Gilbert Gonzales1, Carrie Henning-Smith2. 1. 1 Department of Health Policy, Vanderbilt University School of Medicine , Nashville, Tennessee. 2. 2 Division of Health Policy and Management, University of Minnesota School of Public Health , Minneapolis, Minnesota.
Abstract
PURPOSE: This study compares uninsurance rates for lesbian, gay, and bisexual (LGB) adults by state Medicaid expansion decisions under the Affordable Care Act. METHODS: Data come from nonelderly adults in the 2014 Behavioral Risk Factor Surveillance System. Prevalence estimates and logistic regression models identified LGB adults most likely to be uninsured. RESULTS: Approximately 15.7% of LGB adults lack health insurance, but the uninsurance rate is lower among LGB adults in Medicaid expansion states (12.5%) compared with LGB adults in nonexpansion states (20.0%). CONCLUSIONS: Expanding Medicaid in states that have not yet done so should increase coverage and lead to improved health for vulnerable LGB adults.
PURPOSE: This study compares uninsurance rates for lesbian, gay, and bisexual (LGB) adults by state Medicaid expansion decisions under the Affordable Care Act. METHODS: Data come from nonelderly adults in the 2014 Behavioral Risk Factor Surveillance System. Prevalence estimates and logistic regression models identified LGB adults most likely to be uninsured. RESULTS: Approximately 15.7% of LGB adults lack health insurance, but the uninsurance rate is lower among LGB adults in Medicaid expansion states (12.5%) compared with LGB adults in nonexpansion states (20.0%). CONCLUSIONS: Expanding Medicaid in states that have not yet done so should increase coverage and lead to improved health for vulnerable LGB adults.
Keywords:
access to care; health insurance; health reform
Authors: Ariella R Tabaac; Alexa L Solazzo; Allegra R Gordon; S Bryn Austin; Carly Guss; Brittany M Charlton Journal: Prev Med Date: 2020-01-22 Impact factor: 4.018
Authors: Brittany M Charlton; Jessica A Kahn; Vishnudas Sarda; Sabra L Katz-Wise; Donna Spiegelman; Stacey A Missmer; S Bryn Austin Journal: Womens Health Issues Date: 2019-01-11