دورية أكاديمية
أعرض في EDS

The Affordable Care Act Medicaid Expansion and Smoking Cessation Among Low-Income Smokers.

التفاصيل البيبلوغرافية
العنوان: The Affordable Care Act Medicaid Expansion and Smoking Cessation Among Low-Income Smokers.
المؤلفون: Donahoe JT; Graduate School of Arts and Sciences, Harvard University, Cambridge, Massachusetts. Electronic address: jtdonahoe@g.harvard.edu., Norton EC; Department of Health Management and Policy, University of Michigan, Ann Arbor, Michigan; Department of Economics, University of Michigan, Ann Arbor, Michigan; National Bureau of Economic Research, Cambridge, Massachusetts., Elliott MR; Department of Biostatistics, University of Michigan, Ann Arbor, Michigan., Titus AR; Center for Social Epidemiology & Population Health, University of Michigan, Ann Arbor, Michigan; Department of Epidemiology, University of Michigan, Ann Arbor, Michigan., Kalousová L; Department of Sociology, University of California‒Riverside, Riverside, California., Fleischer NL; Center for Social Epidemiology & Population Health, University of Michigan, Ann Arbor, Michigan; Department of Epidemiology, University of Michigan, Ann Arbor, Michigan.
المصدر: American journal of preventive medicine [Am J Prev Med] 2019 Dec; Vol. 57 (6), pp. e203-e210.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 8704773 Publication Model: Print Cited Medium: Internet ISSN: 1873-2607 (Electronic) Linking ISSN: 07493797 NLM ISO Abbreviation: Am J Prev Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Elsevier Science
Original Publication: [New York, NY] : Oxford University Press, [c1985-
مواضيع طبية MeSH: Patient Protection and Affordable Care Act/*economics , Poverty/*statistics & numerical data , Smokers/*statistics & numerical data , Smoking Cessation/*statistics & numerical data , Tobacco Smoking/*prevention & control, Female ; Health Services Accessibility/economics ; Health Services Accessibility/statistics & numerical data ; Humans ; Insurance Coverage/economics ; Insurance Coverage/statistics & numerical data ; Male ; Medicaid/economics ; Medicaid/statistics & numerical data ; Middle Aged ; Smoking Cessation/economics ; Surveys and Questionnaires/statistics & numerical data ; Tobacco Smoking/epidemiology ; United States
مستخلص: Introduction: This study sought to empirically evaluate whether the Medicaid expansion under the Affordable Care Act increased smoking cessation among low-income childless adult smokers.
Methods: The effects of the Medicaid expansion on smoking quit attempts and the probability of 30- and 90-day smoking cessation were evaluated using logistic regression and data from the 2010-2011 and 2014-2015 waves of the Tobacco Use Supplement to the Current Population Survey. Using boosted logistic regression, the Tobacco Use Supplement was restricted to an analytic sample composed of childless adults with high probability of being <138% of the federal poverty level. Propensity score weighting was used to compare changes in smoking cessation among a sample of current and past smokers in states that expanded Medicaid with a control sample of current and past smokers in states that did not expand Medicaid with similar sociodemographic characteristics and smoking histories. This study additionally controlled for state socioeconomic trends, welfare policies, and tobacco control policies. Analysis was conducted between January 2018 and June 2019.
Results: After weighting by propensity score and adjusting for state socioeconomic trends, welfare policies, and tobacco control policies, the Medicaid expansion was not associated with increases in smoking quit attempts or smoking cessation.
Conclusions: The Medicaid expansion did not appear to improve smoking cessation, despite extending health insurance eligibility to 2.3 million low-income smokers. Greater commitments to reducing barriers to cessation benefits and increasing smoking cessation in state Medicaid programs are needed to reduce smoking in low-income populations.
(Copyright © 2019 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.)
References: Health Aff (Millwood). 2016 Jan;35(1):62-70. (PMID: 26733702)
Health Serv Res. 2018 Dec;53(6):4725-4746. (PMID: 29806177)
Psychol Methods. 2010 Sep;15(3):234-49. (PMID: 20822250)
Econ Inq. 2019 Oct;57(4):1798-1820. (PMID: 31427832)
MMWR Morb Mortal Wkly Rep. 2015 Nov 13;64(44):1233-40. (PMID: 26562061)
Cancer. 2014 Jul 1;120(13):1914-6. (PMID: 24687615)
Med Care. 2017 Dec;55(12):1023-1029. (PMID: 29068908)
J Causal Inference. 2015 Sep;3(2):237-249. (PMID: 29430383)
Cancer Causes Control. 2009 May;20(4):417-35. (PMID: 19002764)
Health Serv Res. 2018 Apr;53(2):859-878. (PMID: 28560732)
Cochrane Database Syst Rev. 2013 May 31;(5):CD009329. (PMID: 23728690)
Health Serv Outcomes Res Methodol. 2014 Dec 1;14(4):166-182. (PMID: 25530705)
J Policy Anal Manage. ;36(2):390-417. (PMID: 28378959)
Nicotine Tob Res. 2019 Jan 4;21(2):197-204. (PMID: 29522120)
MMWR Morb Mortal Wkly Rep. 2016 Dec 09;65(48):1364-1369. (PMID: 27932786)
Am J Prev Med. 2014 Apr;46(4):331-6. (PMID: 24650835)
Health Econ. 2019 Feb;28(2):219-244. (PMID: 30444007)
JAMA. 2018 Jul 3;320(1):84-85. (PMID: 29971384)
MMWR Morb Mortal Wkly Rep. 2018 Apr 06;67(13):390-395. (PMID: 29621205)
Annu Rev Public Health. 2012 Apr;33:279-305. (PMID: 22224889)
Nicotine Tob Res. 2010 Jun;12(6):567-73. (PMID: 20378640)
Am J Prev Med. 2000 May;18(4):305-11. (PMID: 10788733)
J Public Health (Oxf). 2010 Jun;32(2):210-8. (PMID: 19892784)
J Policy Anal Manage. ;36(1):178-210. (PMID: 27992151)
Thorax. 2008 Aug;63(8):717-24. (PMID: 18263663)
Cochrane Database Syst Rev. 2012 Nov 14;11:CD000146. (PMID: 23152200)
Annu Rev Public Health. 2005;26:583-99. (PMID: 15760302)
Health Serv Res. 2018 Apr;53(2):1248-1271. (PMID: 28517042)
معلومات مُعتمدة: R37 CA214787 United States CA NCI NIH HHS
تواريخ الأحداث: Date Created: 20191123 Date Completed: 20200831 Latest Revision: 20210110
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6924922
DOI: 10.1016/j.amepre.2019.07.004
PMID: 31753273
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-2607
DOI:10.1016/j.amepre.2019.07.004