Files and links (1)
Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Medicaid Coverage Expansion and Implications for Cancer Disparities
American journal of public health (1971), v 105 Suppl 5(S5), pp S706-S712
Nov 2015
PMID: 26447909
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We estimated the impact on cancer disparities in US states that have chosen or not chosen to expand Medicaid since passage of the Patient Protection and Affordable Care Act.
Data came from the 2013 Uniform Data System for colorectal and cervical cancer screening rates among patients of federally qualified health centers (FQHCs); the 2012 Behavioral Risk Factor Surveillance System for colorectal, cervical, and breast cancer screening rates; and the US Cancer Statistics (2007-2011) for colorectal, cervical, and breast cancer mortality-to-incidence ratios (MIRs). Dyads of Medicaid expansion decisions with cancer screening rates and MIRs were mapped using ArcMap.
States that had not expanded Medicaid as of September 2014 had lower cancer screening rates, especially among FQHC patients. Overall, cancer MIRs were not significantly different by Medicaid expansion status. However, Southeastern states without Medicaid expansion tended to have higher cancer MIRs and lower screening rates.
Disparities in cancer screening that already disfavor states with high cancer rates may widen in states that have not chosen to expand Medicaid unless significant efforts are mounted to ensure their residents obtain preventive health care.
Metrics
Details
- Title
- Medicaid Coverage Expansion and Implications for Cancer Disparities
- Creators
- Seul Ki Choi - University of South CarolinaSwann Arp Adams - University of South CarolinaJan M Eberth - University of South CarolinaHeather M Brandt - University of South CarolinaDaniela B Friedman - University of South CarolinaReginald D Tucker-Seeley - University of South CarolinaMei Po Yip - University of South CarolinaJames R Hébert - University of South Carolina
- Publication Details
- American journal of public health (1971), v 105 Suppl 5(S5), pp S706-S712
- Grant note
- U54 CA153461 / NCI NIH HHS U48 DP005000 / NCCDPHP CDC HHS U48/DP005000-01S2 / NCCDPHP CDC HHS K01 CA169041 / NCI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000368337000016
- Scopus ID
- 2-s2.0-84946729267
- Other Identifier
- 991021855180404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health