Impact of the Affordable Care Act on human papillomavirus vaccination initiation among lesbian, bisexual, and heterosexual U.S. women.

ABSTRACT:

Objective

To examine the effect of the 2010 Affordable Care Act (ACA) extended dependent coverage and no cost-sharing provisions on human papillomavirus (HPV) vaccination in relation to sexual orientation identity among U.S. women.

Data sources

2006-2010 and 2011-2015 National Survey of Family Growth.

Study design

We used an interrupted time series design and multivariable Poisson regression to assess differences in HPV vaccination initiation before (2007-2010) and after (2011-2015) the 2010 ACA provisions among heterosexual, bisexual, and lesbian U.S. women aged 15-25 years (N = 7033), adjusting for temporal trends and demographic factors.

Data collection

Computer-assisted personal interview and audio computer-assisted self-interview questionnaires.

Princip

SUBMITTER: Agenor M 

PROVIDER: S-EPMC6980951 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature