We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Did the Affordable Care Act's Dependent Coverage Expansion Affect Race/Ethnic Disparities in Health Insurance Coverage?
- Authors
Breslau, Joshua; Han, Bing; Stein, Bradley D.; Burns, Rachel M.; Yu, Hao
- Abstract
<bold>Objective: </bold>To test the impact of the dependent coverage expansion (DCE) on insurance disparities across race/ethnic groups.<bold>Data Sources/study Setting: </bold>Survey data from the National Survey of Drug Use and Health (NSDUH).<bold>Study Design: </bold>Triple-difference (DDD) models were applied to repeated cross-sectional surveys of the U.S. adult population.<bold>Data Collection/extraction Methods: </bold>Data from 6 years (2008-2013) of the NSDUH were combined.<bold>Principal Findings: </bold>Following the DCE, the relative odds of insurance increased 1.5 times (95 percent CI 1.1, 1.9) among whites compared to blacks and 1.4 times (95 percent CI 1.1, 1.8) among whites compared to Hispanics.<bold>Conclusions: </bold>Health reform efforts, such as the DCE, can have negative effects on race/ethnic disparities, despite positive impacts in the general population.
- Subjects
UNITED States; HEALTH equity; PATIENT Protection &; Affordable Care Act; DRUG utilization; ACQUISITION of data; HISPANIC Americans; INSURANCE statistics; HEALTH insurance statistics; ETHNIC groups; HEALTH services accessibility; HEALTH status indicators; POPULATION; QUESTIONNAIRES; RESEARCH funding; SOCIOECONOMIC factors; CROSS-sectional method; IMPACT of Event Scale; LAW; LEGISLATION
- Publication
Health Services Research, 2018, Vol 53, Issue 2, p1286
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12728