancer spectrum · 2022Article
- Evaluation of health perceptions and healthcare utilization among population-based female cancer survivors and cancer-free women.Cancer causes & control : CCC · 2022Article
- Health care access and utilization among adult cancer survivors: Results from the National Institutes of Health "All of Us" Research Program.Cancer medicine · 2021Article
- Relationship between insurance status and outcomes for patients with breast cancer in Missouri.Cancer · 2021Article
- Changes in Noninsurance and Care Unaffordability Among Cancer Survivors Following the Affordable Care Act.Journal of the National Cancer Institute · 2020Article
- Intervention and Public Policy Pathways to Achieve Health Care Equity.International journal of environmental research and public health · 2019Article
- Perceived Impact of Taiwan's National Health Insurance Allocation Strategy: Health Professionals' Perspective.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Breast cancer is the most prevalent female cancer in the US. Incidence rates are similar for white and black women but mortality rates are higher for black women. This study draws on rich, nationally representative data, the 2008⁻2015 Medical Expenditure Panel Surveys, to estimate effects of the Affordable Care Act (ACA) on reducing disparities in and access to use of diagnostic and medical services for black and Hispanic breast cancer survivors. Random effects multinomial logit, flexible hurdle and Box-Cox estimation techniques are used. The robust estimates indicate that the ACA narrowed the racial/ethnic disparity in health insurance coverage, health care utilization and out-of-pocket prescription drug expenditures among breast cancer survivors. Gaps in uninsurance significantly declined for black and Hispanic survivors. Hispanic women generally and black breast cancer survivors specifically increased use of mammography services post-ACA. The ACA did not significantly impact disparities in physician utilization or out-of-pocket prescription drug expenditures for Hispanic survivors, while there were substantive improvements for black breast cancer survivors. The paper concludes with a discussion of the strengths and limitations of the ACA for reducing disparities and improving health outcomes for a growing population of breast cancer survivors in the US.
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