Table 3. Rates and Differences in the Receipt of Preventive Services Among Adolescents With Any Past-Year Health Care Visit (Ages 10-17 Years): Medical Expenditure Panel Survey for the Pre- (2007-2009) and Post-ACA (2012-2014) Periods.
| Service Received | Received Preventive Service, No. (%) | Change From 2007-09 to 2012-14 | ||
|---|---|---|---|---|
| Pre-ACA
Period [Reference] |
Post-ACA Period | Model 1a: OR (95% CI) |
Model 2a: aOR (95% CI) |
|
| Physical parameters measured | ||||
| Height | 6411 (85.1) | 7328 (87.4) | 1.2 (1.1-1.4)b | 1.3 (1.1-1.5)b |
| Weight | 6637 (87.7) | 7573 (90.1) | 1.3 (1.1-1.5)b | 1.3 (1.1-1.5)c |
| Blood pressure | 5542 (75.3) | 6587 (81.8) | 1.5 (1.3-1.7)c | 1.5 (1.3-1.7)c |
| All 3 parameters | 5240 (71.2) | 6262 (78.1) | 1.4 (1.3-1.6)c | 1.4 (1.3-1.6)c |
| Anticipatory guidance given | ||||
| Healthy eating | 3476 (45.2) | 4742 (54.5) | 1.5 (1.3-1.6)c | 1.4 (1.2-1.6)c |
| Physical activity | 2773 (36.4) | 3871 (45.0) | 1.4 (1.3-1.6)c | 1.4 (1.2-1.6)c |
| Seatbelt use | 1866 (26.9) | 2419 (32.1) | 1.3 (1.1-1.5)c | 1.2 (1.0-1.4)d |
| Helmet use | 1984 (26.8) | 2557 (29.6) | 1.2 (1.0-1.3)d | 1.2 (1.0-1.3) |
| Secondhand smoke | 2452 (29.7) | 3095 (31.7) | 1.1 (1.0-1.2) | 1.0 (0.9-1.2) |
| Dental visit | 2966 (37.3) | 3919 (42.8) | 1.3 (1.1-1.4)c | 1.1 (1.0-1.3) |
| All 6 topics addressed | 792 (10.1) | 1123 (12.0) | 1.2 (1.0-1.5)d | 1.1 (0.9-1.4) |
| Time alone with clinician at most recent visite | 1481 (29.8) | 1601 (31.1) | 1.1 (0.9-1.2) | 1.2 (1.0-1.3)d |
Abbreviations: ACA, Affordable Care Act; aOR, adjusted odds ratio; 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 < .01.
c
P < .001.
d
P < .05.
e
Ages 12-17 years.