Prevalence of Top 5 Conditions Pre- and Post-ACA, Among a Cohort of Established Community Health Center Patients Pre- and Post-Implementation of the Affordable Care Act (ACA) Insurance Expansions in 2014, by Race/Ethnicity
| Non-Hispanic White (N = 29,764) | Hispanic (N = 30,296) | Non-Hispanic Black (N = 13,090) | ||||
|---|---|---|---|---|---|---|
| Pre, n (%) | Post, n (%) | Pre, n (%) | Post, n (%) | Pre, n (%) | Post, n (%) | |
| Alcohol and drug abuse | 4,576 (15.4) | 7,645 (25.7) | 1,025 (3.4) | 1,881 (6.2) | 1,111 (8.5) | 1,973 (15.1) |
| Asthma, COPD | 5,561 (18.7) | 7,960 (26.7) | 2,518 (8.3) | 3,697 (12.2) | 1,653 (12.6) | 2,314 (17.7) |
| Diabetes | 3,433 (11.5) | 4,212 (14.2) | 4,661 (15.4) | 5,680 (18.7) | 2,388 (18.2) | 2,933 (22.4) |
| Mental health disorders | 12,807 (43.0) | 16,666 (56.0) | 6,657 (22.0) | 9,612 (31.7) | 2,380 (18.2) | 3,619 (27.6) |
| Obesity | 4,743 (15.9) | 7,186 (24.1) | 4,850 (16.0) | 7,391 (24.4) | 2,480 (18.9) | 3,820 (29.2) |
COPD, chronic obstructive pulmonary disease, & emphysema.
Data from 386 community health centers in 19 states (AK, CA, FL, HI, KS, MD, MN, MO, MT, NC, NM, NV, OH, OR, RI, TX, WA, WI). The retrospective cohort of established patients included those who were uninsured at their last visit pre-ACA (2012 to 2013) and gained insurance coverage post-ACA (2014 to 2015). Conditions identified by ICD 9/10 codes in patients' problem lists or encounter diagnoses based on the Henry J Kaiser Family Foundation list of declinable conditions.