ArticlePloS one2019
Impact of Medicaid coverage expansion under the Affordable Care Act on mammography and pap tests utilization among low-income women.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Racial inequalities in eligibility and access to lung cancer screening: systematic review of United States studies.BMC public health · 2025Pooled it
- Evaluating Medicaid expansion benefits for patients with cancer: National Cancer Database analysis and systematic review.Journal of cancer policy · 2021Pooled it
- The Affordable Care Act's Medicaid Expansion and Impact Along the Cancer-Care Continuum: A Systematic Review.Journal of the National Cancer Institute · 2020Pooled it
- Impact of Affordable Care Act Provisions on the Racial Makeup of Patients Enrolled at a Deep South, High-Risk Breast Cancer Clinic.Journal of racial and ethnic health disparities · 2025Article
- Bridging Lifestyle and Screening for Cancer Prevention: A Comprehensive Analysis of Cancer-Related Lifestyle and Screening Attitudes in Adults.Medicina (Kaunas, Lithuania) · 2025Article
- Impact of Affordable Care Act provisions on the racial makeup of patients enrolled at a Deep South, high-risk breast cancer clinic.Research square · 2023Article
- Medicaid expansions and differences in guideline-adherent cervical cancer screening between American Indian and White women.Cancer medicine · 2023Article
- Differences in Cancer Screening Responses to State Medicaid Expansions by Race and Ethnicity, 2011‒2019.American journal of public health · 2022Article
- Dispersion of contraceptive access policies across the United States from 2006 to 2021.Preventive medicine reports · 2022Article
- Cancer Screening Prevalence and Associated Factors Among US Adults.Preventing chronic disease · 2022Article
- Article
- Access to Care as a Barrier to Mammography for Black Women.Policy, politics & nursing practice · 2021Article
- Adherence to ophthalmology referral, treatment and follow-up after diabetic retinopathy screening in the primary care setting.BMJ open diabetes research & care · 2020Article
- The effect of Medicaid expansion on prescriptions for breast cancer hormonal therapy medications.Health services research · 2020Article
- Changes in Preventative Health Care After Medicaid Expansion.Medical care · 2020Article
- Impacts of the Affordable Care Act on Receipt of Women's Preventive Services in Community Health Centers in Medicaid Expansion and Nonexpansion States.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- Variation in State-Level Mammography Use, 2012 and 2020.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe Affordable Care Act (ACA) expanded the coverage of Medicaid to include entire population with income below 138% of federal poverty line. It remains unclear whether this policy change has improved access to and utilization of health care, particularly use of mammography and Pap tests among poor women.
methodsWe used a difference-in-difference (DID) design to estimate the impact of Medicaid expansion on mammography and Pap tests utilization among low-income women. Expansion states are the treatment group and non-expansion states are the control group. The years 2012-13 are the pre-expansion period and 2015-16 are the post-expansion period for the purpose of estimating the DID parameters.
resultsThe difference-in-difference estimate show that likelihood of utilizing mammograms did not change significantly among low-income women after the implementation of Medicaid expansion (DID coefficient -0.0476 with t-statistics at -1.26), Pap test decreased (coefficient -0.0615, t-statistics -2.76), and Medicaid enrollment has increased significantly among low-income women living in expansion states (coefficient 0.0889 with t-value of 3.68).
conclusionExpansion of Medicaid was associated with increased Medicaid enrollment but did not yield near-term improvement in use of mammography and Pap tests among low-income women. Factors beyond health insurance coverage may be important in determining the likelihood of obtaining these screenings. Policy makers should try to identify other barriers to cancer screenings among low-income women in the USA.
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