Health insurance coverage and use of family planning services among current and former foster youth: implications of the health care reform law.

Health insurance coverage and use of family planning services among current and former foster youth: implications of the health care reform law.
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DOI:
10.1215/03616878-1966360
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发表时间:
2013-04
期刊:
Journal of health politics, policy and law
影响因子:
--
通讯作者:
Courtney M
Courtney M
中科院分区:
其他
文献类型:
--
作者:
Dworsky A;Ahrens K;Courtney M

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这项研究使用了一项纵向研究的数据,以检查《患者保护和平价医疗法案》中的两项条款如何影响已脱离寄养家庭的年轻女性的医疗保险覆盖范围。它还探讨了允许年轻人在寄养家庭中呆到21岁如何影响他们的医疗保险覆盖范围、计划生育服务的使用以及有关节育的信息。我们发现,如果年轻妇女在21岁生日之前一直在寄养家庭,她们更有可能获得医疗保险,而且拥有医疗保险与获得计划生育服务的可能性增加有关。我们的结果还表明,根据医疗改革法律,许多本来没有医疗保险的年轻女性在脱离寄养家庭后将有资格获得医疗补助。由于拥有医疗保险与计划生育服务的使用相关,因此医疗补助资格的增加可能会导致这一高危人群中意外怀孕的减少。
This research uses data from a longitudinal study to examine how two provisions in the Patient Protection and Affordable Care Act could affect health insurance coverage among young women who have aged out of foster care. It also explores how allowing young people to remain in foster care until age twenty-one affects their health insurance coverage, use of family planning services, and information about birth control. We find that young women are more likely to have health insurance if they remain in foster care until their twenty-first birthday and that having health insurance is associated with an increase in the likelihood of receiving family planning services. Our results also suggest that many young women who would otherwise lack health insurance after aging out of foster care will be eligible for Medicaid under the health care reform law. Because having health insurance is associated with use of family planning services, this increase in Medicaid eligibility may result in fewer unintended pregnancies among this high-risk population.
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