国家补充营养援助计划的协会 资格政策 乳房扫描
Ali R Kazmi1, S M Qasim Hussaini2, Fumiko Chino3
1Saint Louis University School of Medicine, St. Louis, Missouri.
Journal of the American College of Radiology : JACR
|June 27, 2024
概括
在补充营养援助计划 (SNAP) 中取消资产测试,增加了低收入妇女的乳房扫描查. 这一政策变化特别有利于农村地区和收入较低的妇女.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 与更低的医疗保健接入相关的粮食不安全性影响了低收入家庭.
- 补充营养援助计划 (SNAP) 旨在缓解粮食不安全问题.
- 许多州通过取消资产测试或扩大收入标准,扩大了SNAP资格.
研究的目的:
- 调查州级SNAP政策与符合条件的妇女乳房影像使用之间的关联.
- 确定消除资产测试或扩大SNAP收入资格是否会影响选率.
主要方法:
- 利用了2006-2019年40-79岁女性行为风险因素监测系统的数据.
- 采用差异分析来比较SNAP政策变化之前和之后的乳房扫描率.
- 将采用SNAP扩张政策的国家与没有采用SNAP扩张政策的国家进行了比较.
主要成果:
- 在SNAP中消除资产测试与乳房影像使用的2.11个百分点的增加有关.
- 这种增长在非大都市地区,收入低于25,000美元的女性和南部州更为明显.
- 乳房扫描率和扩大SNAP收入资格政策之间没有发现显著的关联.
结论:
- 取消SNAP资格资产测试的州政策与低收入妇女乳房扫描查率的提高有关.
- 最低收入阶段,农村地区和没有扩大医疗补助的州的妇女的积极影响最大.
- 扩大SNAP收入资格并没有显示出与乳房扫描使用增加的显著关联.
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