New HIV/AIDS Findings from University of North Carolina Chapel Hill Outlined (Impacts of Medicaid Expansion On Health Insurance and Coverage Transitions Among Women With or At Risk for Hiv In the United States): Immune System Diseases and Conditions – HIV/AIDS

2022 NOV 29 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Data detailed on Immune System Diseases and Conditions - HIV/AIDS have been presented. According to news reporting originating from Chapel Hill, North Carolina, by NewsRx correspondents, research stated, “As employment, financial status, and residential location change, people can gain, lose, or switch health insurance coverage, which may affect care access and health. Among Women’s Interagency HIV Study participants with HIV and participants at risk for HIV attending semiannual visits at 10 U.S. sites, we examined whether the prevalence of coverage types and rates of coverage changes differed by HIV status and Medicaid expansion in their states of residence.”

Funders for this research include Atlanta CRS, Baltimore CRS, NIH National Heart Lung & Blood Institute (NHLBI), NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD), NIH National Institute on Aging (NIA), NIH National Institute of Dental & Craniofacial Research (NIDCR), NIH National Institute of Allergy & Infectious Diseases (NIAID), NIH National Institute of Neurological Disorders & Stroke (NINDS), NIH National Institute of Mental Health (NIMH), NIH National Institute on Drug Abuse (NIDA), NIH National Institute of Nursing Research (NINR), NIH National Cancer Institute (NCI), NIH National Institute on Alcohol Abuse & Alcoholism (NIAAA), NIH National Institute on Deafness & Other Communication Disorders (NIDCD), NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK), NIH National Institute on Minority Health & Health Disparities (NIMHD), National Institutes of Health (NIH) - USA, NIH National Center for Advancing Translational Sciences (NCATS), JHU ICTR, UCLA CTSI, Atlanta CFAR, Miami CFAR, UNC CFAR, UAB CFAR, Miami CHARM.

Our news editors obtained a quote from the research from the University of North Carolina Chapel Hill, “Geocoded addresses were merged with dates of Medicaid expansion to indicate, at each visit, whether women lived in Medicaid expansion states. Age-adjusted rate ratios (RRs) and rate differences of self-reported insurance changes were estimated by Poisson regression. From 2008 to 2018, 3,341 women (67% Black, 71% with HIV) contributed 43,329 visits at aged less than 65 years (27% under Medicaid expansion). Women with and women without HIV differed in their proportions of visits at which no coverage (14% vs. 19%; p< .001) and Medicaid enrollment (61% vs. 51%; p< .001) were reported. Women in Medicaid expansion states reported no coverage and Medicaid enrollment at 4% and 69% of visits, respectively, compared with 20% and 53% of visits for those in nonexpansion states. Women with HIV had a lower rate of losing coverage than those without HIV (RR, 0.81; 95% confidence interval [CI], 0.70 to 0.95). Compared with nonexpansion, Medicaid expansion was associated with lower coverage loss (RR, 0.62; 95% CI, 0.53 to 0.72) and greater coverage gain (RR, 2.32; 95% CI, 2.02 to 2.67), with no differences by HIV status.”

According to the news editors, the research concluded: “Both women with HIV and women at high risk for HIV in Medicaid expansion states had lower coverage loss and greater coverage gain; therefore, Medicaid expansion throughout the United States should be expected to stabilize insurance for women and improve downstream health outcomes.(.”

This research has been peer-reviewed.

For more information on this research see: Impacts of Medicaid Expansion On Health Insurance and Coverage Transitions Among Women With or At Risk for Hiv In the United States. Women s Health Issues, 2022;32(5):450-460. Women s Health Issues can be contacted at: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA.

The news editors report that additional information may be obtained by contacting Andrew Edmonds, University of North Carolina Chapel Hill, Gillings School of Global Public Health, Dept. of Epidemiology, Chapel Hill, NC, United States. Additional authors for this research include Adaora A. Adimora, Nadya Belenky, Adebola A. Adedimeji, Mardge H. Cohen, Gina Wingood, Margaret A. Fischl, Elizabeth T. Golub, Mallory O. Johnson, Daniel Merenstein, Joel Milam, Deborah Konkle-Parker and Tracey E. Wilson.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.whi.2022.03.003. 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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