Observational studyAmerican journal of public health2019
The Affordable Care Act and Access to Care for Reproductive-Aged and Pregnant Women in the United States, 2010-2016.
Observational study in American journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses 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.
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.
Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors affecting women's access to primary care in the United States since the Affordable Care Act: A mixed-methods systematic review.PloS one · 2024Pooled it
- A systematic review of the qualitative literature on barriers to high-quality prenatal and postpartum care among low-income women.Health services research · 2022Pooled it
- Contraceptive use and condomless sex among sexually experienced disabled and non-disabled White, Black, and Hispanic female adolescents and young adults aged 18-25 in the United States.Research square · 2026Article
- Correlates of postpartum care visit non-attendance among low-income women: Insights from the Andersen Behavioral Model.PloS one · 2026Article
- Trends and Racial/Ethnic Disparities in Prenatal Care (PNC) Use from 2016 to 2021 in the United States.Journal of racial and ethnic health disparities · 2025Article
- Epidemiological trends of infant mortality related to premature rupture of membranes: U.S. 1999-2023.Frontiers in public health · 2025Article
- Effects of state immigrant insurance coverage policies on access to adequate prenatal care among immigrant pregnant women in the United States.Journal of migration and health · 2025Article
- An exploration of barriers to access to healthcare in Hancock County, Tennessee: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Addressing Maternal and Child Health Disparities Through Perinatal Home Visiting.WMJ : official publication of the State Medical Society of Wisconsin · 2024Article
- Health insurance coverage and poverty status of postpartum women in the United States in 2019: an ACS-PUMS population-based cross-sectional study.BMC public health · 2023Article
- Affordable Care Act Medicaid expansions and maternal morbidity.Health economics · 2023Article
- Review
- Postpartum Medicaid coverage and outpatient care utilization among low-income birthing individuals in Oregon: impact of Medicaid expansion.Frontiers in public health · 2023Article
- Enrollment of reproductive age women in community-based health insurance: An evidence from 2019 Mini Ethiopian Demographic and Health Survey.Frontiers in public health · 2023Article
- Delayed entry into prenatal care among women with pre-pregnancy health conditions, National Birth Defects Prevention Study, 1997-2011.Preventive medicine · 2022Article
- Transitions in Health Insurance During the Perinatal Period Among Patients With Continuous Insurance Coverage.JAMA network open · 2022Article
- Predicting Postpartum Transition to Primary Care in Community Health Centers.American journal of preventive medicine · 2022Article
- Analysis of State Medicaid Expansion and Access to Timely Prenatal Care Among Women Who Were Immigrant vs US Born.JAMA network open · 2022Article
- Coverage Effects of the ACA's Medicaid Expansion on Adult Reproductive-Aged Women, Postpartum Mothers, and Mothers with Older Children.Maternal and child health journal · 2022Article
- Catastrophic Health Expenditures With Pregnancy and Delivery in the United States.Obstetrics and gynecology · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo estimate the association between the Affordable Care Act (ACA), health insurance coverage, and access to care among reproductive-aged and pregnant women.
methodsWe performed an observational study comparing current insurance type, cost-related barriers to medical care, and no usual source of care among reproductive-aged (n = 128 352) and pregnant (n = 2179) female respondents to the National Health Interview Survey in the United States, before (2010-2013) and after (2015-2016) the ACA coverage expansions.
resultsAmong reproductive-aged women, the ACA was associated with a 7.4 percentage-point decrease in the probability of uninsurance (95% confidence interval [CI] = -8.6, -6.2), a 3.6 percentage-point increase in Medicaid (95% CI = 2.5, 4.7), and a 3.1 percentage-point increase in nongroup private coverage (95% CI = 2.1, 4.1). The ACA was also associated with a 1.5 percentage-point decline in cost-related barriers to medical care (95% CI = -2.6, -0.5) and a 2.4 percentage-point reduction in lacking a usual source of care (95% CI = -4.5, -0.3). We did not find significant changes in insurance or cost-related barriers to care for pregnant women.
conclusionsThe ACA was associated with expanded insurance coverage and improvements in access to care for women of reproductive age, particularly for those with lower incomes.
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