Medicaid Expansions and Cervical Cancer Screening for Low-Income Women
Medicaid Expansions and Cervical Cancer Screening for Low-Income Women
复制标题
DOI：
10.1111/1475-6773.12732
复制
发表时间：
2018-08-01
影响因子：
3.4
通讯作者：
Bradley, Cathy J.
中科院分区：
文献类型：
--
作者：
Sabik, Lindsay M.;Tarazi, Wafa W.;Bradley, Cathy J.
目的 低收入妇女的医疗补助覆盖可能在确保获得预防性护理方面发挥重要作用。本研究探讨了医疗补助资格扩展到非老年成年人如何影响低收入女性的宫颈癌筛查。数据源我们使用 2000 年至 2010 年行为风险因素监测系统的数据。我们感兴趣的主要结果是相关指南一致年龄范围内的女性是否报告在前一年进行过巴氏涂片检查。研究设计我们使用双重差分法，结合匹配的治疗和比较状态，以及基于持续衡量医疗补助的慷慨程度。主要发现我们的结果表明，相对于比较州，扩张州低收入女性的宫颈癌筛查有所增加。低收入西班牙裔女性的筛查率增幅最大。结论 2000 年至 2010 年期间医疗补助的扩大与宫颈癌筛查率的提高有关，这对于早期宫颈癌检测以及预防女性癌症发病率和死亡率至关重要。结果表明，更广泛的医疗补助扩张可能对女性的预防性医疗保健产生积极影响。
ObjectiveMedicaid 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.Data SourcesWe 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.Study DesignWe 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.Principal FindingsOur 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.ConclusionsMedicaid 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.