Abstract
Purpose: We examine changes to health insurance coverage and access to health care among children, adolescents, and young adults since the implementation of the Affordable Care Act. Methods: Using the National Health Interview Survey, bivariate and logistic regression analyses were conducted to compare coverage and access among children, young adolescents, older adolescents, and young adults between 2010 and 2016. Results: We show significant improvements in coverage among children, adolescents, and young adults since 2010. We also find some gains in access during this time, particularly reductions in delayed care due to cost. While we observe few age-group differences in overall trends in coverage and access, our analysis reveals an age-gradient pattern, with incrementally worse coverage and access rates for young adolescents, older adolescents, and young adults. Conclusions: Prior analyses often group adolescents with younger children, masking important distinctions. Future reforms should consider the increased coverage and access risks of adolescents and young adults, recognizing that approximately 40% are low income, over a third live in the South, where many states have not expanded Medicaid, and over 15% have compromised health.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 667-673 |
| Number of pages | 7 |
| Journal | Journal of Adolescent Health |
| Volume | 62 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1 2018 |
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Keywords
- Adolescent
- Child
- Health insurance
- Health services accessibility
- Young adult
PubMed: MeSH publication types
- Journal Article
Cite this
Health Care Coverage and Access Among Children, Adolescents, and Young Adults, 2010–2016 : Implications for Future Health Reforms. / Spencer, Donna L.; McManus, Margaret; Call, Kathleen T; Turner, Joanna M; Harwood, Christopher; White, Patience; Alarcon, Giovann.
In: Journal of Adolescent Health, Vol. 62, No. 6, 01.06.2018, p. 667-673.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Health Care Coverage and Access Among Children, Adolescents, and Young Adults, 2010–2016
T2 - Implications for Future Health Reforms
AU - Spencer, Donna L.
AU - McManus, Margaret
AU - Call, Kathleen T
AU - Turner, Joanna M
AU - Harwood, Christopher
AU - White, Patience
AU - Alarcon, Giovann
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Purpose: We examine changes to health insurance coverage and access to health care among children, adolescents, and young adults since the implementation of the Affordable Care Act. Methods: Using the National Health Interview Survey, bivariate and logistic regression analyses were conducted to compare coverage and access among children, young adolescents, older adolescents, and young adults between 2010 and 2016. Results: We show significant improvements in coverage among children, adolescents, and young adults since 2010. We also find some gains in access during this time, particularly reductions in delayed care due to cost. While we observe few age-group differences in overall trends in coverage and access, our analysis reveals an age-gradient pattern, with incrementally worse coverage and access rates for young adolescents, older adolescents, and young adults. Conclusions: Prior analyses often group adolescents with younger children, masking important distinctions. Future reforms should consider the increased coverage and access risks of adolescents and young adults, recognizing that approximately 40% are low income, over a third live in the South, where many states have not expanded Medicaid, and over 15% have compromised health.
AB - Purpose: We examine changes to health insurance coverage and access to health care among children, adolescents, and young adults since the implementation of the Affordable Care Act. Methods: Using the National Health Interview Survey, bivariate and logistic regression analyses were conducted to compare coverage and access among children, young adolescents, older adolescents, and young adults between 2010 and 2016. Results: We show significant improvements in coverage among children, adolescents, and young adults since 2010. We also find some gains in access during this time, particularly reductions in delayed care due to cost. While we observe few age-group differences in overall trends in coverage and access, our analysis reveals an age-gradient pattern, with incrementally worse coverage and access rates for young adolescents, older adolescents, and young adults. Conclusions: Prior analyses often group adolescents with younger children, masking important distinctions. Future reforms should consider the increased coverage and access risks of adolescents and young adults, recognizing that approximately 40% are low income, over a third live in the South, where many states have not expanded Medicaid, and over 15% have compromised health.
KW - Adolescent
KW - Child
KW - Health insurance
KW - Health services accessibility
KW - Young adult
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UR - http://www.scopus.com/inward/citedby.url?scp=85044310317&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2017.12.012
DO - 10.1016/j.jadohealth.2017.12.012
M3 - Article
VL - 62
SP - 667
EP - 673
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
SN - 1054-139X
IS - 6
ER -