Medicaid Expansion and Cancer Mortality by Race and Sex in Louisiana.
Medicaid Expansion and Cancer Mortality by Race and Sex in Louisiana.
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DOI：
10.1016/j.amepre.2021.09.005
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发表时间：
2022-04
影响因子：
5.5
通讯作者：
Zacharia G
中科院分区：
文献类型：
--
作者：
Callison K;Segal L;Zacharia G
本研究的目的是确定路易斯安那州医疗补助扩张与种族和性别癌症死亡率之间的关联。来自国家生命统计系统死亡率文件的数据被用来量化路易斯安那州2010年至2019年期间的癌症死亡人数，以及截至2019年12月尚未采用《平价医疗法案》医疗补助扩张的州的样本。估计了一系列人口加权比较中断时间序列模型，以确定路易斯安那州医疗补助扩张是否与癌症死亡率降低有关。分析于二零二一年五月至八月进行。医疗补助的扩大与每10万名路易斯安那州黑人女性居民平均减少3.3（95% CI=-6.4，-0.1，p=0.045）的季度癌症死亡率和每10万名黑人男性居民平均减少5.8（95% CI=-10.4，-1.1，p=0.015）的季度癌症死亡率相关。路易斯安那州白色人的癌症死亡率与医疗补助扩张没有统计学显著变化。扩大后，黑人与白人癌症死亡率差距女性下降了约57%（4.6至2.0），男性下降了49%（10.1至5.2）。路易斯安那州医疗补助的扩大与黑人女性和男性成年人癌症死亡率的降低有关。对路易斯安那州医疗补助扩张与癌症死亡率之间关联的估计直接关系到尚未根据《平价医疗法案》扩大医疗补助的州的潜在影响，这些州主要位于美国南部。
The purpose of this study is to determine the association between Medicaid expansion in Louisiana and cancer mortality by race and sex. Data from the National Vital Statistics System mortality files were used to quantify deaths from cancer between 2010 and 2019 for Louisiana and a sample of states that had yet to adopt the Affordable Care Act’s Medicaid expansion as of December 2019. A series of population-weighted comparative interrupted time series models were estimated to determine whether Louisiana’s Medicaid expansion was associated with reduced cancer mortality. Analyses were conducted in May–August 2021. Medicaid expansion was associated with an average of 3.3 (95% CI= −6.4, −0.1, p=0.045) fewer quarterly cancer deaths per 100,000 Black female Louisiana residents and an average of 5.8 (95% CI= −10.4, −1.1, p=0.015) fewer quarterly cancer deaths per 100,000 Black male residents. There was no statistically significant changes in cancer mortality for White people in Louisiana associated with Medicaid expansion. Following expansion, the Black–White mortality gap in cancer deaths declined by approximately 57% for female (4.6 to 2.0) and 49% for male individuals (10.1 to 5.2). Medicaid expansion in Louisiana was associated with a reduction in cancer mortality for Black female and male adults. Estimates of the association between Medicaid expansion and cancer mortality in Louisiana directly relate to the potential impacts for states that have yet to adopt Medicaid expansion under the Affordable Care Act, which are primarily located in the Southern U.S.
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影响因子：
6.2
作者：
Wright BJ;Conlin AK;Allen HL;Tsui J;Carlson MJ;Li HF
通讯作者：
Li HF
影响因子：
13.8
作者：
Takvorian, Samuel U.;Oganisian, Arman;Werner, Rachel M.
通讯作者：
Werner, Rachel M.
影响因子：
12.7
作者：
Soni, Aparna;Simon, Kosali;Sabik, Lindsay
通讯作者：
Sabik, Lindsay
DOI：
10.1097/coc.0000000000000588
发表时间：
2020-03-01
影响因子：
2.6
作者：
Mahal, Amandeep R.;Chavez, Janice;Mahal, Brandon A.
通讯作者：
Mahal, Brandon A.
影响因子：
6.2
作者：
Chu, Quyen D.;Li, Tingting;Wu, Xiao-Cheng
通讯作者：
Wu, Xiao-Cheng