title: New York City Taxi Drivers' Knowledge and Perceptions of the Affordable Care Act.
abstract: This study was conducted to assess New York City taxi drivers' knowledge and perceptions of the Affordable Care Act (ACA). A cross-sectional street-intercept study design was used to assess drivers' knowledge about the ACA. A 146-item questionnaire was administered from September 12 to December 6, 2013 to 175 yellow taxi and for-hire vehicle drivers. 91 % of drivers were foreign-born; 50 % were uninsured. Mean knowledge about the ACA was quite low; 78 % of the sample either knew nothing or only a little bit about the ACA. 77 % wanted more information about the ACA. Greater English proficiency, more years driving a taxi, and knowledge of having or not having a pre-existing health condition (vs. not knowing) were related to higher ACA knowledge levels. Knowledge of a pre-existing condition (whether they had one or not) compared to those who lacked such knowledge was also an important predictor of the perception of whether the ACA would have a positive impact. To facilitate enrollment, efforts should focus on occupationally-focused initiatives that educate drivers at their places of work and leisure, to raise the overall knowledge levels and enrollment of the community.
authors.affiliation: Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.|Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.|Department of Healthcare Policy and Research, Weill Cornell Medical College, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA.|Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
authors.forename: Francesca
authors.initials: F
authors.lastname: Gany
authors.affiliation: Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
authors.forename: Cristina
authors.initials: C
authors.lastname: Flores
authors.affiliation: Department of Oncological Sciences, Mount Sinai School of Medicine, Icahn Medical Institute, New York, NY, USA.
authors.forename: Gary
authors.initials: G
authors.lastname: Winkel
authors.affiliation: Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
authors.forename: Ishtiaq
authors.initials: I
authors.lastname: Alam
authors.affiliation: Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
authors.forename: Margaux
authors.initials: M
authors.lastname: Genoff
authors.affiliation: Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA. lengj@mskcc.org.|Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA. lengj@mskcc.org.|Department of Healthcare Policy and Research, Weill Cornell Medical College, 485 Lexington Avenue, 2nd Floor, New York, NY, 10017, USA. lengj@mskcc.org.|Department of Medicine, Weill Cornell Medical College, New York, NY, USA. lengj@mskcc.org.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Leng
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D007802:Language; D008297:Male; D017057:Medically Uninsured / Q000706:statistics & numerical data; D008875:Middle Aged; D009519:New York City; D009790:Occupations; D058991:Patient Protection and Affordable Care Act / Q000706:statistics & numerical data*; D010465:Perception; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Affordable Care Act; Knowledge; Perceptions; Taxi drivers