Racial/Ethnic Variation in the Impact of the Affordable Care Act on Insurance Coverage and Access Among Young Adults

Objectives. To examine the impact of the Affordable Care Act’s (ACA’s) 2010 parental insurance coverage extension to young adults aged 19 to 25 years on health insurance coverage and access to care, including racial/ethnic disparities. Methods. We pooled data from the Behavioral Risk Factor Surveill...

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Veröffentlicht in:American journal of public health (1971) Jg. 108; H. 4; S. 544 - 549
Hauptverfasser: VanGarde, Aurora, Yoon, Jangho, Luck, Jeff, Mendez-Luck, Carolyn A.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States American Public Health Association 01.04.2018
Schlagworte:
Access
Adult
Adults
AJPH Research
Averages
Behavioral Risk Factor Surveillance System
Black or African American - statistics & numerical data
Constraints
Ethnic differences
Ethnic factors
Ethnic groups
Ethnicity
Ethnicity - statistics & numerical data
Female
Health care
Health care access
Health care expenditures
Health care industry
Health care policy
Health disparities
Health insurance
Health Policy
Health Reform
Health services utilization
Healthcare Disparities - statistics & numerical data
Hispanic or Latino - statistics & numerical data
Humans
Insurance
Insurance coverage
Insurance Coverage - economics
Insurance Coverage - legislation & jurisprudence
Insurance Coverage - statistics & numerical data
Insurance, Health - statistics & numerical data
Male
Mathematical models
Medically Uninsured - statistics & numerical data
Minority & ethnic groups
Multivariable control
Other Race/Ethnicity
Parents & parenting
Patient Protection & Affordable Care Act 2010-US
Patient Protection and Affordable Care Act - economics
Patient Protection and Affordable Care Act - statistics & numerical data
Public health
Quasi-experimental methods
Race
Racial Groups - statistics & numerical data
Racial inequality
Rates
Risk analysis
Risk behavior
Risk factors
Socioeconomic Factors
Statistical analysis
Statistical models
Surveillance
Surveillance systems
United States
White people
White People - statistics & numerical data
Young Adult
Young adults
United States
United States > US
ISSN:0090-0036, 1541-0048, 1541-0048
Online-Zugang:Volltext
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Beschreibung
Zusammenfassung:Objectives. To examine the impact of the Affordable Care Act’s (ACA’s) 2010 parental insurance coverage extension to young adults aged 19 to 25 years on health insurance coverage and access to care, including racial/ethnic disparities. Methods. We pooled data from the Behavioral Risk Factor Surveillance System for the periods 2007 to 2009 and 2011 to 2013 (n = 402 777). We constructed quasiexperimental difference-in-differences models in which adults aged 26 to 35 years served as a control group. Multivariable statistical models controlled for covariates guided by the Andersen model for health care utilization. Results. On average, insurance rates among young adults increased 6.12 percentage points after ACA implementation (P < .001). All racial/ethnic groups experienced increases in coverage. However, the impact varied by race/ethnicity and was largest for Whites. Young adults had a 2.61 percentage point (P < .001) decrease in experiencing barriers to health care because of cost issues after the ACA, with variation by race/ethnicity. Conclusions. The ACA’s expansion had a significant positive effect for young adults acquiring health insurance and reducing cost-related barriers to accessing health care. However, racial/ethnic disparities in coverage and access persist. Public Health Implications. Policies not dependent on parental insurance could further increase access and reduce disparities.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Peer Reviewed
CONTRIBUTORS
A. VanGarde led statistical analyses and the drafting of the article. All authors were involved in the conceptualization and design of the work, contributed to the analysis, and made critical revisions to the article.
ISSN:0090-0036
1541-0048
1541-0048
DOI:10.2105/AJPH.2017.304276