Appalachian disparities in tobacco cessation treatment utilization in Medicaid.

ABSTRACT:

Background

Kentucky Medicaid enrollees, particularly those in the rural Appalachian region, face disproportionate smoking rates and tobacco-related disease burden relative to the rest of the United States (US). The Affordable Care Act (ACA) mandated tobacco cessation treatment coverage by the US public health insurance program Medicaid. Medicaid coverage was also expanded in Kentucky, in 2013, with laxer income eligibility requirements. This short report describes tobacco use incidence and tobacco cessation treatment utilization, comparing by Appalachian status before and after ACA-mandated cessation treatment coverage.

Methods

The study design was a retrospective cross-sectional analysis from 2013 to 2015. Subjects were Medicaid enrollees with 1) diagnosis of any tobacco us

SUBMITTER: Goodin A 

PROVIDER: S-EPMC6971922 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature