Data on Insurance Described by Researchers at City University of New York (CUNY) [Impact of the Affordable Health Care Act (Aca) On Racial/ethnic Inequities In Access To and Utilization of Healthcare In New York City]: Insurance

2023 MAR 30 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- A new study on Insurance is now available. According to news reporting out of New York City, New York, by NewsRx editors, research stated, “The Affordable Care Act (ACA) expanded health insurance coverage in the USA, but whether it increased healthcare utilization or reduced racial/ethnic inequities in access to and utilization of care is unclear. We evaluated the ACA impact on health insurance coverage, unmet medical need, and having a personal doctor and whether this impact was modified by racial/ethnic identity among New York City (NYC) residents.”

Our news journalists obtained a quote from the research from the City University of New York (CUNY), “We used data from multiple years of the Community Health Survey (2009-2017) and used logistic regression to assess whether having health insurance, unmet medical need, or a personal doctor varied pre- (2009-2012) versus post-ACA (2013-2017), adjusting for age, sex, nativity status, and general health. We assessed effect measure modification by race/ethnicity and stratified if we found significant interaction. We found that health insurance coverage and having a personal doctor increased post-ACA (aOR = 1.44, p< 0.001 and aOR = 1.09, p = 0.024, respectively) while having unmet medical need decreased (aOR = 0.90, p = 0.004). There was little indication of interaction between ACA and race/ethnicity; in stratified models, the ACA had a stronger impact on health insurance coverage for those of other race than all other groups (aOR = 2.16, p = 0.002 versus aOR 1.22-1.54 for white, Black, and Hispanic adults) and a stronger impact on having a personal doctor for Hispanic adults (aOR 1.27, p< 0.001 versus weaker non-significant associations for other groups), with no effect modification for unmet medical need.”

According to the news editors, the research concluded: “Thus, it appears that ACA improved healthcare access and utilization but did not have a major impact on reducing racial/ethnic inequities in these outcomes in NYC.”

This research has been peer-reviewed.

For more information on this research see: Impact of the Affordable Health Care Act (Aca) On Racial/ethnic Inequities In Access To and Utilization of Healthcare In New York City. Journal of Racial and Ethnic Health Disparities, 2023. Journal of Racial and Ethnic Health Disparities can be contacted at: Springer Int Publ Ag, Gewerbestrasse 11, Cham, Ch-6330, Switzerland.

Our news journalists report that additional information may be obtained by contacting Elizabeth A. A. Kelvin, City University of New York (CUNY), Graduate School of Public Health and Health Policy, Dept. of Epidemiology and Biostatistics, New York, NY 10017, United States. Additional authors for this research include Shaimaa Elsafoury and Heidi E. E. Jones.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s40615-023-01528-2. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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