Kelli Stidham Hall1, Samantha Paturu Nadella2,3, Melissa K Zochowski1, Divya Patel1, Vanessa K Dalton1. 1. 1 Department of Obstetrics and Gynecology, Program on Women's Health Care Effectiveness Research; Institute for Social Research, Population Studies Center, University of Michigan , Ann Arbor Michigan. 2. 2 L4000 Women's Hospital , Ann Arbor, Michigan. 3. 3 Department of Obstetrics and Gynecology, The Ohio State University , Columbus Ohio.
Abstract
BACKGROUND: Notably absent from research and public and policy dialogue on the Affordable Care Act (ACA) and reproductive health care are women's perspectives and a broader understanding of factors that shape ACA attitudes. We investigated social, reproductive, and attitudinal factors associated with women's disagreement with the passage of the ACA. METHODS: Data were drawn from the Women's Health Care Experiences and Preferences Study, our population-based internet survey of 1,078 randomly sampled United States women ages 18-55 years conducted in September 2013. Items measured ACA attitudes, including disagreement with the ACA's passage. We examined relationships between ACA disagreement, sociodemographic and reproductive characteristics, health service experiences, and reproductive health care and policy attitudes with logistic regression. RESULTS: Among women who had heard of the ACA (n=888), 35% disagreed with it and 38% did not know how they felt. Black women (adjusted odds ratio [aOR] 0.12, 95% confidence interval [CI] 0.03-0.55) and women with incomes of >$75k (aOR 0.38, CI 0.17-0.88), Medicare/Medicaid insurance (aOR 0.24, CI 0.10-0.61), and infrequent religious service attendance (aOR 0.57, CI 0.35-0.93) were less likely to disagree with the ACA's passage, compared with their counterparts. Republican party affiliation was the strongest predictor of ACA disagreement (aOR 17.10, CI 9.12-32.09). Negative beliefs about the ACA's ability to improve access to preferred care and regarding employers' and the government's roles in reproductive health care were positively associated with ACA disagreement. CONCLUSIONS: Many women who could benefit from the ACA disagree with or do not know how they feel about its passage, which may influence participation in ACA benefits and services.
BACKGROUND: Notably absent from research and public and policy dialogue on the Affordable Care Act (ACA) and reproductive health care are women's perspectives and a broader understanding of factors that shape ACA attitudes. We investigated social, reproductive, and attitudinal factors associated with women's disagreement with the passage of the ACA. METHODS: Data were drawn from the Women's Health Care Experiences and Preferences Study, our population-based internet survey of 1,078 randomly sampled United States women ages 18-55 years conducted in September 2013. Items measured ACA attitudes, including disagreement with the ACA's passage. We examined relationships between ACA disagreement, sociodemographic and reproductive characteristics, health service experiences, and reproductive health care and policy attitudes with logistic regression. RESULTS: Among women who had heard of the ACA (n=888), 35% disagreed with it and 38% did not know how they felt. Black women (adjusted odds ratio [aOR] 0.12, 95% confidence interval [CI] 0.03-0.55) and women with incomes of >$75k (aOR 0.38, CI 0.17-0.88), Medicare/Medicaid insurance (aOR 0.24, CI 0.10-0.61), and infrequent religious service attendance (aOR 0.57, CI 0.35-0.93) were less likely to disagree with the ACA's passage, compared with their counterparts. Republican party affiliation was the strongest predictor of ACA disagreement (aOR 17.10, CI 9.12-32.09). Negative beliefs about the ACA's ability to improve access to preferred care and regarding employers' and the government's roles in reproductive health care were positively associated with ACA disagreement. CONCLUSIONS: Many women who could benefit from the ACA disagree with or do not know how they feel about its passage, which may influence participation in ACA benefits and services.
Authors: Rebekah E Gee; Claire D Brindis; Angela Diaz; Francisco Garcia; Kimberly Gregory; Magda G Peck; E Albert Reece Journal: Curr Opin Obstet Gynecol Date: 2011-12 Impact factor: 1.927
Authors: Lorrie Gavin; Andrea P MacKay; Kathryn Brown; Sara Harrier; Stephanie J Ventura; Laura Kann; Maria Rangel; Stuart Berman; Patricia Dittus; Nicole Liddon; Lauri Markowitz; Maya Sternberg; Hillard Weinstock; Corinne David-Ferdon; George Ryan Journal: MMWR Surveill Summ Date: 2009-07-17