Dickson Megan F, Staton Michele, Tillson Martha, Leukefeld Carl, Webster J Matthew, Oser Carrie B
J Health Care Poor Underserved. 2018;29(3):843-863. doi: 10.1353/hpu.2018.0064.
This study examines health care coverage and health care among rural, drug-involved female offenders under the Affordable Care Act (ACA) compared with pre-ACA and whether being insured is associated with having a usual source of care.
This study involved random selection, screening, and face-to-face interviews with drug-using women in three rural Appalachian jails. Analyses focused on participants who had completed a three-month follow-up interview after release from jail (N=371).
Analyses indicated that women released after ACA implementation were more likely than those released pre-implementation to be insured. A multivariate logistic regression model showed that being insured was significantly related to having a usual health care source during community re-entry.
Results demonstrate the benefits of the ACA, signaling important implications for public health in rural communities and the criminal justice system, including targeting underserved groups during incarceration and providing information about and resources for health care enrollment.
本研究考察了《平价医疗法案》（ACA）实施后，农村涉毒女性罪犯的医保覆盖情况和医疗保健状况，并与该法案实施前进行比较，同时探讨了参保与拥有常规医疗服务来源之间是否存在关联。
本研究对阿巴拉契亚地区三个农村监狱中吸毒女性进行随机选择、筛查和面对面访谈。分析集中于那些在出狱后完成了为期三个月随访访谈的参与者（N = 371）。
分析表明，ACA实施后出狱的女性比实施前出狱的女性更有可能参保。多变量逻辑回归模型显示，在重新融入社区期间，参保与拥有常规医疗服务来源显著相关。
研究结果证明了ACA的益处，这对农村社区的公共卫生和刑事司法系统具有重要意义，包括在监禁期间针对服务不足群体，并提供有关医疗保健登记的信息和资源。
