Journal article
Insurance Coverage and Health Care Utilization Among Asian Youth Before and After the Affordable Care Act
Academic pediatrics, v 20(5), pp 670-677
01 Jul 2020
PMID: 31733360
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVE: We examined changes in insurance coverage and health care utilization associated with the Affordable Care Act (ACA) among subgroups of Asian youth relative to non-Latino white youth.
METHODS: Data were from the 2010 to 2017 American Community Survey and National Health Interview Survey. Difference-in-difference models were used to examine changes in insurance coverage and health care utilization associated with the ACA among subgroups of Asian youth relative to white youth and subgroups of Asian youth in households below 200% of the federal poverty level relative to comparable white youth.
RESULTS: Since the implementation of the ACA, insurance coverage increased among all Asian subgroups and white youth. The magnitude of the increase in insurance coverage was larger among Asian subgroups than white youth. More pronounced increases were found among almost all Asian subgroups in households below 200% federal poverty level. Changes in health care utilization were limited and varied by subgroup. Increases in well-child visits were observed only among Chinese and "other" Asian youth.
CONCLUSIONS: Insurance coverage increased among Asian youth after the implementation of the ACA. Improvements in health care utilization were limited and differed by subgroups. Programs to improve health care utilization should be tailored to Asian youth according to subgroup.
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Details
- Title
- Insurance Coverage and Health Care Utilization Among Asian Youth Before and After the Affordable Care Act
- Creators
- Sungchul Park - Drexel UniversityDylan H. Roby - Department of Health Policy and Management, School of Public Health, University of Maryland (DH Roby and J Chen), College Park, Md.Jessie Kemmick Pintor - Drexel UniversityJim P. Stimpson - Drexel UniversityJie Chen - Supreme Council Of HealthAlexander N. Ortega - Drexel University
- Publication Details
- Academic pediatrics, v 20(5), pp 670-677
- Publisher
- Elsevier
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Biochemistry and Molecular Biology; Health Management and Policy
- Web of Science ID
- WOS:000546764500015
- Scopus ID
- 2-s2.0-85078733755
- Other Identifier
- 991019167417304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics