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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 6 of 6 Research Studies Displayed
Nguyen KH, Trivedi AN
Asian American access to care in the Affordable Care Act era: findings from a population-based survey in California.
This study compared coverage and access to care between non-Hispanic White and Asian American adults after the ACA in California. The data was disaggregated into the five most populous ethnic subgroups (Chinese, Korean, Filipino, Vietnamese, and Japanese). The outcomes measured were 1) being uninsured, 2) having a usual source of care, 3) delaying necessary medical care, and 4) delaying necessary prescription medications. The sample included 19,201 non-Hispanic White and 3077 Asian American adults aged 18 to 64 in California. Koreans were significantly less likely to report a usual source of care relative to non-Hispanic whites while Chinese and Vietnamese adults were significantly less likely to delay necessary care.
Citation: Nguyen KH, Trivedi AN . Asian American access to care in the Affordable Care Act era: findings from a population-based survey in California. J Gen Intern Med 2019 Nov;34(11):2660-68. doi: 10.1007/s11606-019-05328-5..
Keywords: Racial / Ethnic Minorities, Access to Care, Disparities, Health Insurance, Uninsured, Policy
Racial and ethnic disparities in health insurance coverage: dynamics of gaining and losing coverage over the life-course.
This article describes age- and group-specific dynamics of insurance gain and loss that contribute to inequalities found in traditional cross-sectional studies. The authors assert that a formal decomposition on increment-decrement life-tables of insurance gain and loss shows that coverage disparities are predominately driven by minority groups' greater propensity to lose the insurance that they already have. They note that uninsured African Americans were faster to gain insurance than non-Hispanic whites but their high rates of insurance loss more than negated this advantage.
Citation: Sohn H . Racial and ethnic disparities in health insurance coverage: dynamics of gaining and losing coverage over the life-course. Popul Res Policy Rev 2017 Apr;36(2):181-201. doi: 10.1007/s11113-016-9416-y.
Keywords: Disparities, Health Insurance, Racial / Ethnic Minorities, Uninsured
Sommers BD, Chua KP, Kenney GM
California's early coverage expansion under the Affordable Care Act: a county-level analysis.
The researchers assessed the coverage effects of California's 2011 Low-Income Health Program (LIHP), enacted as an "early expansion" under the Affordable Care Act (ACA), and to demonstrate the feasibility of using Census data to measure county-level coverage changes. They concluded that California's 2011 expansion produced significant increases in public coverage for low-income individuals, particularly Latinos.
Citation: Sommers BD, Chua KP, Kenney GM . California's early coverage expansion under the Affordable Care Act: a county-level analysis. Health Serv Res 2016 Jun;51(3):825-45. doi: 10.1111/1475-6773.12397.
Keywords: Medicaid, Uninsured, Policy, Health Insurance, Racial / Ethnic Minorities
Yehia BR, Fleishman JA, Agwu AL
AHRQ Author: Fleishman JA
Health insurance coverage for persons in HIV care, 2006-2012.
The authors examined trends in health insurance coverage at 11 US HIV clinics between 2006 and 2012. They found that Medicaid coverage was more prevalent among women than men; blacks and Hispanics than whites; and individuals with injection drug use risk compared with other transmission risk factors, with Hispanics and younger age groups more likely to be uninsured than other racial/ethnic and older age groups, respectively.
AHRQ-authored; AHRQ-funded; 290201100007C.
Citation: Yehia BR, Fleishman JA, Agwu AL . Health insurance coverage for persons in HIV care, 2006-2012. J Acquir Immune Defic Syndr 2014 Sep 1;67(1):102-6. doi: 10.1097/qai.0000000000000251.
Keywords: Health Insurance, Human Immunodeficiency Virus (HIV), Medicare, Racial / Ethnic Minorities, Uninsured
John DA, de Castro AB, Duran B
Nativity and occupational class disparities in uninsurance and routine preventive care use among Asian Americans.
The researchers examined how nativity and occupational class among Asian Americans may explain disparities in uninsurance and use of routine preventive healthcare services such as routine physical checkup and dental/eye exams. They found that 35 to 40 percent of workers in blue-collar and service occupations reported no physical checkup or dental/eye exams in the past year.
Citation: John DA, de Castro AB, Duran B . Nativity and occupational class disparities in uninsurance and routine preventive care use among Asian Americans. J Immigr Minor Health. 2013 Dec;15(6):1011-22. doi: 10.1007/s10903-013-9851-3..
Keywords: Disparities, Uninsured, Racial / Ethnic Minorities, Social Determinants of Health, Prevention
Kirby JB, Kaneda T
AHRQ Author: Kirby JB
'Double jeopardy' measure suggests blacks and Hispanics face more severe disparities than previously indicated.
The authors proposed a new way of conceptualizing and quantifying the racial and ethnic disadvantages of uninsurance over the course of a lifetime. Their measures indicated that, compared to whites, Hispanics and blacks are more likely not only to be uninsured at any point throughout most of their lives, but also to spend more years uninsured and spend more of these uninsured years at high risk of needing medical care. They concluded that these life expectancy measures have the potential to reframe the discussion of disparities and monitor progress toward their elimination.
Citation: Kirby JB, Kaneda T . 'Double jeopardy' measure suggests blacks and Hispanics face more severe disparities than previously indicated. Health Aff 2013 Oct;32(10):1766-72. doi: 10.1377/hlthaff.2013.0434.
Keywords: Disparities, Health Insurance, Health Status, Racial / Ethnic Minorities, Uninsured