Effect of Medicaid Expansions on HIV Diagnoses and Pre-Exposure Prophylaxis Use.

ABSTRACT:

Introduction

Increased insurance coverage and access to health care can increase identification of undiagnosed HIV infection and use of HIV prevention services such as pre-exposure prophylaxis. This study investigates whether the Medicaid expansions facilitated by the Affordable Care Act had these effects.

Methods

A difference-in-differences design was used to estimate the effects of the Medicaid expansions using data on HIV diagnoses per 100,000 population, awareness of HIV status, and pre-exposure prophylaxis use. The analyses involved first calculating differences in new diagnoses and pre-exposure prophylaxis use before and after the expansions and then comparing these differences between treatment counties (i.e., all counties in states that expanded Medicaid) and control

SUBMITTER: Fayaz Farkhad B 

PROVIDER: S-EPMC7903489 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature