ArticleJournal of general internal medicine2019
Inequalities in Young Adult Health Insurance Coverage Post-federal Health Reform.
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of insurance status among cancer patients and survival outcomes: a systematic review and meta-analysis.International journal for equity in health · 2025Pooled it
- Disparities in Rural-Urban Cancer Care Outcomes among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Review
- Insurance gaps at age-19 and age-26 health insurance eligibility thresholds by childhood-onset condition severity, Colorado 2014-2018.Health services research · 2025Article
- Survivorship after adolescent and young adult cancer: models of care, disparities, and opportunities.Journal of the National Cancer Institute · 2024Article
- Associations of demographic and tobacco use characteristics with young adults' self-reported clinical encounters: Implications for cessation efforts.Preventive medicine reports · 2024Article
- Health insurance among survivors of childhood cancer following Affordable Care Act implementation.Journal of the National Cancer Institute · 2024Article
- Article
- Health Care Policy and Congenital Heart Disease: 2020 Focus on Our 2030 Future.Journal of the American Heart Association · 2021Article
- Associations between insurance-related affordable care act policy changes with HPV vaccine completion.BMC public health · 2021Article
- Changes in Health Care-Related Financial Burden for US Families With Children Associated With the Affordable Care Act.JAMA pediatrics · 2020Article
- Indicators of Healthcare Transition Progress Among College Youth With Type 1 Diabetes.Academic pediatricsArticle
- Perceptions, Attitudes, and Experiences Regarding Mental Health Care Among Young Black Men.American journal of men's healthArticle
- Diabetes-Focused Health Care Utilization Among Adolescents and Young Adults With Type 1 Diabetes.Academic pediatricsArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundUninsurance for young adults (YAs) was greatly reduced by the Affordable Care Act (ACA). However, reforms may not be equally beneficial for all YAs and certain policies may exacerbate, rather than resolve, pre-existing disparities.
objectiveTo investigate inequalities in YAs' insurance coverage pre- (2000-2010) and post-federal health reforms (dependent coverage expansion, 2010-2013, and Medicaid/Marketplace expansions, 2014-2016), among a nationally representative sample.
designA difference-in-differences estimator (controlling for sociodemographics) was used to determine the effects of the ACA for young adults (ages 19-25) compared to adolescents (ages 13-18) and older YA (ages 26-30) counterparts; triple-difference estimators quantified differential policy effects by sociodemographics.
participantsThree hundred eighty-seven thousand six hundred thirty-five participants in the 2000-2016 National Health Interview Survey. MAIN MEASURES: Respondents reported their health insurance coverage types during the last 12 months, reasons uninsured, and detailed sociodemographics. KEY
resultsAn adjusted difference-in-differences estimator quantified a 12.3 percentage point increase (p < 0.0001) in full-year coverage post-ACA for YAs compared to older counterparts, driven by increases in employer-sponsored private insurance while younger and older youth saw larger gains in Medicaid coverage. Triple-difference estimators identified subgroups experiencing less beneficial dependent coverage expansion effects, including females, lower socioeconomic status, non-citizens, non-English speakers, and several racial/ethnic minority groups. Later ACA reforms (Marketplace/Medicaid expansions) mitigated many of these widening disparities.
conclusionWhile the ACA significantly impacted YA insurance coverage, these gains were not of equal magnitude for all YAs and disparities remain. As such, more work needs to be done to ensure optimal and equitable access to high-quality, affordable insurance for all YAs.
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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.