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Young Adults Changing Insurance Status: Gaps in Health Insurance Literacy

Journal of Community Health volume 43, pages 680–687 (2018)Cite this article

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References

  1. Sommers, B., & Rosenbaum, S. (2011). Issues in health reform: How changes in eligibility may move millions back and forth between Medicaid and insurance exchanges. Health Affairs, 30(2), 228–236.

    Article  PubMed  Google Scholar 

  2. Flores, M. J., & Lucia, L. (2015). Maximizing health insurance enrollment through Covered California during work and life transitions. Berkeley, CA: UC Berkeley Center for Labor Research and Education.

    Google Scholar 

  3. Collins, S. R., Robertson, R., Garber, T., & Doty, M. M. (2012). Gaps in health insurance: Why so many Americans experience breaks in coverage and how the Affordable Care Act will help: findings from the Commonwealth Fund Health Insurance Tracking Survey of U.S. Adults, 2011. Issue Brief (Commonwealth Fund), 9, pp. 1–22.

  4. Sommers, B. D., Graves, J. A., Swartz, K., & Rosenbaum, S. (2014). Medicaid and marketplace eligibility changes will occur often in all states; policy options can ease impact. Health Affairs, 33(4), 700–707. https://doi.org/10.1377/hlthaff.2013.1023.

    Article  PubMed  Google Scholar 

  5. Bonnie, R., Stroud, C., & Breiner, H. (2014). IOM and NRC (Institute of Medicine and National Research Council) Investing in the health and well-being of young adults. Washington, DC: The National Academies Press.

    Google Scholar 

  6. 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. Issue Brief (Commonwealth Fund).

  7. Sommers, B. D. (2014). Insurance cancellations in context: Stability of coverage in the nongroup market prior to health reform. Health Affairs, 33(5), 887–894.

    Article  PubMed  Google Scholar 

  8. Brindis, C. D., & Irwin, C. E., Jr. (2015). Insuring young adults in the United States through the Affordable Care Act. Journal of Adolescent Health, 57(2), 131–132. https://doi.org/10.1016/j.jadohealth.2015.05.008.

    Article  PubMed  Google Scholar 

  9. Carlson, D. L., Lennox Kail, B., Lynch, J.L., & Dreher, M. (2014). The Affordable Care Act, dependent health insurance coverage, and young adults’ health. Sociological Inquiry, 84(2), 191–209.

    Article  Google Scholar 

  10. Sudano, J. J., Jr., & Baker, D. W. (2003). Intermittent lack of health insurance coverage and use of preventive services. American Journal of Public Health, 93(1), 130–137.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Lavarreda, S. A., Gatchell, M., Ponce, N., Brown, E. R., & Chia, Y. J. (2008). Switching health insurance and its effects on access to physician services. Medical Care, 46(10), 1055–1063.

    Article  PubMed  Google Scholar 

  12. Sommers, B. D., Gourevitch, R., Maylone, B., Blendon, R. J., & Epstein, A. M. (2016). Insurance churning rates for low-income adults under health reform: Lower than expected but still harmful for many. Health Affairs, 35(10), 1816–1824.

    Article  PubMed  Google Scholar 

  13. Federico, S. G., Steiner, J. F., Beaty, B., Crane, L., & Kempe, A. (2007). Disruptions in insurance coverage: patterns and relationship to health care access, unmet need, and utilization before enrollment in the State Children’s Health Insurance Program. Pediatrics, 120(4), e1009–e1016.

    Article  PubMed  Google Scholar 

  14. Park, M. J., Scott, J. T., Adams, S. H., Brindis, C. D., & Irwin, C. E. (2014). Adolescent and young adult health in the United States in the past decade: Little improvement and young adults remain worse off than adolescents. Journal of Adolescent Health, 55(1), 3–16.

    Article  PubMed  Google Scholar 

  15. Luquis, R. R., & Kensinger, W. S. (2017). Perceptions of health care and access to preventive services among young adults. Journal of Community Health, 42(6), 1204–1212. https://doi.org/10.1007/s10900-017-0371-2.

  16. Bessett, D., Prager, J., Havard, J., Murphy, D. J., Agénor, M., & Foster, A. M. (2015). Barriers to contraceptive access after health care reform: Experiences of young adults in Massachusetts. Women’s Health Issues, 25(2), 91–96.

    Article  PubMed  Google Scholar 

  17. Rivera Drew, J. A., & Short, S. E. (2010). Disability and Pap smear receipt among US women, 2000 and 2005. Perspectives on Sexual and Reproductive Health, 42(4), 258–266.

    Article  PubMed Central  Google Scholar 

  18. Hall, K. S., Moreau, C., & Trussell, J. (2012). Determinants of and disparities in reproductive health service use among adolescent and young adult women in the United States, 2002–2008. American Journal of Public Health, 102(2), 359–367.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Martinez, G., Chandra, A., Febo-Vazquez, I., & Mosher, W. (2013). Use of family planning and related medical services among women aged 15–44 in the United States: National Survey of Family Growth, 2006–2010. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.

  20. Walker, E. R., Cummings, J. R., Hockenberry, J. M., & Druss, B. G. (2015). Insurance status, use of mental health services, and unmet need for mental health care in the United States. Psychiatric Services, 66(6), 578–584.

    Article  PubMed  Google Scholar 

  21. Olfson, M., Mojtabai, R., Sampson, N. A., Hwang, I., Druss, B., Wang, P. S., … Kessler, R. C. (2009). Dropout from outpatient mental health care in the United States. Psychiatric Services, 60(7), 898–907.

    Article  PubMed  Google Scholar 

  22. Font, S. A., & Maguire-Jack, K. (2016). Pathways from childhood abuse and other adversities to adult health risks: The role of adult socioeconomic conditions. Child Abuse and Neglect, 51, 390–399.

    Article  PubMed  Google Scholar 

  23. Levitt, L. (2015). Why health insurance literacy matters. JAMA, 313(6), 555–556.

    Article  PubMed  Google Scholar 

  24. Hoerl, M., Wuppermann, A., Barcellos, S. H., Bauhoff, S., Winter, J. K., & Carman, K. G. (2017). Knowledge as a predictor of insurance coverage under the Affordable Care Act. Medical Care, 55(4), 428–435.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Giovannelli, J., & Curran, E. (2016). Factors affecting health insurance enrollment through the state marketplaces: Observations on the ACA’s third open enrollment period. Issue Brief (Commonwealth Fund), 19, 1–12.

  26. Peerson, A., & Saunders, M. (2009). Health literacy revisited: what do we mean and why does it matter? Health Promotion International, 24(3), 285–296.

    Article  PubMed  Google Scholar 

  27. Wong, C. A., Asch, D. A., Vinoya, C. M., Ford, C. A., Baker, T., Town, R., & Merchant, R. M. (2015). Seeing health insurance and HealthCare. gov through the eyes of young adults. Journal of Adolescent Health, 57(2), 137–143.

    Article  PubMed  Google Scholar 

  28. Sansom-Daly, U. M., Lin, M., Robertson, E. G., Wakefield, C. E., McGill, B. C., Girgis, A., & Cohn, R. J. (2016). Health literacy in adolescents and young adults: An updated review. Journal of Adolescent and Young Adult Oncology, 5(2), 106–118.

    Article  PubMed  Google Scholar 

  29. Nielsen-Bohlman, L. T., Panzer, A. M., Hamlin, B., & Kindig, D. A. (2004). Institute of Medicine. Health literacy: A prescription to end confusion. Committee on Health Literacy, Board on Neuroscience and Behavioral Health.

  30. Politi, M. C., Kaphingst, K. A., Liu, J., Perkins, H., Furtado, K., Kreuter, M. W., … McBride, T. (2016). A randomized trial examining three strategies for supporting health insurance decisions among the uninsured. Medical Decision Making, 36(7), 911–922.

    Article  PubMed  Google Scholar 

  31. Feinberg, I., Frijters, J., Johnson-Lawrence, V., Greenberg, D., Nightingale, E., & Moodie, C. (2016). Examining associations between health information seeking behavior and adult education status in the US: An analysis of the 2012 PIAAC Data. PloS ONE, 11(2), e0148751.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  32. Housten, A. J., Furtado, K., Kaphingst, K. A., Kebodeaux, C., McBride, T., Cusanno, B., & Politi, M. C. (2016). Stakeholders’ perceptions of ways to support decisions about health insurance marketplace enrollment: A qualitative study. BMC Health Services Research, 16(1), 634.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  33. Barnes, A. J., Hanoch, Y., & Rice, T. (2015). Determinants of coverage decisions in health insurance marketplaces: consumers’ decision-making abilities and the amount of information in their choice environment. Health Services Research, 50(1), 58–80.

    Article  PubMed  Google Scholar 

  34. Baur, C. (2010). The national action plan to improve health literacy. US Department of Health and Human Services, Office of Disease Prevention and Health Promotion.

  35. State of California, Department of Finance. (2013). 2011 American Community Survey 1-year report: California. Sacramento, California.

  36. Kominski, G. F., Nonzee, N. J., & Sorensen, A. (2017). The Affordable Care Act’s impacts on access to insurance and health care for low-income populations. Annual Review of Public Health, 38, 489–505.

    Article  PubMed  Google Scholar 

  37. Martinez, M. E., & Cohen, R. A. (2013). Health insurance coverage: Early release of estimates from the National Health Interview Survey, January–June 2013. National Center for Health Statistics. National Center for Health Statistics, Centers for Disease Control and Prevention.

  38. Zammitti, E. P., Cohen, R. A., & Martinez, M. E. (2016). Health insurance coverage: early release of estimates from the National Health Interview Survey, January–June 2016. National Center for Health Statistics, Centers for Disease Control and Prevention.

  39. Meng, Y. Y., Cabezas, L. M., Roby, D. H., Pourat, N., & Kominski, G. F. (2012). Successful strategies for increasing enrollment in California’s low income health program (LIHP). Los Angeles: UCLA Center for Health Policy Research.

    Google Scholar 

  40. Raymond-Flesch, M., Lucia, L., Jacobs, K., & Brindis, C. D. (2015). Lessons from the Medi-Cal expansion frontlines: supporting county eligibility workers and certified enrollment. Berkeley: UC Berkeley Center for Labor Research and Education.

    Google Scholar 

  41. Fiedler, M., Aaron, H. J., Adler, L., & Ginsburg, P. B. (2017). Moving in the wrong direction—health care under the AHCA. New England Journal of Medicine, 376, 2405–2407.

    Article  PubMed  Google Scholar 

  42. Callaghan, T. H., & Jacobs, L. R. (2017). The future of health care reform: What is driving enrollment? Journal of Health Politics, Policy and Law, 42(2), 215–246.

    Article  PubMed  Google Scholar 

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Funding

This study was funded by a grant from The California Wellness Foundation (Cal Wellness). Created in 1992 as a private independent foundation, Cal Wellness’ mission is to improve the health of the people of California by making grants for health promotion, wellness education and disease prevention (Grant No. 2015-185). Claire Brindis was supported by grant #U45MC27709 from DHHS, Health Resources and Services Administration, Maternal and Child Health Bureau (Title V, Social Security Act), Division of Child, Adolescent and Family Health, Adolescent Health Branch.

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Affiliations

  1. Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California St., Suite 265, San Francisco, CA, 94118-1944, USA

    Lana Tilley, Jennifer Yarger & Claire D. Brindis

Authors
  1. Lana Tilley
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  2. Jennifer Yarger
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  3. Claire D. Brindis
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Correspondence to Lana Tilley.

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The authors declare that they have no conflict of interest.

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Tilley, L., Yarger, J. & Brindis, C.D. Young Adults Changing Insurance Status: Gaps in Health Insurance Literacy. J Community Health 43, 680–687 (2018). https://doi.org/10.1007/s10900-018-0469-1

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  • DOI: https://doi.org/10.1007/s10900-018-0469-1

Keywords

  • Health Policy Literature
  • Support Young Adults
  • Deferred Action For Childhood Arrivals (DACA)
  • Federally Qualified Health Centers (FQHCs)
  • Change Health Plans