Disparities in Health Care Utilization and Functional Limitations Among Adults With Serious Psychological Distress, 2006–2014

Objective:This study compared health care access, utilization, and functional indicators among adults with and without serious psychological distress (SPD) in the years surrounding implementation of the Patient Protection and Affordable Care Act (ACA).Methods:Adults ages 18 to 64 from the 2006–2014 National Health Interview Survey (N=207, 853) were examined on 11 access, utilization, and functional indicators: health insurance coverage (health coverage), insufficient money for medications, delay in health care (delay in care), insufficient money for health care, visiting a doctor ten or more times in the past 12 months, change in place of health care, change in place of health care due to insurance, limitations in ability to work, limitations in activities of daily living (ADLs), insufficient money for mental health care, and having seen a mental health care provider.Results:Multivariate models that were adjusted for health coverage and sociodemographic characteristics indicated that compared with adults ...