The association between affordable care act implementation and the prevalence of women having ever received a Pap smear.
Humans
Female
Papanicolaou Test
/ statistics & numerical data
Patient Protection and Affordable Care Act
/ statistics & numerical data
Adult
Cross-Sectional Studies
Young Adult
Early Detection of Cancer
/ statistics & numerical data
United States
Uterine Cervical Neoplasms
/ prevention & control
Prevalence
Middle Aged
Vaginal Smears
/ statistics & numerical data
Papillomavirus Vaccines
/ administration & dosage
Mammography
/ statistics & numerical data
Papanicolaou
mammography
screening
surveys
vaccination
Journal
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
ISSN: 1364-6893
Titre abrégé: J Obstet Gynaecol
Pays: England
ID NLM: 8309140
Informations de publication
Date de publication:
Dec 2024
Dec 2024
Historique:
medline:
23
8
2024
pubmed:
23
8
2024
entrez:
23
8
2024
Statut:
ppublish
Résumé
To assess if implementation of the 2010 Patient Protection and Affordable Care Act (ACA) was associated with changes in the prevalence of women having ever received a pap smear. This study utilised the publicly available Centre for Disease Control National Survey of Family Growth (NSFG) data set. This was a serial cross-sectional study. The comparison groups were defined as women who received cancer screening and prevention interventions prior to full implementation of the ACA (2011-2013) and post full implementation (2017-2019). The primary outcome was self-reporting receipt of a Papanicolaou (Pap) smear. Secondary outcomes included HPV vaccination and mammogram rates. Anonymized patient information was collected from the nationally representative dataset, and analyses were performed utilising STATA 18. The two study cohorts obtained from the NSFG included women who responded in 2011-2013 ( A decrease in proportion of women ever having had a Pap smear despite implementation of health policies to increase access to preventive measures suggests further interventions to improve access to cervical cancer screening are warranted. The Patient Protection and Affordable Care Act, which was implemented in 2014, aimed to reform health care access. This serial cross-sectional study demonstrated that the number of women age 21 or older who had ever received a pap smear fell after the implementation of the Patient Protection and Affordable Care Act.
Sections du résumé
BACKGROUND
UNASSIGNED
To assess if implementation of the 2010 Patient Protection and Affordable Care Act (ACA) was associated with changes in the prevalence of women having ever received a pap smear.
METHODS
UNASSIGNED
This study utilised the publicly available Centre for Disease Control National Survey of Family Growth (NSFG) data set. This was a serial cross-sectional study. The comparison groups were defined as women who received cancer screening and prevention interventions prior to full implementation of the ACA (2011-2013) and post full implementation (2017-2019). The primary outcome was self-reporting receipt of a Papanicolaou (Pap) smear. Secondary outcomes included HPV vaccination and mammogram rates. Anonymized patient information was collected from the nationally representative dataset, and analyses were performed utilising STATA 18.
RESULTS
UNASSIGNED
The two study cohorts obtained from the NSFG included women who responded in 2011-2013 (
CONCLUSION
UNASSIGNED
A decrease in proportion of women ever having had a Pap smear despite implementation of health policies to increase access to preventive measures suggests further interventions to improve access to cervical cancer screening are warranted.
The Patient Protection and Affordable Care Act, which was implemented in 2014, aimed to reform health care access. This serial cross-sectional study demonstrated that the number of women age 21 or older who had ever received a pap smear fell after the implementation of the Patient Protection and Affordable Care Act.
Autres résumés
Type: plain-language-summary
(eng)
The Patient Protection and Affordable Care Act, which was implemented in 2014, aimed to reform health care access. This serial cross-sectional study demonstrated that the number of women age 21 or older who had ever received a pap smear fell after the implementation of the Patient Protection and Affordable Care Act.
Identifiants
pubmed: 39176454
doi: 10.1080/01443615.2024.2393359
doi:
Substances chimiques
Papillomavirus Vaccines
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM