The eligibility and reach of the national breast and cervical cancer early detection program after implementation of the affordable care act.

Cancer Causes & Control : CCC
Florence K L TangkaDavid H Howard

Abstract

The uninsured rate declined following passage of the Affordable Care Act in 2010. It is unclear how this decrease affected the size of the population eligible for existing safety net programs. We evaluated trends in the number of women eligible for breast and cervical cancer screening and diagnostic services under the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) and the reach of the program. Using the Census Bureau's Small Area Health Insurance Estimates data, we calculated the number of women who met the NBCCEDP eligibility criteria based on age, income, and insurance status. We used these data in conjunction with program to estimate the proportion of eligible women served by the NBCCEDP. The number of women eligible for breast cancer screening and diagnostic services under the program declined from 5.4 (90% CI 5.2-5.6) to 2.8 (90% CI 2.6-3.0) million from 2011 to 2017. The number of women eligible for cervical cancer screening and diagnostic services declined from 10.3 (90% CI 10.0-10.6) to 5.3 (90% CI 5.1-5.6) million. The share of eligible women served by the program was 15.0% (90% CI 14.8-15.1%) for breast services in 2016-2017 and 6.8% (90% CI 6.7-6.8%) for cervical services in 2015-2017. Insuranc...Continue Reading

References

Jul 17, 2008·American Journal of Preventive Medicine·Roy C BaronUNKNOWN Task Force on Community Preventive Services
Jun 20, 2012·Annals of Internal Medicine·Virginia A Moyer, UNKNOWN U.S. Preventive Services Task Force
Mar 2, 2016·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Leighton KuBrian K Bruen
Jan 10, 2017·Cancer·Gregory S CooperMark D Schluchter
May 26, 2017·The Cancer Journal·Lindsay M Sabik, Georges Adunlin
Apr 10, 2020·Journal of the American College of Surgeons·Yoshiko ToyodaChristine H Rohde

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Citations

Jul 1, 2021·Preventive Medicine Reports·Kelly D HughesAnne M Joseph
Jul 15, 2021·Journal of the National Cancer Institute·Stacey A Fedewa, Xuesong Han

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Methods Mentioned

BETA
hysterectomy

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