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The Role of the Medicaid Expansion in the Use of Preventive Health Care Services in California Men

Bibliographic Data

ID21748783
AuthorsGrace L Reynolds (0000-0003-3324-0337, California State University, Long Beach, corresponding author), Dennis G Fisher (0000-0002-3813-2207, California State University, Long Beach)
Year2020
Volume14
Issue1
Pages1557988320903193-1557988320903193
Publication date2020-01-01
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Men s Health (JOURNAL)
Journal identifiersISSN: 1557-9883 • E-ISSN: 1557-9891
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/1557988320903193
PMID31997707
OpenAlexW3003718848
LanguageEN
Citations received4
References cited39

Men’s use of preventive care services may be constrained due to a number of factors including lack of health care insurance. California used the Medicaid expansion provisions of the Affordable Care Act (ACA) to enroll low-income men between the ages of 18 and 64 years in publicly funded health insurance. Most studies on the effect of the ACA on health care services have focused on racial/ethnic differences rather than gender. Data from the California Health Interview Survey for the 2015–2016 survey period were used to model the use of preventive health care services in the year prior to interview. Population weights were used in the analysis which was done using PROC SURVEY LOGISTIC in SAS software, version 9.4. The sample consisted of men between the ages of 18 and 64 years ( N = 6,180). Of these 66% ( n = 4,088) reporting receiving any preventive care services in the year prior to interview. The largest proportions of respondents fell into the youngest group aged 18–25 (17%) followed by the oldest group aged 60–64 (16.9%); 43% reported they were married, 57% had incomes at greater than 300% of the federal poverty level. There was no effect of race or ethnicity on receiving preventive care services. Having a chronic condition such as hypertension or diabetes was associated with a greater odds of receiving preventive care. Expanding Medicaid to include low-income men below the age of 65 is associated with increased use of preventive health care, especially among those with chronic conditions

Behavioral Risk Factor Surveillance System · Environmental health · Ethnic group · Family medicine · Health care · Health insurance · Logistic regression · Medicaid · National Health Interview Survey · Odds · Population · Poverty · Preventive care · Demography · Health disparities and outcomes · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes · Gerontology

  • Health insurance and healthcare use among men

    Open Access•Byrne Kaulu, Goodwell Kaulu•Social Sciences & Humanities Open•2026

  • Compliance With Routine Health Checkup Visits Among California-Based Minority Men

    Open Access•Selin Aras, Angela Bakaj et al.•American Journal of Men s Health•2025

  • Double vulnerability? Examining the effect of living in nonmetropolitan areas within non-expansion Medicaid states on health status among working-age adults in the United States, 2022–2024

    Open Access•Michael Segovia, P Johnelle Sparks et al.•SSM - Population Health•2025

  • A study on the current state and equity level of the health promotion service demands among older adults in China

    Open Access•Weicun Ren, Xiwang Ma et al.•International Journal for Equity…•2023

  • Applied Logistic Regression

    Open Access•David W Hosmer, David W Jr Hosmer et al.•Applied Logistic Regression•2013

  • Premium subsidies, the mandate, and Medicaid expansion

    Open Access•Molly Frean, Jacob Gruber et al.•Journal of Health Economics•2017

  • Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance

    Benjamin D Sommers, Robert J Blendon et al.•JAMA Internal Medicine•2016

  • Using the Bem and Klein Grid Scores to Predict Health Services Usage by Men

    Grace L Reynolds, Dennis G Fisher et al.•Behavioral Medicine•2016

  • Engendering health

    Will Courtenay•Psychology of Men & Masculinity•2000

  • Behavioral Factors Associated with Disease, Injury, and Death among Men

    Open Access•Will H Courtenay, Will Courtenay•The Journal of Men s Studies•2000

  • Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non‐Expansion States

    Open Access•Charles Courtemanche, James Marton et al.•Journal of Policy Analysis and…•2016

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    Jing Wang, Amal N Trivedi•American Journal of Public Health•2017

  • Achieving Public Health Goals Through Medicaid Expansion

    Barbara DiPietro, Lisa Klingenmaier•American Journal of Public Health•2013

  • Disability and Preventive Cancer Screening

    Anthony Ramirez, Gail C Farmer et al.•American Journal of Public Health•2005

  • Male-to-Female Transgender and Transsexual Clients of HIV Service Programs in Los Angeles County, California

    Jordan W Edwards, Dennis G Fisher et al.•American Journal of Public Health•2007

  • Gender, psychosocial factors and the use of medical services

    Open Access•Carla A Green, Clyde R Pope•Social Science & Medicine•1999

Citations per year1.33
Citation span2023 - 2026 (4)
Highly citedNo

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