ACA Provisions Associated With Increase In Percentage Of Young Adult Women Initiating And Completing The HPV Vaccine.
Affordable Care Act provisions implemented in 2010 required insurance plans to offer dependent coverage to people ages 19-25 and to provide targeted preventive services with zero cost sharing. These provisions both increased the percentage of young adults with any source of health insurance coverage and improved the generosity of coverage. We examined how these provisions affected use of the human papillomavirus (HPV) vaccine, which is among the most expensive of recommended vaccines, among young adult women. Using 2008-12 data from the National Health Interview Survey, we estimated that the 2010 policy implementation increased the likelihood of HPV vaccine initiation and completion by 7.7 and 5.8 percentage points, respectively, for women ages 19-25 relative to a control group of women age 18 or 26. These estimates translate to approximately 1.1 million young women initiating and 854,000 young women completing the vaccine series.
Brandy J. Lipton (BLipton@cdc.gov) is a senior service fellow in the Office of Analysis and Epidemiology, National Center for Health Statistics, in Hyattsville, Maryland.
Brandy J
BJ
Lipton
Sandra L. Decker is a distinguished consultant in the Office of Analysis and Epidemiology, National Center for Health Statistics.
Sandra L
SL
Decker
D016022:Case-Control Studies; D017047:Cost Sharing / Q000191:economics / Q000331:legislation & jurisprudence; D005260:Female; D006801:Humans; D019458:Insurance Coverage / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000191:economics; D058991:Patient Protection and Affordable Care Act / Q000191:economics / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data*; D014481:United States; D014600:Utilization Review; D055815:Young Adult
D053918:Papillomavirus Vaccines
Access To Care; Health Reform; Insurance Coverage < Insurance