income (less than $20,000) respondents were Hispanic, with some college educa ... 1University of Maryland, College Park, MD, USA, 2UCLA, Los Angeles, MD, ...
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in this study. Pre-validated modified 24- item questionnaire was used to capture the data. The survey consists of 4 parts: demographics characteristics, knowledge of bioequivalence of generic medicines, understanding of brand versus generic medicines and perceptions of current prescribing education. Results: Of the 322 participants responding to the questionnaire, 203 were male and 119 were female with overall response rate 88.5%. The average age of the respondents was 24.77 years (standard deviation = 1.23 years). About 75.5% of the whole students did not understand the bioequivalent limits of generic medicines if compared to the branded medicines, only 8 (2.5%) students answered the correct choice. More than 80% of the students did not know how bioequivalent test conducted for generic medicines; however about half of respondents agreed that generic medicines are therapeutically equivalent with innovators. Most students (n = 302) stated that they need more information on the issues pertaining to the safety and efficacy of generic medicine. Majority of the students (87%) believed that pharmacists are one of the important health care professionals advising the general practitioners on issues related generic medicine. Conclusions: The finding of this study revealed that there is lack of information among respondents regarding important aspects of generic medicines especially the topic of bioavailability and bioequivalence PHS133 Reducing Young Invincibles’ Health Care Spending through the Aca Expansion of Dependent Coverage Chen J1, Vargas-Bustamante A2, Novak P3 of Maryland, College Park, MD, USA, 2UCLA, Los Angeles, MD, USA, 3School of Public Health, University of Maryland, College Park, MD, USA
1University
Objectives: To estimate health care expenditure trends among young adults ages 19-25 before and after the 2010 implementation of the Affordable Care Act (ACA) extended eligibility for dependent private health insurance coverage. Methods: Data sources: Nationally representative Medical Expenditure Panel Survey data from 2008 to 2012. Study design: We conducted cross-sectional analyses and employed a difference-in-differences model to estimate health care expenditure trends among young adults ages 19-25 (the treatment group) and ages 27-29 (the control group). Quantile regression was used to capture different associations between the ACA expansion and health care expenditures. Results: Our results show that the treatment group had 10% lower overall health care expenditures and 21% lower out-ofpocket payment compared to the control group in 2011-2012.The overall reduction was more significant at the higher end of the health care expenditure distribution. Results also show the increased spending on physician visits and prescription drugs and the reduction on inpatient visit costs of the treatment group in 2011-2012. Expenditures of private health insurers and Medicaid were similar before and after the ACA expansion. Conclusions: Increased health insurance enrollment as a consequence of the ACA extended eligibility for dependent’s private coverage might have successfully reduced spending and catastrophic expenditures. PHS134 Prevalence and Risk Factors of Alcohol Consumption in Young Poor People with Public Health Insurance from a Region of Colombia Salcedo Mejía F1, Alvis Zakzuk J2, Alvis Guzman N3 1Alzak Foundation, cartagena, Colombia, 2Alzak foundation, Cartagena, Colombia, 3University of Cartagena, Cartagena, Colombia
Objectives: To estimate the prevalence and risks factors of alcohol consumption (AC) in young poor people with public health insurance (PHI) in a region of Colombia in 2014. Methods: A questionnaire was designed and applied to young people between 10-24 years to collect information regarding AC and other sociodemographic characteristics. A sample of 10.677 young people with PHI was extracted from a simple random sampling. Risks factors of AC were identified. Fishers X2test was used to estimate statistical significance. Results: The prevalence of AC more than once a week in young man (YM) is 5,3% (CI 4.7-6.1%) and in young women (YW) 1,3% (CI95% 1.0-1.6). The mean age of both groups is 20 years (SD± 2,8). The prevalence of AC in young people > 18 years is 6.5% (CI95% 5.8-7.4) while in people 18 years drink alcohol 13.61 (p= 0.000) times more than YW> 18. YM with suicidal behavior drink alcohol 2,73 (p= 0.002) times more than YW and YM who have bad relationships with parents drink alcohol 3.47 (p= 0.000) times more than YW. Conclusions: Considering that drinking alcohol is illegal in Colombia in people under age (
