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Medicaid Expansion, HIV Testing, and HIV-Related Risk Behaviors in the United States, 2010–2017

Bibliographic Data

ID11037496
AuthorsYunwei Gai (0000-0003-4032-3296, The authors are with the Economics Division, Babson College, Babson Park, MA.), John E Marthinsen (0000-0001-7288-7569, Babson College), John Marthinsen (The authors are with the Economics Division, Babson College, Babson Park, MA.)
Year2019
Volume109
Issue10
Pages1404-1412
Publication date2019-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2019.305220
PMID31415192
OpenAlexW2968529367
LanguageEN
Citations received10
References cited29

Objectives. To examine the relationship between Medicaid expansion under the 2010 Patient Protection and Affordable Care Act and both HIV testing and risk behavior among nonelderly adults in the United States. Methods. We pooled 2010 to 2017 data from the Behavioral Risk Factor Surveillance System and focused our main analysis on respondents aged between 25 and 64 years from families with incomes below 138% of the federal poverty level. We used the difference-in-difference method and sample-weighted multivariable models to control for individual, state-area–level, and trend factors. Results. Medicaid expansion was associated with a significant 3.22-percentage-point increase in HIV test rates (P Conclusions. Medicaid expansion promoted HIV testing without increasing HIV risk behavior, but there were large disparities across race/ethnicity, age, and geographic area types. Public Health Implications. Nonexpansion states, mostly in the South, might have missed an opportunity to increase HIV test rates, which could have serious future health and financial consequences

Behavioral Risk Factor Surveillance System · Economic growth · Environmental health · Ethnic group · Health care · Medicaid · Population · Poverty · Public health · Demography · Food Security and Health in Diverse Populations · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Gerontology

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Unique citing works10
Citations per year2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 9

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