ArticleSocial science & medicine (1982)2020
Role of health insurance and neighborhood-level social deprivation on hypertension control following the affordable care act health insurance opportunities.
Article in Social science & medicine (1982), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Impact of Social Determinants of Health on Hypertension Outcomes: A Systematic Review.Hypertension (Dallas, Tex. : 1979) · 2024Pooled it
- Association of Economic Policies With Hypertension Management and Control: A Systematic Review.JAMA health forum · 2024Pooled it
- How representative are electronic health records? A record linkage study using individual-level census data.Social science & medicine (1982) · 2026Article
- Comparison of the Association of Area-Based Deprivation Indices With Hypertension and Diabetes Control Outcomes.Journal of the American Heart Association · 2026Article
- Temporal trends and demographic patterns in hypertension-related mortality with intracerebral hemorrhage in the United States: 1999-2020.Global cardiology science & practice · 2026Article
- The ADVANCE Clinical Research Network Past, Present, and Future: Accelerating Partnerships for Patient-Centered Research in Community-based Primary Care Settings.Medical care · 2026Article
- Cross-sectional analysis of neighbourhood profiles and mental health conditions in the USA: insights from the All of Us Research Program.BMJ public health · 2026Article
- Socioeconomic disparities in patient-reported outcomes, health literacy, and access to care among patients with primary brain tumors: findings from the All of Us Research Program.Journal of neuro-oncology · 2025Article
- Healthcare Cost Coverage and Hypertension and Diabetes Care Step Movement: A Five-Year Follow-Up Study in a Malaysian Semi-Rural Community.Health science reports · 2025Article
- Variation in Hypertension Control by Race and Ethnicity, and Geography in US Veterans.Journal of the American Heart Association · 2025Article
- Association Between a Mother's Cervical Cancer Screening and Child's Human Papillomavirus (HPV) Vaccination Status.Maternal and child health journal · 2024Article
- The impact of health insurance on hypertension care: a household fixed effects study in India.BMC public health · 2024Article
- Neighborhood Characteristics and Elevated Blood Pressure in Older Adults.JAMA network open · 2023Article
- Factors Associated With Blood Pressure Control Among Patients in Community Health Centers.American journal of preventive medicine · 2023Article
- High Blood Pressure Reduction, Health Insurance Status, and Social Deprivation Index in U.S. Community Health Centers.AJPM focus · 2022Article
- Advancing Equity in Blood Pressure Control: A Response to the Surgeon General's Call-to-Action.American journal of hypertension · 2022Review
- Using Electronic Health Records to understand the population of local children captured in a large health system in Durham County, NC, USA, and implications for population health research.Social science & medicine (1982) · 2022Article
- Impacts of Medicaid Expansion on Contraceptive Use Among Women in Neighborhoods of Racialized Socioeconomic Deprivation in the United States.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- Diabetes and Hypertension Prevention and Control in Community Health Centers: Impact of the Affordable Care Act.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo understand if neighborhood-level social deprivation moderates the association between gaining health insurance and improved hypertension control.
methodsWe used electronic health record (EHR) data from the Accelerating Data Value Across a National Community Health Center Network (ADVANCE) clinical data research network from five states that expanded Medicaid eligibility (CA, OH, OR, WA, WI). We include patients with hypertension aged 19-64. Controlled hypertension was assessed for four groups pre-(1/1/2012-12/31/2013) to post-(1/1/2014-12/31/2017) Affordable Care Act (ACA) Medicaid expansion: (1) newly insured, (2) continuously insured, (3) discontinuously insured, and (4) continuously uninsured. We also used Social Deprivation Index score to derive predicted probability of controlled hypertension using logistic mixed effects.
resultsN = 28,485 patients. All groups experienced improved hypertension control: the newly insured saw a greater increase than the other groups (8.6% vs. 0.9% for the continuously uninsured, 1.3% for the continuously and 3.0% for the discontinuously insured). The likelihood of hypertension control rose more for the newly insured (vs. the other insurance groups) for patients living in the most deprived neighborhoods (16% from pre- to post-ACA).
conclusionsGaining health insurance was related to hypertension control; individuals living in the most disadvantaged communities experienced the greatest benefit. POLICY IMPLICATIONS: Ensuring health insurance access is important for cardiovascular health, especially among disadvantaged communities.
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Registered trials
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.