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The Affordable Care Act and Access to Care for Reproductive-Aged and Pregnant Women in the United States, 2010–2016

Dados Bibliográficos

ID11036322
AutoresJamie R Daw (0000-0001-6380-8523, Jamie R. Daw is with the Department of Health Policy and Management, Columbia University Mailman School of Public Health, New York, NY. Benjamin D. Sommers is with the Harvard T. H. Chan School of Public Health and Harvard Medical School/Brigham & Women’s Hospital, Boston, MA.), Benjamin D Sommers (0000-0001-6507-6047, Jamie R. Daw is with the Department of Health Policy and Management, Columbia University Mailman School of Public Health, New York, NY. Benjamin D. Sommers is with the Harvard T. H. Chan School of Public Health and Harvard Medical School/Brigham & Women’s Hospital, Boston, MA.)
Ano2019
Volume109
Fascículo4
Páginas565-571
Data de publicação2019-04-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2018.304928
PMID30789761
OpenAlexW2918150826
IdiomaEN
Citações recebidas14
Referências citadas19

Objectives. To estimate the association between the Affordable Care Act (ACA), health insurance coverage, and access to care among reproductive-aged and pregnant women. Methods. We 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. Results. Among 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. Conclusions. The ACA was associated with expanded insurance coverage and improvements in access to care for women of reproductive age, particularly for those with lower incomes

Confidence interval · Environmental health · Family medicine · Health care · Health insurance · Medicaid · Medical Expenditure Panel Survey · Observational study · Odds ratio · Patient Protection and Affordable Care Act · Demography · Economic and Financial Impacts of Cancer · Healthcare Policy and Management · Internal Medicine · Medicine · Reproductive Health and Contraception

  • Coverage Effects of the ACA's Medicaid Expansion on Adult Reproductive-Aged Women, Postpartum Mothers, and Mothers with Older Children

    Open Access•Lindsey Rose Bullinger, Katie Simon et al.•Maternal and Child Health Journal•2022

  • Health insurance coverage and poverty status of postpartum women in the United States in 2019

    Open Access•Bojung Seo, Jack E Turman et al.•BMC Public Health•2023

  • Overturning the ACA’s Medicaid Expansion Would Likely Decrease Low-Income, Reproductive-Age Women’s Healthcare Spending and Utilization

    Open Access•Lucy Chen, Robert G Frank et al.•INQUIRY The Journal of Health…•2020

  • Postpartum Medicaid coverage and outpatient care utilization among low-income birthing individuals in Oregon

    Open Access•Satyasandipani Pradhan, S Marie Harvey et al.•Frontiers in Public Health•2023

  • Enrollment of reproductive age women in community-based health insurance

    Open Access•Simegnew Handebo, Takele Gezahegn Demie et al.•Frontiers in Public Health•2023

  • Epidemiological trends of infant mortality related to premature rupture of membranes

    Open Access•Lillian Eason, Isabella Zent et al.•Frontiers in Public Health•2026

  • The Affordable Care Act and Women’s Self-Employment in the United States

    Open Access•Margaret E Blume-Kohout•Feminist Economics•2022

  • Effects of state immigrant insurance coverage policies on access to adequate prenatal care among immigrant pregnant women in the United States

    Open Access•G Kim, Sung W Choi et al.•Journal of Migration and Health•2025

  • Barriers to healthcare access among U.S. adults with mental health challenges

    Open Access•Nicholas C Coombs, Wyatt E Meriwether et al.•SSM - Population Health•2021

  • Insurance Churn and Postpartum Health among Texas Women with Births Covered by Medicaid/CHIP

    Open Access•Elizabeth Ela, Elizabeth J Ela et al.•Women s Health Issues•2021

  • Out-of-Pocket Medical Bills from First Childbirth and Subsequent Childbearing

    Open Access•Yubraj Acharya, Marianne M Hillemeier et al.•Women s Health Issues•2020

  • Impact of Medicaid Expansion on Interpregnancy Interval

    Open Access•Can Liu, Jonathan M Snowden et al.•Women s Health Issues•2022

  • An exploration of barriers to access to healthcare in Hancock County, Tennessee

    Open Access•Christine Crudo Blackburn, Tasmiah Nuzhath•Health Expectations•2024

  • Trends and Racial/Ethnic Disparities in Prenatal Care (PNC) Use from 2016 to 2021 in the United States

    Open Access•Jusung Lee, Krista J Howard et al.•Journal of Racial and Ethnic…•2024

  • Health and Access to Care during the First 2 Years of the ACA Medicaid Expansions

    Sarah Miller, Laura R Wherry et al.•New England Journal of Medicine•2017

  • Health Insurance Coverage and Health — What the Recent Evidence Tells Us

    Benjamin D Sommers, Atul A Gawande et al.•New England Journal of Medicine•2017

  • Before the beginning

    Open Access•Judith Stephenson, Nicola Heslehurst et al.•The Lancet•2018

  • Racial and ethnic disparities in severe maternal morbidity

    Open Access•Andreea A Creanga, Brian T Bateman et al.•American Journal of Obstetrics…•2014

  • Changes in Self-reported Insurance Coverage, Access to Care, and Health Under the Affordable Care Act

    Benjamin D Sommers, Munira Z Gunja et al.•JAMA•2015

  • Disparities in Initiation and Adherence to Prenatal Care

    Open Access•Marlene Bengiamin, Marlene I Bengiamin et al.•Maternal and Child Health Journal•2009

  • The Association Between Preconception Care Receipt and the Timeliness and Adequacy of Prenatal Care

    Open Access•Meghan K Wally, Larissa R Brunner Huber et al.•Maternal and Child Health Journal•2017

  • Women’s Health Insurance Coverage 1980–2005

    Open Access•Sherry Glied, Kathrine Jack et al.•Women s Health Issues•2008

  • Impacts of the Affordable Care Act's Medicaid Expansion on Women of Reproductive Age

    Open Access•Emily M Johnston, Andrea E Strahan et al.•Women s Health Issues•2017

  • National Trends in Health Insurance Coverage of Pregnant and Reproductive-Age Women, 2000 to 2009

    Open Access•Katy B Kozhimannil, Jean Abraham et al.•Women s Health Issues•2012

  • Medicaid Expansion and Infant Mortality in the United States

    Chintan B Bhatt, Chintan Bhatt et al.•American Journal of Public Health•2018

Obras citantes distintas14
Citações por ano2,33
Intervalo de citações2020 - 2026 (7)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 14
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