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- Title
Intra-Ethnic Coverage Disparities among Latinos and the Effects of Health Reform.
- Authors
Gonzales, Sergio; Sommers, Benjamin D.
- Abstract
<bold>Objective: </bold>To examine the patterns of insurance coverage among nine Latino subgroups and assess heterogeneous effects of the Affordable Care Act (ACA) among these groups.<bold>Data Sources: </bold>American Community Survey (2010-2014).<bold>Study Design: </bold>We examined pre-ACA disparities in coverage using linear probability models. Then, we used interrupted time series and triple-difference models to evaluate coverage changes associated with the ACA and Medicaid expansion, respectively.<bold>Principal Findings: </bold>Pre-ACA coverage disparities between Latino subgroups were nearly 30 percentage points-larger than the gap between whites and Latinos as a whole. Coverage changes associated with the ACA and Medicaid expansion differed significantly between subgroups, with the largest gains among South Americans, Central Americans, and Mexicans.<bold>Conclusions: </bold>Latino subgroups show marked heterogeneity in baseline coverage rates and responses to the ACA.
- Subjects
UNITED States; HEALTH equity; HEALTH insurance; RACIAL differences; MEDICAL care; HEALTH promotion; STATISTICS on Hispanic Americans; MEDICAID statistics; INSURANCE statistics; RESEARCH; HEALTH services accessibility; RESEARCH methodology; SOUTH Americans; EVALUATION research; MEDICAL care research; COMPARATIVE studies; TIME series analysis; PATIENT Protection &; Affordable Care Act; LEGISLATION; LAW
- Publication
Health Services Research, 2018, Vol 53, Issue 3, p1373
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12733