Adverse Childhood Experiences: Health Care Utilization And Expenditures In Adulthood.

Adverse childhood experiences (ACEs) have been shown to be strong predictors of socioeconomic status, risky health behaviors, chronic health conditions, and adverse outcomes. However, less is known about their association with adult health care utilization and expenditures. We used new data from the 2021 Medical Expenditure Panel Survey-Household Component (MEPS-HC) to provide the first nationally representative estimates of ACEs-related health care utilization and expenditure differences based on direct observation, rather than model-based extrapolation.

Structure, Health Benefits, Mechanisms, and Gut Microbiota of Polysaccharides: A Review.

polysaccharides (DOPs) are important active polysaccharides found in , which is commonly used as a conventional food or herbal medicine and is well known in China. DOPs can influence the composition of the gut microbiota and the degradation capacity of these symbiotic bacteria, which in turn may determine the efficacy of dietary interventions. However, the necessary analysis of the relationship between DOPs and the gut microbiota is lacking.

The Joint Distribution Of High Out-Of-Pocket Burdens, Medical Debt, And Financial Barriers To Needed Care.

Health care financial pressures in the US can manifest themselves in a variety of ways. Some families face high out-of-pocket spending on insurance premiums and medical care relative to income and assets. Some face medical debt that must be paid off over time.

The Risk Of Severe COVID-19 Within Households Of School Employees And School-Age Children.

Across the United States, school districts are grappling with questions of whether and how to reopen and keep open elementary and secondary schools in the 2020-21 academic year. Using household data from before the pandemic (2014-17), we examined how often people who have health conditions placing them at risk for severe coronavirus disease 2019 (COVID-19) were connected to schools, either as employees or by living in the same households as school employees or school-age children. Between 42.

Patient factors that affect opioid use among adults with and without chronic pain.

Background: In recent years, inappropriate use of prescription opioids has become a national crisis. Prescription opioids can be an important tool for managing pain, but excessive dosages or extended use may lead to drug dependence, overdoses and mortality. Since the early 2000s, increased prescribing of opioids has been associated with marked increases in these adverse outcomes.

Financial Burdens and Barriers to Care Among Nonelderly Adults With Heart Disease: 2010-2015.

Background We examined the prevalence of high burdens and barriers to care among adults with heart disease treatment. Methods and Results The participants were aged 18 to 64 years from the Medical Expenditure Panel Survey-Household Component (MEPS-HC) for 2010-2015. is out-of-pocket spending on care and insurance premiums >20% of income.

Educational attainment and health outcomes: Data from the Medical Expenditures Panel Survey.

Objectives: Using data from the nationally representative Medical Expenditures Panel Survey (MEPS), we explored the extent to which health care utilization and health risk-taking, together with previously examined mediators, can explain the education-health gradient above and beyond what can be explained by previously examined mediators such as age, race, and poverty status.

Method: Health was measured using the Physical Component Score (PCS) from the Medical Outcomes Study 12-Item Short Form (SF-12). Educational attainment was self-reported and categorized as 1 (less than high school), 2 (high school graduate or GED), 3 (some college), 4 (bachelor's degree), and 5 (graduate degree).

Most Americans Have Good Health, Little Unmet Need, And Few Health Care Expenses.

The distribution of health care expenditures remains highly concentrated, but most Americans use few health care resources and have low out-of-pocket spending. More than 93 percent of "low spenders" (those in the bottom half of the population) believe they have received all needed care in a timely manner. The low spending by the majority of the population has remained almost unchanged during the thirty-seven-year period examined.

Providers' advice concerning smoking cessation: Evidence from the Medical Expenditures Panel Survey.

Importance And Objective: We estimate how often adult smokers are advised to quit using a nationally representative sample of adults in the United States.

Design And Participants: Data are from the 2012-2013 household component of the United States (US) Medical Expenditures Panel Survey (MEPS).

Main Outcome Measure: Current smoking and advice to quit offered by providers.

Young Adult Insurance Coverage And Out-Of-Pocket Spending: Long-Term Patterns.

The Affordable Care Act appears to have improved health insurance coverage for young adults (ages 18-30). But data from twenty national surveys conducted between 1977 and 2013 paint a more complex picture, showing coverage rates lower in 2013 than they were thirty-six years earlier. Racial and ethnic disparities in coverage have declined recently, while out-of-pocket expenditures remain low for most young adults.

Out-of-pocket healthcare expenditure burdens among nonelderly adults with hypertension.

Objectives: To examine the prevalence of high out-of-pocket burdens and self-perceived financial barriers to care among patients receiving hypertension treatment.

Study Population: Persons 18 to 64 years receiving treatment for hypertension from a nationally representative sample of the US population from the 2007 to 2009 Medical Expenditure Panel Survey.

Main Outcome Measures: The proportion of persons living in families with high a out-of-pocket burden associated with medical spending relative to income, defining high healthcare burden as spending on healthcare greater than 20% of income and high total burden as spending on healthcare and insurance premiums greater than 20% of income.