Table 4.
Changes in Health Care Coverage, Access to Care, and Health Care Usea
| Characteristic | Persons Aged 19–25 y (Baseline) | Change Before and After PPACA Implementation | DID Between Age Groups (95% CI) | |
|---|---|---|---|---|
| Persons Aged 19–25 y | Persons Aged 26–34 y | |||
| Health care coverage, %b | 56.7 | 3.1 | −4.6 | 7.7 (5.54 to 9.86) |
| Overall health fair or poor, %b | 17.5 | −0.3 | 0.3 | −0.5 (−1.87 to 0.87) |
| With health care coverage | 15.9 | −0.6 | 0.3 | −0.9 (−2.47 to 0.67) |
| Without health care coverage | 19.4 | 0.6 | −0.6 | 1.3 (−2.42 to 5.02) |
| Have a usual source of care, %b | 46.3 | −3.3 | −6.1 | 2.8 (0.45 to 5.15) |
| With health care coverage | 60.4 | −4.0 | −4.8 | 0.8 (−1.55 to 3.15) |
| Without health care coverage | 30.1 | −5.5 | −3.3 | −2.2 (−6.90 to 2.50) |
| Visit to physician for routine checkup in past year, %b | 42.1 | −1.5 | −1.9 | 0.3 (−2.25 to 2.85) |
| With health care coverage | 52.5 | −2.2 | −0.5 | −1.7 (−4.44 to 1.04) |
| Without health care coverage | 27.0 | −2.3 | −1.2 | −1.2 (−6.10 to 3.70) |
| Unable to see physician in past year because of cost, %b | 28.5 | −0.9 | 0.7 | −1.7 (−3.66 to 0.26) |
| With health care coverage | 15.7 | −0.7 | −0.1 | −0.5 (−2.46 to 1.46) |
| Without health care coverage | 44.8 | 1.5 | −2.6 | 4.1 (−0.80 to 9.00) |
| Unable to afford prescription medications in past year, %c | 11.1 | −3.1 | −2.7 | −0.4 (−2.93 to 1.93) |
| With health care coverage | 5.5 | −1.0 | −1.6 | 0.6 (−1.58 to 2.78) |
| Without health care coverage | 23.7 | −4.1 | −7.0 | 2.9 (−3.31 to −9.11) |
| Unable to afford dental care in the past year, %c | 18.7 | −4.6 | −2.0 | −2.6 (−5.61 to 0.61) |
| With health care coverage | 12.2 | −1.3 | −0.9 | −0.4 (−3.48 to 2.68) |
| Without health care coverage | 39.4 | −5.3 | −7.3 | 2.0 (−4.96 to −8.96) |
| Flu shot in the past year, %c | 16.5 | 4.6 | 2.7 | 1.9 (−1.93 to 4.93) |
| With health care coverage | 11.7 | 5.4 | 4.1 | 1.3 (−3.00 to 5.60) |
| Without health care coverage | 5.4 | 0.5 | 1.8 | −1.3 (−5.99 to 3.39) |
Abbreviations: DID, difference-in-differences; PPACA, Patient Protection and Affordable Care Act.
a
For persons aged 19 to 25 years compared with those aged 26 to 34 years, using a difference-indifferences approach adjusted for covariates.
b
Behavioral Risk Factor Surveillance System data.
c
National Health Interview Survey data.