Table 4.
Adjusted score changes in self-reported access to health care, diabetes management, and health status between subgroups
| Pre | Post | Δ (Post − Pre) | P value | Group comparisons | P value | |
|---|---|---|---|---|---|---|
| Self-reported access to health care | ||||||
| H-N | 1.32 (1.24, 1.40) | 1.38 (1.27, 1.49) | 0.06 (−0.05, 0.17) | 0.275 | Reference | — |
| H-E | 1.41 (1.36, 1.45) | 1.67 (1.58, 1.77) | 0.26 (0.14, 0.38) | <0.000 | 0.20 (0.09, 0.31) | <0.001 |
| N-N | 1.44 (1.36, 1.51) | 1.57 (1.47, 1.68) | 0.13 (0.06, 0.21) | 0.001 | 0.07 (−0.01, 0.16) | 0.083 |
| N-E | 1.51 (1.45, 1.57) | 1.67 (1.59, 1.74) | 0.15 (0.05, 0.26) | 0.003 | 0.09 (0.00, 0.18) | 0.042 |
| Self-reported diabetes management | ||||||
| H-N | 10.10 (9.10, 11.11) | 9.68 (8.45, 10.91) | −0.43 (−1.23, 0.38) | 0.298 | Reference | — |
| H-E | 9.45 (8.45, 10.44) | 10.65 (9.36, 11.95) | 1.20 (−0.70, 3.10) | 0.215 | 1.63 (−0.04, 3.29) | 0.055 |
| N-N | 10.04 (8.53, 11.55) | 9.92 (8.36, 11.47) | −0.12 (−1.21, 0.97) | 0.827 | −0.30 (−0.67, 1.28) | 0.542 |
| N-E | 12.59 (11.59, 13.58) | 14.24 (13.41, 15.08) | 1.66 (0.22, 3.10) | 0.024 | 2.08 (0.86, 3.30) | 0.001 |
| Self-reported health status | ||||||
| H-N | 1.39 (1.27, 1.50) | 1.26 (1.04, 1.47) | −0.13 (−0.29, 0.04) | 0.141 | Reference | — |
| H-E | 1.32 (1.20, 1.44) | 1.37 (1.19, 1.55) | 0.05 (−0.12, 0.21) | 0.592 | 0.17 (0.09, 0.26) | <0.001 |
| N-N | 1.32 (1.22, 1.42) | 1.27 (1.04, 1.38) | −0.11 (−0.25, 0.04) | 0.159 | 0.02 (−0.07, 0.10) | 0.649 |
| N-E | 1.10 (0.96, 1.23) | 1.07 (0.86, 1.27) | −0.03 (−0.20, 0.11) | 0.740 | 0.10 (−0.02, 0.22) | 0.105 |
Data are mean (95% CI) unless otherwise indicated. Multivariate regression adjusted for population characteristics, such as age, sex, race/ethnicity, education, marital status, employment, comorbidity, and state and quarter-year fixed effects.
H-E, high diabetes states that expanded Medicaid (AR, DE, KY, and WV); H-N, high diabetes states that did not expand Medicaid (AL, GA, MS, NC, OK, SC, TN, and TX); N-E, low diabetes states that expanded Medicaid (AZ, CO, CT, DC, HI, IL, IA, MD, MA, MN, NV, NJ, NM, ND, OH, OR, RI, VT, and WA); N-N, low diabetes states that did not expand Medicaid (FL, ID, KS, ME, MO, NE, SD, VA, WI, and WY) (see Supplementary Data for classification of states into four groups).