Stage at diagnosis and survival among adolescents and young adults with lymphomas following the Affordable Care Act implementation in California
| Autor: | Cyllene R. Morris, Frances B. Maguire, Theresa H.M. Keegan, Julianne J. P. Cooley, Eleonor Bimla Schwarz, Theodore Wun, Renata Abrahão, Arti Parikh-Patel |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Cancer Research Adolescent Lymphoma Oncology and Carcinogenesis Population Ethnic group survival Basic Behavioral and Social Science Article Young Adult Rare Diseases Clinical Research Behavioral and Social Science Health care medicine Humans Oncology & Carcinogenesis Young adult education Socioeconomic status Cancer Neoplasm Staging Proportional Hazards Models education.field_of_study Affordable Care Act Medicaid business.industry Prevention Patient Protection and Affordable Care Act Hematology Health Services medicine.disease stage United States humanities Cancer registry Good Health and Well Being Social Class Oncology Female business adolescents and young adults Demography |
| Zdroj: | Int J Cancer International journal of cancer, vol 150, iss 7 |
| ISSN: | 1097-0215 0020-7136 |
| DOI: | 10.1002/ijc.33880 |
| Popis: | Adolescents and young adults (AYAs, 15-39 years) are the largest uninsured population in the Unites States, increasing the likelihood of late-stage cancer diagnosis and poor survival. We evaluated the associations between the Affordable Care Act (ACA), insurance coverage, stage at diagnosis and survival among AYAs with lymphoma. We used data from the California Cancer Registry linked to Medicaid enrollment files on AYAs diagnosed with a primary non-Hodgkin (NHL; n=5959) or Hodgkin (n=5378) lymphoma pre-ACA and in the early and full ACA eras. Health insurance was categorized as continuous Medicaid, discontinuous Medicaid, Medicaid enrollment at diagnosis/uninsurance, other public and private. We used multivariable regression models for statistical analyses. The proportion of AYAs uninsured/Medicaid enrolled at diagnosis decreased from 13.4% pre-ACA to 9.7% with full ACA implementation, while continuous Medicaid increased from 9.3% to 29.6% during this time (P |
| Databáze: | OpenAIRE |
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