THE IMPACT OF MEDICAID EXPANSION ON CONTRACEPTIVE USE IN NEIGHBORHOODS OF RACIALIZED SOCIOECONOMIC DEPRIVATION AND PRIVILEGE

摘要: ObjectivesHealth outcomes in the US vary by neighborhoods, but Medicaid research expansion may miss local heterogeneity. We assessed if state Medicaid expansion impacted contraceptive use differentially by neighborhood-level context.MethodsUsing restricted data from the National Survey of Family Growth, we identified state Medicaid expansion status in January 2014 and compared pre-expansion (2011–2013) data with post-expansion data. Neighborhood racialized socioeconomic deprivation/privilege was defined using respondents’ census tract Index of Concentration at the Extremes (ICE). We used a difference-in-differences approach with multivariable linear probability and multinomial logistic regression models with region fixed effects to estimate the impact of Medicaid expansion on contraceptive use and method type, by neighborhood ICE tertile.ResultsOf 13,224 respondents, 45% lived in non …