Double vulnerability? Examining the effect of living in nonmetropolitan areas within non-expansion Medicaid states on health status among working-age adults in the United States, 2022-2024.

ABSTRACT:

Objective

To examine whether living in nonmetropolitan areas within a state that has not expanded Medicaid is associated with poor/fair self-reported health status among working-age adults in the United States.

Methods

We analyzed data from the 2022-2024 Current Population Survey (n = 220, 601, ages 25-64). Self-reported health was dichotomized as having reported poor/fair or good/very good/excellent health status. We produced a four-level measure of the overlap between residential and policy contexts indicating whether the respondent lived in a metropolitan or nonmetropolitan area within a state that had or had not expanded Medicaid coverage by 2023. Multilevel logistic regression models were fit to examine the association between our measure of residence-policy overlaps an

SUBMITTER: Segovia MD 

PROVIDER: S-EPMC12013483 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature