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Medicaid coverage expansion and implications for cancer disparities

Author

Listed:
  • Choi, S.K.
  • Adams, S.A.
  • Eberth, J.M.
  • Brandt, H.M.
  • Friedman, D.B.
  • Tucker-Seeley, R.D.
  • Yip, M.P.
  • Hébert, J.R.

Abstract

Objectives: We estimated the impact on cancer disparities in US states that have chosen or not chosen to expand Medicaid since passage of the Patient Protection and Affordable Care Act. Methods: Data came from the 2013 Uniform Data System for colorectal and cervical cancer screening rates among patients of federally qualified health centers (FQHCs); the 2012 Behavioral Risk Factor Surveillance System for colorectal, cervical, and breast cancer screening rates; and the US Cancer Statistics (2007-2011) for colorectal, cervical, and breast cancer mortality-toincidence ratios (MIRs). Dyads of Medicaid expansion decisions with cancer screening rates and MIRs were mapped using ArcMap. Results: States that had not expanded Medicaid as of September 2014 had lower cancer screening rates, especially among FQHC patients. Overall, cancer MIRs were not significantly different by Medicaid expansion status. However, Southeastern states without Medicaid expansion tended to have higher cancer MIRs and lower screening rates. Conclusions: Disparities in cancer screening that already disfavor states with high cancer rates may widen in states that have not chosen to expand Medicaid unless significant efforts are mounted to ensure their residents obtain preventive health care.

Suggested Citation

  • Choi, S.K. & Adams, S.A. & Eberth, J.M. & Brandt, H.M. & Friedman, D.B. & Tucker-Seeley, R.D. & Yip, M.P. & Hébert, J.R., 2015. "Medicaid coverage expansion and implications for cancer disparities," American Journal of Public Health, American Public Health Association, vol. 105, pages 706-712.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302876_6
    DOI: 10.2105/AJPH.2015.302876
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    Cited by:

    1. Wonsuk Yoo & Sangmi Kim & Warner K Huh & Sarah Dilley & Steven S Coughlin & Edward E Partridge & Yunmi Chung & Vivian Dicks & Jae-Kwan Lee & Sejong Bae, 2017. "Recent trends in racial and regional disparities in cervical cancer incidence and mortality in United States," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-13, February.
    2. Abeer G Alharbi & M Mahmud Khan & Ronnie Horner & Heather Brandt & Cole Chapman, 2019. "Impact of Medicaid coverage expansion under the Affordable Care Act on mammography and pap tests utilization among low-income women," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.

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