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Tytuł:
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The Mortality Effects of Reduced Medicaid Coverage Among International Migrants in Hawaii: 2012-2018.
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Autorzy:
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Molina T; Teresa Molina, Tetine Sentell, and Timothy J. Halliday are with the University of Hawaii at Manoa, Honolulu. Randall Q. Akee is with University of California, Los Angeles. Alvin Onaka and Brian Horiuchi are with the Department of Health, State of Hawaii, Honolulu.
Sentell T; Teresa Molina, Tetine Sentell, and Timothy J. Halliday are with the University of Hawaii at Manoa, Honolulu. Randall Q. Akee is with University of California, Los Angeles. Alvin Onaka and Brian Horiuchi are with the Department of Health, State of Hawaii, Honolulu.
Akee RQ; Teresa Molina, Tetine Sentell, and Timothy J. Halliday are with the University of Hawaii at Manoa, Honolulu. Randall Q. Akee is with University of California, Los Angeles. Alvin Onaka and Brian Horiuchi are with the Department of Health, State of Hawaii, Honolulu.
Onaka A; Teresa Molina, Tetine Sentell, and Timothy J. Halliday are with the University of Hawaii at Manoa, Honolulu. Randall Q. Akee is with University of California, Los Angeles. Alvin Onaka and Brian Horiuchi are with the Department of Health, State of Hawaii, Honolulu.
Halliday TJ; Teresa Molina, Tetine Sentell, and Timothy J. Halliday are with the University of Hawaii at Manoa, Honolulu. Randall Q. Akee is with University of California, Los Angeles. Alvin Onaka and Brian Horiuchi are with the Department of Health, State of Hawaii, Honolulu.
Horiuchi B; Teresa Molina, Tetine Sentell, and Timothy J. Halliday are with the University of Hawaii at Manoa, Honolulu. Randall Q. Akee is with University of California, Los Angeles. Alvin Onaka and Brian Horiuchi are with the Department of Health, State of Hawaii, Honolulu.
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Źródło:
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American journal of public health [Am J Public Health] 2020 Aug; Vol. 110 (8), pp. 1205-1207. Date of Electronic Publication: 2020 Jun 18.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]
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MeSH Terms:
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Insurance Coverage*
Insurance, Health*
Mortality*/ethnology
Mortality*/trends
Medicaid/*statistics & numerical data
Medically Uninsured/*statistics & numerical data
Transients and Migrants/*statistics & numerical data
Adult ; Asian/statistics & numerical data ; Hawaii ; Health Services Accessibility ; Humans ; Medically Uninsured/ethnology ; Middle Aged ; United States ; White People/statistics & numerical data
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References:
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Am J Public Health. 2016 Mar;106(3):485-91. (PMID: 26691107)
Health Econ. 2020 Oct;29(10):1231-1250. (PMID: 32716558)
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Grant Information:
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P2C HD041022 United States HD NICHD NIH HHS
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Entry Date(s):
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Date Created: 20200620 Date Completed: 20200909 Latest Revision: 20240329
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Update Code:
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20240329
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PubMed Central ID:
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PMC7349448
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DOI:
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10.2105/AJPH.2020.305687
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PMID:
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32552026
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Objectives. To study the impact on mortality in Hawaii from the revoked state Medicaid program coverage in March 2015 for most Compact of Free Association (COFA) migrants who were nonblind, nondisabled, and nonpregnant. Methods. We computed quarterly crude mortality rates for COFA migrants, Whites, and Japanese Americans from March 2012 to November 2018. We employed a difference-in-difference research design to estimate the impact of the Medicaid expiration on log mortality rates. Results. We saw larger increases in COFA migrant mortality rates than White mortality rates after March 2015. By 2018, the increase was 43% larger for COFA migrants ( P = .003). Mortality trends over this period were similar for Whites and Japanese Americans, who were not affected by the policy. Conclusions. Mortality rates of COFA migrants increased after Medicaid benefits expired despite the availability of state-funded premium coverage for private insurance and significant outreach efforts to reduce the impact of this coverage change.
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