Women and Health Care in the Early Years of the ACA: Key Findings from the 2013 Kaiser Women's Health Survey
Introduction
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- Exhibit 1.1: Selected Demographic Characteristics of Women, Ages 18-64
- Exhibit 1.2: Selected Socio-Economic Characteristics of Women, Ages 18-64
- Exhibit 1.3: Selected Demographic Characteristics of Women, Ages 15-44
- Exhibit 1.4: Selected Socio-Economic Characteristics of Women, Ages 15-44
- Exhibit 1.5: Poorer women have higher rates of fair/poor health and conditions resulting in activity limitations
Coverage, Access, and Affordability
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- Exhibit 3.1: Majority of women are covered by employer-sponsored insurance (ESI)
- Exhibit 3.2: Over four in ten young women are insured under a parent’s plan
- Exhibit 3.3: Women of color have lower rates of private coverage and higher rates of Medicaid or no insurance
- Exhibit 3.4: Many low-income women are uninsured
- Exhibit 3.5: A higher share of women than men forgo health care needs due to cost
- Exhibit 3.6: Health care costs are a barrier to care for uninsured women, but also for women with Medicaid and private coverage
- Exhibit 3.7: Logistical problems pose barriers to health care for women, particularly low-income women
- Exhibit 3.8: Medical bills affect many aspects of women’s financial stability
Connections to Health Providers
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- Exhibit 4.1: Most women identify a place where they go for care
- Exhibit 4.2: Most women identify a place or clinician they usually go to for care, but lower among uninsured women
- Exhibit 4.3: Doctor’s offices are the most common setting where women receive care
- Exhibit 4.4: Clinicians are important sources of care for women with Medicaid or who are uninsured
- Exhibit 4.5: Over one-third of women have more than one provider they see for routine care, OB/GYN most likely to be identified as secondary provider
- Exhibit 4.6: Uninsured women have lower rates of recent provider visits
Preventive Services
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- Exhibit 5.1: Women’s knowledge about ACA coverage for preventive services
- Exhibit 5.2: Eight in ten women have had a recent general check up, but rates are lower among some groups
- Exhibit 5.3: Counseling on health behaviors is highest for diet, exercise and nutrition
- Exhibit 5.4: Higher rates of counseling on some topics among women who are younger or poorer health
- Exhibit 5.5: Four in ten women report speaking with their providers about mental health issues, rates higher among some groups
- Exhibit 5.6: Lower utilization of screening tests among uninsured women
- Exhibit 5.7: Rise in rate of cholesterol screenings between 2001 and 2013, rate of pap tests is falling
Reproductive and Sexual Health Services
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- Exhibit 6.1: Most women have had a gynecologic or obstetric exam in the past year, except for women who are uninsured
- Exhibit 6.2: Most women obtain gynecologic exams at a doctor’s office, but many also rely on clinics
- Exhibit 6.3: Provider counseling on contraception is more common than other sexual health topics, but there is variation by insurance status
- Exhibit 6.4: Counseling rates for STIs and HIV are higher among Black and Hispanic women compared to White women
- Exhibit 6.5: Counseling on reproductive and sexual health is most frequently reported by women in their early twenties
- Exhibit 6.6: Approximately one-quarter of women have discussed domestic violence with their provider, but rates are higher among Hispanic women and those with Medicaid
- Exhibit 6.7: Many women incorrectly believe that STI testing is routine part of an examination
- Exhibit 6.8: One in five sexually active women are at risk for unintended pregnancy because they are not using contraception
- Exhibit 6.9: Many women use contraception to prevent pregnancy and manage medical conditions
- Exhibit 6.10: Women of color have higher reliance on clinics and health centers for contraceptive care
- Exhibit 6.11: One-third of uninsured women receive birth control from family planning clinics
- Exhibit 6.12: Most women receive a three months’ supply of birth control pills, but one in four receive a longer term supply
- Exhibit 6.13: Most women have heard of emergency contraceptive (EC) pills, but few have used or purchased them
- Exhibit 6.14: One in three women had full coverage for birth control, but one in five had no coverage for contraceptives
- Exhibit 6.15: Among women with private insurance, one in three report plan paid for full cost of contraceptives
- Exhibit 6.16: Many young women place a high value on confidentiality, but are unaware that private plans can send EOBs to parents
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Exhibit 1.1
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Exhibit 3.1
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Exhibit 4.1
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Exhibit 5.1
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Exhibit 6.1
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Exhibit 6.14
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Exhibit 6.15
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