title: Medicaid family planning expansions and related preventive care.
abstract: I examined the impact of state expansions in eligibility for Medicaid family planning services on the utilization of Papanicolaou (Pap) tests, clinical breast examinations, HIV testing, and routine doctor check-ups among women aged 21 to 44 years using the Behavioral Risk Factor Surveillance System (1993-2009). Using a natural experiment approach, I found significant increases in Pap tests and clinical breast examinations among women eligible for services under the expansions but no significant change in HIV testing or routine doctor check-ups.
authors.affiliation: Robert Wood Johnson Foundation Health & Society Scholar at the University of Michigan, Ann Arbor, MI, USA. wherry@umich.edu
authors.forename: Laura R
authors.initials: LR
authors.lastname: Wherry
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data; D000328:Adult; D040343:Behavioral Risk Factor Surveillance System; D001941:Breast Diseases / Q000175:diagnosis; D005193:Family Planning Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008484:Medicaid / Q000458:organization & administration* / Q000706:statistics & numerical data; D065006:Papanicolaou Test; D011315:Preventive Medicine / Q000458:organization & administration / Q000706:statistics & numerical data*; D014481:United States; D014626:Vaginal Smears / Q000706:statistics & numerical data; D055815:Young Adult