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Perceptions of Health Care and Access to Preventive Services Among Young Adults

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Abstract

The enactment of the Affordable Care Act increased the emphasis on health promotion and disease prevention by making preventive care accessible for many Americans, especially young adults, who could remain on their parents or legal guardians’ health insurance until the age of 26. Yet, many Americans receive only half of the recommended preventive care services, which highlight the need for the improvement of health promotion and prevention services. The aim of this study was to assess the relationship among access to health care insurance, perceptions about health insurance, and use of preventive care services among young adults. Nine hundred and forty-six participants ages 19–34 completed a 40 question web-based survey. Data analysis suggested that while the majority of participants had health insurance, there were significant differences in opinions about the ACA, health insurance, and use of preventive services by gender, education level, and health insurance status. Overall, participants with health insurance were more likely to have received at least three of the basic preventive care services; however, most of them were not getting the preventive care as recommended. Results reaffirm the need for further studies on the impact of health insurance among young adults and the need for the emphasis on health promotion to educate young adults about the importance of disease prevention and preventive services.

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References

  1. Akosa, Y., Moriya, A. S., & Simon, K. (2013). Effects of federal policy to insure young adults: Evidence from 2010 affordable care act’s dependent coverage-mandate. American Economic Journal: Economic Policy, 5(4), 1–28.

    Google Scholar 

  2. Cantor, J. C., Monheit, A. C., DeLia, D., & Lloyd, K. (2012). Early impact of the affordable care act on health insurance coverage of young adults. Health Services Research, 47(5), 1773–1790.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Centers for Medicare and Medicaid Services (n.d.). What are my preventive benefits? Retrieved September 13, 2016 from https://www.healthcare.gov/what-are-my-preventive-care-benefits/.

  4. Centers for Disease Control and Prevention (2012). The behavioral risk factor surveillance system questionnaire 2013. Retrieved September 13, 2016 from http://www.cdc.gov/brfss/questionnaires/pdf-ques/2013%20BRFSS_English.pdf.

  5. Chambliss, M. L., Lineberry, S. N., Evans, W. M., and Bibeau, D. L. (2014). Adding health education specialist to your practice. Family Practice Management, 21(2), 10–15. Retrieved December 20, 2016 from http://www.aafp.org/fpm/2014/0300/p10.html.

  6. Collins, S.R., and Gunja, M.Z. (2017, March). Millions of Americans could face a premium surcharge through the ACA repeal bill’s ‘continuous coverage’ provision. To the Point, The Commonwealth Fund. Retrieved April 26, 2017 from http://www.commonwealthfund.org/publications/blog/2017/mar/premium-surcharge-under-aca-repeal-bill.

  7. Collins, S. R. and Nicholson, J. L. (2010, May). Rite of passage: Young adults and the affordable care act of 2010. The Commonwealth Fund, 87, 1–23. Retrieved September 13, 2016 from http://www.commonwealthfund.org/Publications/Issue-Briefs/2010/May/Rite-of-Passage-Young-Adults-and-the-Affordable-Care-Act-of-2010.aspx.

  8. Collins, S.R., Rasmussen, P.W., Doty, M.M. (2014, July). Gaining ground: Americans’ health insurance coverage and access to care after the affordable care act’s first Open enrollment period. The Commonwealth Fund. Retrieved September 30, 2016 from http://www.commonwealthfund.org/publications/issue-briefs/2014/jul/Health-Coverage-Access-ACA.

  9. Collins, S. R., Robertson, R., Garber, T., Doty, M. M. (2012). Young, uninsured, and in debt: Why young adults lack health insurance and how the affordable care act is helping. The Commonwealth Fund, 14, 1–17. Retrieved September 13, 2016 from http://www.commonwealthfund.org/Publications/Issue-Briefs/2012/Jun/Young-Adults-2012.aspx.

  10. Creative Research Systems (2012). Sample size calculator. Retrieved April 26, 2017 from https://www.surveysystem.com/sscalc.htm.

  11. DeNavas-Walt, C., B. D. Proctor, and J. C. Smith. (2011). Income, poverty, and health insurance coverage in the United States: 2010. (Research Report P60-239). Retrieved September 13, 2016 from United States Census Website: http://www.census.gov/prod/2011pubs/p60-239.pdf.

  12. Fortuna, R. J., Robbins, B. W., & Halterman, J. S. (2009). Ambulatory care among young adults in the United States. Annals of Internal Medicine, 151(6), 379–385.

    Article  PubMed  Google Scholar 

  13. Hill-Mey, P. E., Kumpfer, K. L., Merrill, R. M., Reel, J., Hyatt-Neville, B. & Richardson, G. E. (2015). Worksite health promotion programs in college settings. Journal of Education and Health Promotion, 4(12), 1–7. doi:10.4103/2277-9531.154019

    Google Scholar 

  14. Jerant, A., Fiscella, K., Tancredi, D.J., & Franks, P. (2013). Health insurance is associated with preventive care but not personal health behaviors. Journal of The Board of Family Medicine, 26(6), 759–767.

  15. Koh, H., & Sebelius, K. (2010). Promoting prevention through the affordable care act. The New England Journal of Medicine, 363(14), 1296–1299.

    Article  CAS  PubMed  Google Scholar 

  16. Luquis, R., & Paz, H. Attitudes about and practices of health promotion and prevention among primary care providers. Health Promotion Practice, 16(5), 745–755. doi:10.1177/1524839914561516.

  17. Minino, A. M., Heron, M. P., Murphy, S. L., & Kochanek, K. D. (2007). Deaths: final data for 2004. Natl. Vital Statistics Report, 55, 1–119.

    Google Scholar 

  18. Ozer, E. M., Urquhart, J. T., Brindis, C. D., Park, M. J., & Irwin, C. E. (2012). Young adult preventive health care guidelines. Archives of Pediatric Adolescent Medicine, 166(3), 240–246.

    Article  Google Scholar 

  19. Palanker, D., Volk, J., and Giovannelli, J. (2017, March). Eliminating essential health benefits will shift financial risk back to consumers. To the Point, The Commonwealth Fund. Retrieved April 26, 2017 from http://www.commonwealthfund.org/publications/blog/2017/mar/eliminating-essential-health-benefits-financial-risk-consumers.

  20. Pollack, H. A. (2011). Prevention and public health. Journal of Health Politics, Policy and Law, 36(3), 515–520.

    Article  PubMed  Google Scholar 

  21. Sommers, B. D., Buchmueller, T., Decker, S. L., Carey, C., & Kronick, R. (2013). The affordable care act has led to significant gains in health insurance and access to care for young adults. Health Affairs, 32(1), 165–174.

    Article  PubMed  Google Scholar 

  22. Sommers, B. D., & Kronick, R. (2012). The affordable care act and insurance coverage for young adults. JAMA: The Journal of the American Medical Association, 307(9), 913–914.

    Article  CAS  PubMed  Google Scholar 

  23. The Commonwealth Fund (2017). Essential facts about health reform alternatives: continuous coverage requirement. Retrieved April 26, 2017 from http://www.commonwealthfund.org/publications/explainers/2017/apr/continuous-coverage-requirement.

  24. The Commonwealth Fund (2011). Health insurance tracking survey of young adults 2011. Retrieved September 13, 2016 from http://www.commonwealthfund.org/Surveys/2012/Jun/Health-Insurance-Tracking-Survey-of-Young-Adults.aspx.

  25. Thorpre, R. J., Wilson-Frederick, S. M., Bowie, J. V., Coa, K., LaVeist, T. A., and Whitfied, K. E. (2013). Health behaviors and all-cause mortality in African American men. American Journal of Mens Health, 7(4), 8S–18S.

    Article  Google Scholar 

  26. U.S. Census Bureau, (2014). 2014 American Community Survey 1-Year Estimates. Retrieved September 13, 2016 from http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_14_1YR_S0101&prodType=table.

  27. U.S. Department of Health and Human Services, (2010). The patient protection and affordable care act (ACA). Retrieved September 13, 2016 from http://www.hhs.gov/healthcare/about-the-law/read-the-law/index.html.

  28. U.S. Preventive Services Taskforce, (2016). USPSTF A and B Recommendations, 2016. Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recommendations/.

  29. Wang, C., O’Neill, S. M., Rothrock, N., Gramling, R., Sen, A., Acheson, L. S., Rubinstein, W. S., Nease, D. E., & Ruffin, M. T. (2009). Comparison of risk perceptions and beliefs across common chronic diseases. Preventive Medicine, 48, 197–202.

    Article  PubMed  Google Scholar 

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Funding

The funding was provided by Research Council Grant, Penn State Harrisburg

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Authors and Affiliations

  1. School of Behavioral Sciences and Education, Penn State Harrisburg, W314 Olmsted, 777 West Harrisburg Pike, Middletown, PA, 17057-4898, USA

    Raffy R. Luquis & Weston S. Kensinger

Authors
  1. Raffy R. Luquis
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  2. Weston S. Kensinger
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Correspondence to Raffy R. Luquis.

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The authors declare that they have no conflict of interest.

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The study is compliant with the Office for Research Protections, Human Subjects Research, of the Pennsylvania State University.

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Luquis, R.R., Kensinger, W.S. Perceptions of Health Care and Access to Preventive Services Among Young Adults. J Community Health 42, 1204–1212 (2017). https://doi.org/10.1007/s10900-017-0371-2

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  • DOI: https://doi.org/10.1007/s10900-017-0371-2

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