Evidence map›Paper›PMID 36038836›Full record

ArticleBMC public health2022

Did Medicaid expansion close African American-white health care disparities nationwide? A scoping review.

Lonnie R Snowden, Genevieve Graaf, Latocia Keyes, Katherine Kitchens, Amanda Ryan, Neal Wallace

Abstract readScoping Review
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lonnie R SnowdenSchool of Public Health, University of California, Berkeley, USA.
Genevieve GraafSchool of Social Work, University of Texas, Arlington, USA. genevieve.graaf@uta.edu.
Latocia KeyesDepartment of Social Work, Tarleton State University, Stephenville, USA.
Katherine KitchensSchool of Social Work, University of Texas, Arlington, USA.
Amanda RyanSchool of Social Work, University of Texas, Arlington, USA.
Neal WallaceOHSU-PSU School of Public Health, Portland State University, Portland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the impact of the Affordable Care Act's (ACA) Medicaid expansion on African American-white disparities in health coverage, access to healthcare, receipt of treatment, and health outcomes.

designA search of research reports, following the PRISMA-ScR guidelines, identified twenty-six national studies investigating changes in health care disparities between African American and white non-disabled, non-elderly adults before and after ACA Medicaid expansion, comparing states that did and did not expand Medicaid. Analysis examined research design and findings.

resultsWhether Medicaid eligibility expansion reduced African American-white health coverage disparities remains an open question: Absolute disparities in coverage appear to have declined in expansion states, although exceptions have been reported. African American disparities in health access, treatment, or health outcomes showed little evidence of change for the general population.

conclusionsFuture research addressing key weaknesses in existing research may help to uncover sources of continuing disparities and clarify the impact of future Medicaid expansion on African American health care disparities.

Indexed as

Healthcare DisparitiesMedicaidAdultBlack or African AmericanHealth Services AccessibilityHumansInsurance CoverageMiddle AgedPatient Protection and Affordable Care ActUnited StatesAffordable care actHealth disparitiesHealth policyMedicaid expansionRacial disparities

Identifiers

PMID36038836
PMCPMC9426283

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.