Awareness, Perceptions, and Communication Needs About the Affordable Care Act Across the Life Span

Bergeron, Caroline D.; Friedman, Daniela B.; Sisson, Diana C.; Tanner, Andrea; Kornegay, Vance; Owens, Otis L.; Weis, Megan A.; Patterson, Lee L.

doi:10.1080/19325037.2015.1133341

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…Visuals, including video and photographs, as well as culturally relevant messages should be included. These findings align with previous studies focused on best practices for effective health communication more generally (Bergeron et al, 2016; Friedman et al, 2015; Friedman, Hooker, Wilcox, Burroughs, & Rheaume, 2012; Tanner et al, 2016). As studies focused on different age, gender, racial, and cultural groups, we recommend that researchers and practitioners examine the effectiveness of different communication channels and messaging for different groups.…”

Section: Discussionsupporting

confidence: 91%

Physical Activity Communication: A Scoping Review of the Literature

Bergeron

Tanner

Friedman

et al. 2019

Health Promotion Practice

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Engaging in regular physical activity can help prevent chronic disease and enhance quality of life. Unfortunately, less than 20% of American adults meet the recommended physical activity guidelines, perhaps indicating ineffective communication efforts around physical activity. In preparation for the release of the second edition of the Physical Activity Guidelines for Americans, and using the physical activity guidelines as a cornerstone of our approach, we conducted a scoping review of physical activity communication research to understand the scholarly efforts related to communicating about physical activity. Using a social-ecological perspective, we identified studies using the keywords physical activity* OR exercise* AND health communication* in three public health and communication databases and retained studies conducted in the United States and published in English from 1995 through 2015. Sixty-seven articles included a mention of physical activity guidelines, a health communication focus, and media channels used in promoting physical activity. Half of the studies were published in health/science communication journals. One third of the studies mentioned physical activity guidelines. Only 19% of the studies featured mental health benefits of physical activity while more than 64% emphasized physical health benefits. Nearly all the studies (96%) mentioned the use of persuasion to encourage engagement in physical activity. More effort is needed to study the influence of communicating physical activity guidelines to the public. Best practices for future physical activity communication are discussed for both researchers and practitioners.

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Section: Discussionsupporting

confidence: 91%

Physical Activity Communication: A Scoping Review of the Literature

Bergeron

Tanner

Friedman

et al. 2019

Health Promotion Practice

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“…Possibly marital disruption complicates the eligibility criteria and Medicaid application for formerly married persons [22,24]. Unmarried persons may have limited time to apply for benefits or lower awareness of eligibility for benefits [37]. Unmarried persons have historically been more likely to be uninsured than their married counterparts and it appears these differences have widened post-ACA.…”

Section: Discussionmentioning

confidence: 99%

Association of Medicaid expansion with health insurance coverage by marital status and sex

2019

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ObjectiveTo determine the association of Medicaid expansion with health insurance coverage by marital status and sex.MethodsA population-based, quasi-experimental policy analysis was undertaken of the implementation of the Patient Protection and Affordable Care Act’s (ACA) Medicaid expansion provision on or after January 1, 2014. The 2010–16 American Community Survey provided data on 3,874,432 Medicaid-eligible adults aged 19–64 with incomes up to 138% of the federal poverty level. The outcome measures were no health insurance coverage and Medicaid coverage. The predictor variables were marital status and sex, with controls for family size, poverty status, race/ethnicity, education, employment status, immigration status, and metropolitan residence.ResultsIn 2016, the uninsured rate for married men and women in a Medicaid expansion state was 21.2% and 17.1%, respectively, compared to 37.4% for married men and 35.8% for married women in a non-expansion state. The Medicaid coverage rate grew between 14.8% to 19.3% in Medicaid expansion states, which contrasts with less than a 5% growth in non-expansion states. Triple differences analysis suggests that, for women of all age groups, Medicaid expansion resulted in a 1.6 percentage point lower uninsured rate for married women compared to unmarried women. For men, there was not a statistically significant difference in the uninsured rate for married compared to unmarried men. For women of all age groups, there was a 2.6 percentage point higher Medicaid coverage rate for married compared to unmarried women. For men, there was a 1.8 percentage point higher Medicaid coverage rate for married compared to unmarried men.ConclusionMedicaid expansion under the ACA differentially lowered uninsurance and improved Medicaid coverage for married persons, especially married women, more than unmarried persons.

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“…During data collection, the focus group facilitator explained that "Obamacare" is synonymous with "Affordable Care Act," and "ACA" 17 ; therefore, participants should use the term they are most familiar with. All focus groups and interview sessions were audio-recorded, professionally transcribed, and uploaded into Dedoose Version 7.6.21 software to assist with analysis.…”

Section: Methodsmentioning

confidence: 99%

What do urban college students really think about health insurance? A qualitative study

Palmedo

Murphy

Mateo

et al. 2018

Journal of American College Health

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Objective: To determine barriers and opportunities to health insurance enrollment among an undergraduate students at a large urban university. Participants: Participants were 31 college students enrolled in 4-year and community colleges in the City University of New York (CUNY), and six health services and insurance enrollment specialists who facilitate and assist in the health insurance enrollment process for CUNY students. Methods: Focus groups were conducted with students and in-depth interviews with key informants in May 2017. Results: The research revealed important insights into how students perceive and value insurance and yielded recommendations for the university to improve enrollment of its students. Conclusions: Many colleges can increase student enrollment in health insurance by informing and educating students about the process. Improving enrollment processes can increase insurance rates and improve student population health.

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Awareness, Perceptions, and Communication Needs About the Affordable Care Act Across the Life Span

Cited by 6 publications

References 18 publications

Physical Activity Communication: A Scoping Review of the Literature

Physical Activity Communication: A Scoping Review of the Literature

Association of Medicaid expansion with health insurance coverage by marital status and sex

What do urban college students really think about health insurance? A qualitative study

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