Smoking prevalence in Medicaid has been declining at a negligible rate

Shu-Hong Zhu, Christopher M Anderson, Yue-Lin Zhuang, Anthony C Gamst and Neal D Kohatsu

PLOS ONE, 2017, vol. 12, issue 5, 1-15

Abstract: Background: In recent decades the overall smoking prevalence in the US has fallen steadily. This study examines whether the same trend is seen in the Medicaid population. Methods and findings: National Health Interview Survey (NHIS) data from 17 consecutive annual surveys from 1997 to 2013 (combined N = 514,043) were used to compare smoking trends for 4 insurance groups: Medicaid, the Uninsured, Private Insurance, and Other Coverage. Rates of chronic disease and psychological distress were also compared. Results: Adjusted smoking prevalence showed no detectable decline in the Medicaid population (from 33.8% in 1997 to 31.8% in 2013, trend test P = 0.13), while prevalence in the other insurance groups showed significant declines (38.6%-34.7% for the Uninsured, 21.3%-15.8% for Private Insurance, and 22.6%-16.8% for Other Coverage; all P’s

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0178279

DOI: 10.1371/journal.pone.0178279

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