University of Pittsburgh Graduate School of Public Health, Department of Health Policy and Management, Pittsburgh, PA.
Department of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, VA.
Health Serv Res. 2018 Aug;53 Suppl 1(Suppl Suppl 1):2870-2891. doi: 10.1111/1475-6773.12732. Epub 2017 Jun 30.
Medicaid coverage for low-income women may play an important role in ensuring access to preventive care. This study examines how Medicaid eligibility expansions to nonelderly adults impact cervical cancer screening among low-income women.
We use data from the Behavioral Risk Factor Surveillance System from 2000 to 2010. The primary outcome of interest is whether women in the relevant guideline consistent age range reported having a Pap test in the previous year.
We use a difference-in-differences approach with matched treatment and comparison states and a simulated eligibility approach based on a continuous measure of Medicaid generosity.
Our results indicate that cervical cancer screening increased among low-income women in expansion states relative to comparison states. Increases in screening rates are largest among low-income Hispanic women.
Medicaid expansions during the period from 2000 to 2010 were associated with improved cervical cancer screening rates, which is critical for early cervical cancer detection and prevention of cancer morbidity and mortality in women. The results suggest that more widespread Medicaid expansions may have positive effects on preventive health care for women.
医疗补助计划对低收入妇女的覆盖范围可能在确保获得预防保健方面发挥重要作用。本研究考察了非老年人的医疗补助资格扩大如何影响低收入妇女的宫颈癌筛查。
我们使用了 2000 年至 2010 年行为风险因素监测系统的数据。主要关注的结果是，相关指南规定的年龄范围内的妇女是否在前一年接受过巴氏涂片检查。
我们使用了匹配处理和对照州的差异中的差异方法，以及基于医疗补助慷慨程度连续衡量标准的模拟资格方法。
我们的结果表明，与对照州相比，扩张州的低收入妇女的宫颈癌筛查率有所增加。在低收入的西班牙裔妇女中，筛查率的增加最大。
2000 年至 2010 年间的医疗补助计划扩大与宫颈癌筛查率的提高有关，这对于早期宫颈癌的发现和预防妇女的癌症发病率和死亡率至关重要。结果表明，更广泛的医疗补助计划扩大可能对妇女的预防保健产生积极影响。
