Table 2. Health-related outcomes by Medicaid expansion status among low income population aged 18–64 years, MEPS 2010–2012.
| Health-related outcomes | Crude % | Adjusted Prevalence Ratio a | |
|---|---|---|---|
| Expansion | Non-expansion | ||
| Perceived access to care | |||
| Usual source of health care | 64.5 (62.7–66.3) | 56.5 (54.0–59.0) | 0.86 (0.82–0.91) |
| Unable to get or delayed any necessary medical care | 10.1 (8.8–11.3) | 11.0 (9.6–12.4) | 1.13 (0.93–1.38) |
| Unable to get or delayed any necessary dental care | 12.5 (10.9–14.2) | 14.0 (12.1–15.9) | 1.19 (0.98–1.43) |
| Unable to get or delayed any necessary prescription medication | 7.7 (6.6–8.7) | 7.7 (6.7–8.8) | 1.00 (0.83–1.21) |
| Realized access to preventive care | |||
| Dental checkup at least once a year | 42.7 (41.0–44.5) | 37.7 (35.2–40.3) | 0.86 (0.79–0.94) |
| Routine check within past year | 54.1 (52.3–55.9) | 50.2 (46.7–53.7) | 0.89 (0.83–0.95) |
| Flu vaccination within past year | 27.7 (26.3–29.1) | 24.8 (22.9–26.8) | 0.89 (0.81–0.98) |
| Blood pressure check within past 2 years | 82.2 (81.0–83.5) | 80.6 (78.1–83.2) | 0.96 (0.94–0.99) |
| Cholesterol check within past 2 years | 54.8 (53.1–56.5) | 53.6 (51.2–56.0) | 0.99 (0.94–1.03) |
| Pap test within past 3 years b | 79.3 (77.5–81.2) | 79.3 (77.2–81.4) | 0.99 (0.95–1.03) |
| Mammogram within past 2 years b | 57.5 (54.8–60.3) | 52.8 (48.8–56.8) | 0.94 (0.85–1.04) |
| Blood stool test within past year b | 9.0 (7.5–10.5) | 9.4 (7.2–11.6) | 1.13 (0.85–1.51) |
| Sigmoidoscopy within past 5 years b | 4.7 (3.5–5.9) | 4.0 (2.5–5.4) | 1.02 0.66–1.57) |
| Colonoscopy within past 10 years b | 41.8 (38.4–45.1) | 39.3 (35.8–42.8) | 0.92 (0.80–1.05) |
| Quality of Care (during past 12 months) | |||
| If had any condition needing care right away, always got care right away | 45.9 (43.4–48.4) | 46.6 (44.2–49.1) | 0.97 (0.88–1.07) |
| If made any medical appointment, always got appointment as soon as needed | 43.2 (41.0–45.3) | 47.1 (44.7–49.5) | 1.08 (1.00–1.16) |
| If any medical care was believed to be necessary, always easy getting care | 48.5 (45.8–51.3) | 52.2 (49.4–54.9) | 1.03 (0.94–1.13) |
| Attitudes about Health | |||
| Disagree strongly about "do not need health insurance" | 58.3 (56.4–60.3) | 57.3 (54.5–60.1) | 0.97 (0.92–1.02) |
| Disagree strongly about "health insurance not worth cost" | 34.7 (33.1–36.3) | 34.1 (32.0–36.1) | 0.95 (0.88–1.02) |
| Disagree strongly about "more likely to take risks" | 34.0 (32.5–35.4) | 33.5 (31.4–35.5) | 0.95 (0.88–1.03) |
| Disagree strongly about "can overcome ills without med help" | 43.9 (42.3–45.6) | 42.6 (40.3–44.8) | 0.95 (0.90–1.01) |
| Health status | |||
| Fair/poor perceived health status | 22.1 (20.6–23.5) | 21.1 (19.6–22.6) | 0.93 (0.85–1.03) |
| Fair/poor perceived mental health status | 14.5 (13.5–15.6) | 13.2 (11.7–14.8) | 0.86 (0.76–0.98) |
| Worse Physicial Component Summary from SF-12v2 | 48.3 (46.6–49.9) | 49.1 (47.0–51.3) | 1.01 (0.95–1.06) |
| Worse Mental Component Summary from SF-12v2 | 45.9 (44.3–47.5) | 43.1 (41.4–44.8) | 0.95 (0.90–1.00) |
| Serious psychological distress (K6> = 13) | 11.2 (10.1–12.2) | 11.5 (10.3–12.7) | 1.03 (0.91–1.17) |
| Depressive symptoms (PHQ2> = 3) | 16.3 (15.1–17.5) | 17.0 (15.5–18.4) | 1.01 (0.91–1.11) |
a Models were adjusted for sex, age, race/ethnicity, marital status, education, metropolitan statistical areas residence and number of chronic conditions; prevalence ratio was for non-expansion vs. expansion group; boldface indicates statistical significance (p<0.05).
b For Pap test, only women aged 21–64 without hysterectomy with a history of cervical cancer were included; for mammogram, only women aged 40–64 without a history of breast cancer were included; for colorectal cancer screening services, only adults aged 50–64 without a history of colorectal cancer were included.