TABLE 2—
Sociodemographic and Care Differences Between MSM Living in Medicaid Expansion Versus Nonexpansion States: United States, National HIV Behavioral Surveillance, 2017
| Did Not Expand Medicaid (n = 2507) |
Expanded Medicaid (n = 6350) |
||||
| Variable | No. | %a (95% CI) | No. | %a 95% CI | P |
| Race/ethnicityb | < .001 | ||||
| Non-Hispanic Black | 976 | 35.3 (30.6, 39.9) | 1729 | 21.5 (19.2, 23.8) | |
| Hispanic/Latino | 793 | 35.3 (31.5, 39.2) | 1403 | 30.1 (27.9, 32.2) | |
| Non-Hispanic White | 597 | 24.1 (20.6, 27.5) | 2536 | 38.6 (36.2, 41.0) | |
| Other/multiracial | 133 | 5.3 (3.8, 6.8) | 642 | 9.8 (8.8, 10.8) | |
| Age, y | .06 | ||||
| 18–29 | 1099 | 45.5 (41.5, 49.5) | 2486 | 40.8 (38.3, 43.3) | |
| 30–39 | 712 | 28.4 (25.9, 30.8) | 1983 | 32.8 (30.8, 34.7) | |
| 40–49 | 370 | 14.4 (12.3, 16.5) | 984 | 14.5 (13.0, 15.9) | |
| 50–64 | 326 | 11.7 (9.4, 14.0) | 897 | 12.0 (10.4, 13.6) | |
| Employment | .005 | ||||
| Employed full/part time | 2058 | 84.0 (82.1, 86.0) | 4894 | 79.8 (78.1, 81.4) | |
| Not in labor force/cannot work | 251 | 9.0 (7.4, 10.5) | 760 | 11.1 (9.9, 12.3) | |
| Unemployed | 198 | 7.0 (5.7, 8.3) | 695 | 9.2 (7.9, 10.5) | |
| Povertyd | .72 | ||||
| < 100% FPL | 419 | 14.8 (12.5, 17.2) | 1220 | 15.9 (14.1, 17.7) | |
| 100%–138% FPL | 260 | 9.0 (7.4, 10.6) | 571 | 9.2 (8.9, 10.4) | |
| ≥ 139% FPL | 1808 | 76.2 (73.5, 78.8) | 4513 | 74.9 (72.8, 77.0) | |
| Homeless, 12 mo | .12 | ||||
| Yes | 166 | 6.0 (4.5, 7.5) | 602 | 7.5 (92.5, 95.5) | |
| No | 2341 | 94.0 (92.5, 95.5) | 5748 | 92.5 (91.4, 93.6) | |
| HIV status | .01 | ||||
| HIV positive | 676 | 24.9 (21.8, 27.9) | 1442 | 20.4 (18.4, 22.4) | |
| HIV negative | 1831 | 75.2 (72.1, 78.2) | 4908 | 79.6 (77.6, 81.7) | |
| Any disability | .33 | ||||
| Yes | 482 | 17.3 (15.2, 19.5) | 1341 | 18.7 (17.1, 20.2) | |
| No | 2023 | 82.7 (80.5, 84.8) | 4995 | 81.3 (79.8, 82.9) | |
| Currently insured | < .001 | ||||
| Yes | 1777 | 71.6 (68.7, 74.4) | 5557 | 87.9 (86.6, 89.2) | |
| No | 727 | 28.4 (25.6, 31.3) | 782 | 12.1 (10.8, 13.4) | |
| Insurance typec | < .001 | ||||
| Private only | 1263 | 56.0 (52.7, 59.3) | 3377 | 56.2 (54.0, 58.5) | |
| Medicaid only | 128 | 3.8 (2.8, 4.8) | 1418 | 21.3 (19.5, 23.1) | |
| Medicare only | 57 | 1.3 (0.8, 1.8) | 155 | 1.6 (1.1, 2.2) | |
| Other/multiple types | 326 | 10.4 (8.7, 12.2) | 593 | 8.7 (7.7, 9.7) | |
| No insurance | 727 | 28.5 (25.7, 31.3) | 782 | 12.1 (10.8, 13.4) | |
| Usual source of care | < .001 | ||||
| Yes | 1933 | 78.9 (76.2, 81.5) | 5362 | 85.9 (84.6, 87.3) | |
| No | 554 | 21.1 (18.5, 23.8) | 930 | 14.1 (12.7, 15.4) | |
| Health care visit, 12 moc | < .001 | ||||
| Yes | 2074 | 81.7 (79.2, 84.1) | 5564 | 87.7 (86.4, 89.0) | |
| No | 431 | 18.3 (15.9, 20.8) | 785 | 12.3 (11.0, 13.6) | |
| Disclosed sexual identity to providerc | < .001 | ||||
| Yes | 2027 | 80.7 (78.3, 83.2) | 5470 | 86.7 (85.3, 88.1) | |
| No | 477 | 19.3 (16.8, 21.7) | 875 | 13.3 (12.0, 14.7) | |
Note. CI = confidence interval; FPL = federal poverty limit; MSM = men who have sex with men; NHBS = National HIV Behavioral Surveillance. Study size was n = 8857. Expansion states were those that implemented Medicaid expansion before June 1, 2017.
Column percentages were weighted; not all percentages sum to 100 because of missing or suppressed values; values suppressed if coefficient of variation was > 0.30.
Hispanic/Latinos could be of any race; all racial groups were single-race; other racial groups were American Indian/Alaska Native, Asian, Native Hawaiian/Pacific Islander, and multiracial.
Poverty defined by 2017 Department of Health and Human Services federal poverty guidelines: https://www.federalregister.gov/documents/2017/01/31/2017-02076/annual-update-of-the-hhs-poverty-guidelines.