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The effect of health insurance on sexual health: Evidence from the Affordable Care Act's dependent coverage mandate

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  • Oney, Melissa

Abstract

This study estimates changes in sexually transmitted disease rates for young adults in the United States following the Affordable Care Act's dependent coverage mandate; a provision that allows dependents to remain covered under their parents' health insurance plans until the age of 26. This study is the first to analyze changes in reported chlamydia and gonorrhea rates resulting from the dependent coverage mandate. Utilizing a difference-in-differences framework coupled with administrative data from the Centers for Disease Control and Prevention, I find that reported chlamydia rates increased for males and females ages 20–24 relative to comparison groups of males and females ages 15–19 and 25–29 following the mandate. I also find evidence of an increase in gonorrhea rates for females in this age group. I find no evidence that the mandate induced ex ante moral hazard.

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  • Oney, Melissa, 2018. "The effect of health insurance on sexual health: Evidence from the Affordable Care Act's dependent coverage mandate," Social Science & Medicine, Elsevier, vol. 202(C), pages 20-27.
    • Handle: RePEc:eee:socmed:v:202:y:2018:i:c:p:20-27
    DOI: 10.1016/j.socscimed.2018.02.021
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    References listed on IDEAS

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    1. Barbaresco, Silvia & Courtemanche, Charles J. & Qi, Yanling, 2015. "Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults," Journal of Health Economics, Elsevier, vol. 40(C), pages 54-68.
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    Cited by:

    1. Dimitrios Nikolaou, 2023. "Effects of marriage equality legislation on sexual health of the US population," Health Economics, John Wiley & Sons, Ltd., vol. 32(1), pages 107-133, January.

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