Medicaid expansions and differences in guideline-adherent cervical cancer screening between American Indian and White women.

ABSTRACT:

Background

Although preventable through screening, cervical cancer incidence and mortality are higher among American Indian and Alaska Native women (AIAN) than White women. The Patient Protection and Affordable Care Act's (ACA) Medicaid expansions may uniquely impact access and use of cervical cancer screening among AIAN women and ultimately alleviate this disparity.

Methods

Using Medicaid eligible AIAN (N = 4681) and White (N = 57,661) women aged 18-64 years from the 2010-2020 Behavioral Risk Factor Surveillance System, we implemented difference-in-differences regression to estimate the association between the Medicaid expansions and guideline-adherent cervical cancer screening and health care coverage.

Results

The Medicaid expansions were not associated with guideli

SUBMITTER: Gartner DR 

PROVIDER: S-EPMC10134301 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature