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

American Journal of Public Health
Aurora VanGardeCarolyn A Mendez-Luck

Abstract

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. 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. 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. 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. ...Continue Reading

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Citations

Aug 16, 2019·American Journal of Public Health·Yunwei Gai, John Marthinsen
Jun 17, 2018·BMC Health Services Research·Germán GuerraMiguel Ángel González-Block
Apr 23, 2020·BMC Health Services Research·Yunwei Gai, Kent Jones
Aug 8, 2019·Journal of Community Health·Mienah Zulfacar SharifHéctor E Alcalá
Nov 29, 2020·Burns : Journal of the International Society for Burn Injuries·Jamie OhNicole S Gibran
Feb 2, 2021·Journal of American College Health : J of ACH·Emily Vernet, Melanie Sberna
Feb 16, 2020·American Journal of Preventive Medicine·Edward R Berchick

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