| Autor: |
Andreas A. Teferra, Jeffrey J. Wing, Bo Lu, Wendy Xu, Megan E. Roberts, Amy K. Ferketich |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Preventive Medicine Reports, Vol 31, Iss , Pp 102106- (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2211-3355 |
| DOI: |
10.1016/j.pmedr.2022.102106 |
| Popis: |
Smokers are more likely to be low-income with limited access to health services. Although Medicaid expansion under the Patient Protection and Affordable Care Act improved access to care for low-income adults, long-term trends in health care access among low-income smokers remain uncharacterized. The study evaluated changes in five access measures among low-income nonelderly (19–64) adults (N = 28976) across smoking status using pooled data from a statewide survey in Ohio covering pre- (i.e., 2012) and post-Medicaid expansion periods (2015, 2017, and 2019) guided by a comprehensive framework of health care access. We found improvements in some, but not all, health care access measures among low-income smokers in the post-Medicaid-expansion period compared to the pre-expansion period. Compared to 2012, the odds for unmet dental care needs declined in 2015 (aOR = 0.67, 95 % CI = 0.45–1.01), 2017 (aOR = 0.53, 95 % CI = 0.35–0.81), and 2019 (aOR = 0.65, 95 % CI = 0.40–1.05) (p trend |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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