Table 2. Rates and Differences in the Receipt of a Past-Year Well Visit Among Adolescents (Ages 10-17 Years): Medical Expenditure Panel Survey for the Pre- (2007-2009) and Post-ACA (2012-2014) Periods.
| Variable | Received Well Visit, No. (%) | Change From 2007-2009 to 2012-2014 | ||
|---|---|---|---|---|
| Pre-ACA
Period [Reference] |
Post-ACA Period | Model 1a: OR (95% CI) |
Model 2a: aOR (95% CI) |
|
| Total sample | 4629 (40.6) | 5869 (47.6) | 1.3 (1.2-1.5)b | 1.3 (1.2-1.4)b |
| Race/ethnicity | ||||
| White | 1884 (44.3) | 1790 (50.3) | 1.3 (1.1-1.5)b | 1.3 (1.1-1.5)b |
| Black | 1010 (36.6) | 1275 (46.1) | 1.5 (1.3-1.8)b | 1.4 (1.2-1.7)b |
| Asian | 220 (37.9) | 328 (45.6) | 1.4 (1.0-2.0) | 1.3 (0.9-1.9) |
| Hispanic | 1319 (32.6) | 2206 (42.5) | 1.5 (1.4-1.7)b | 1.4 (1.2-1.6)b |
| Income group | ||||
| <100% FPL | 1076 (32.5) | 1762 (42.7) | 1.6 (1.3-1.8)b | 1.5 (1.3-1.8)b |
| 100-<200% FPL | 1135 (33.8) | 1464 (43.2) | 1.5 (1.3-1.7)b | 1.5 (1.3-1.8)b |
| 200-<400% | 1332 (39.6) | 1518 (47.5) | 1.4 (1.2-1.6)b | 1.3 (1.1-1.5)c |
| ≥400% FPL | 1086 (51.0) | 1125 (54.0) | 1.1 (1.0-1.3) | 1.1 (0.9-1.3) |
| Insurance status | ||||
| Full-year private insured | 2062 (46.0) | 2147 (51.1) | 1.2 (1.1-1.4)c | 1.2 (1.1-1.4)c |
| Full-year public insured | 1560 (38.3) | 2717 (48.2) | 1.5 (1.3-1.7)b | 1.5 (1.2-1.7)b |
| Partial- year uninsured | 648 (35.3) | 646 (40.3) | 1.2 (1.0-1.5)d | 1.2 (0.9-1.5) |
| Full-year uninsured | 216 (21.4) | 179 (22.4) | 1.1 (0.8-1.5) | 1.3 (0.9-1.8) |
Abbreviations: ACA, Affordable Care Act; aOR, adjusted odds ratio; FPL, Federal Poverty Level; OR, odds ratio.
a
Model 1 data are given as OR (95% CI) and include years; model 2 data, aOR (95% CI) and include years, controlling for age, sex, race/ethnicity, insurance status, income, and region.
b
P < .001.
c
P < .01.
d
P < .05.