ACA Provisions Associated With Increase In Percentage Of Young Adult Women Initiating And Completing The HPV Vaccine
ACA Provisions Associated With Increase In Percentage Of Young Adult Women Initiating And Completing The HPV Vaccine
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DOI：
10.1377/hlthaff.2014.1302
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发表时间：
2015-05-01
期刊：
影响因子：
9.7
通讯作者：
Decker, Sandra L.
中科院分区：
文献类型：
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作者：
Lipton, Brandy J.;Decker, Sandra L.
2010年实施的《平价医疗法案》（Affordable Care Act）条款要求保险计划为19-25岁的人提供受抚养人的保险，并以零成本分担的方式提供有针对性的预防服务。这些规定既提高了获得任何来源的健康保险的年轻人的百分比，也提高了保险的慷慨程度。我们研究了这些规定如何影响年轻成年女性使用人类乳头瘤病毒（HPV）疫苗，这是最昂贵的推荐疫苗之一。利用2008- 2012年全国健康访谈调查的数据，我们估计，相对于18岁或26岁的对照组，2010年政策的实施使19-25岁女性接种HPV疫苗的开始和完成的可能性分别提高了7.7和5.8个百分点。根据这些估计，大约有110万名年轻妇女开始接种疫苗，85.4万名年轻妇女完成接种。
Affordable Care Act provisions implemented in 2010 required insurance plans to offer dependent coverage to people ages 19-25 and to provide targeted preventive services with zero cost sharing. These provisions both increased the percentage of young adults with any source of health insurance coverage and improved the generosity of coverage. We examined how these provisions affected use of the human papillomavirus (HPV) vaccine, which is among the most expensive of recommended vaccines, among young adult women. Using 2008-12 data from the National Health Interview Survey, we estimated that the 2010 policy implementation increased the likelihood of HPV vaccine initiation and completion by 7.7 and 5.8 percentage points, respectively, for women ages 19-25 relative to a control group of women age 18 or 26. These estimates translate to approximately 1.1 million young women initiating and 854,000 young women completing the vaccine series.