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Impact of Medicaid expansion on smoking prevalence and quit attempts among those newly eligible, 2011–2019

机译：医疗补助扩张对吸烟患病率的影响，并在新符合条件的新符合条件的尝试，2011-2019

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Introduction:Low-income populations have higher rates of smoking and are disproportionately affected by smoking-related illnesses. This study assessed the long-term impact of increased coverage for tobacco cessation through Medicaid expansion on past-year quit attempts and prevalence of cigarette smoking.Methods:Using data from CDC’s annual Behavioral Risk Factor Surveillance System 2011–2019, we conducted difference-in-difference regression analyses to compare changes in smoking prevalence and past-year quit attempts in expansion states versus non-expansion states. Our sample included non-pregnant adults (18–64 years old) without dependent children with incomes at or below 100% of the Federal Poverty Level (FPL).Results:Regression analyses indicate that Medicaid expansion was associated with reduced smoking prevalence in the first two years post-expansion (β=-0.019, p=0.04), but that this effect was not maintained at longer follow-up periods (β=-0.006, p=0.49). Results of regression analyses also suggest that Medicaid expansion does not significantly impact quit attempts in the short-term (β=-0.013, p=0.52) or at longer term follow-up (β=-0.026, p=0.08).Conclusions:Expanded coverage for tobacco cessation services through Medicaid alone may not be enough to increase quit-attempts or sustain a reduction in overall prevalence of smoking in newly eligible populations over time. Medicaid programs should consider additional strategies, such as public education campaigns and removal of barriers, to support cessation among enrollees.
机译：介绍：低收入人口具有更高的吸烟率，并受吸烟有关的疾病的不成比例。本研究评估了通过医疗补助在过去的戒烟尝试和香烟吸烟的患病率增加覆盖率增加的长期影响。方法：使用CDC的年度行为风险因素监测系统2011-2019，我们进行了差异-difference回归分析，以比较吸烟普遍性的变化以及扩张状态的过去的戒烟尝试与非扩张状态。我们的样品包括非孕妇（18-64岁），没有依赖儿童，在联邦贫困水平的100％或低于100％的贫困层面（FPL）。结果：回归分析表明医疗补助扩张与第一个时的吸烟患病率降低有关两年后扩增（β= -0.019，p = 0.04），但这种效果在更长的随访期（β= -0.006，p = 0.49）。回归分析结果还表明，医疗补助扩容不会显着影响短期内（β= -0.013，p = 0.52）或更长的术语随访（β= -0.026，p = 0.08）.Conclusions：仅通过医疗补助的烟草停养服务扩大覆盖范围可能不足以增加戒烟或维持新符合条件的群体在新符合条件的群体中的整体患病率降低。医疗补助计划应考虑额外的策略，例如公共教育活动和移除障碍，以支持登记者之间的停止。

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