Objective. Examine measurement error to public health insurance in the American Community Survey (ACS). Data Sources/Study Setting. The ACS and the Medicaid Statistical Information System (MSIS). Study Design. We tabulated the two data sources separately and then merged the data and examined health insurance reports among ACS cases known to be enrolled in Medicaid or expansion Children's Health Insurance Program (CHIP) benefits. Data Collection/Extraction Methods. The two data sources were merged using protected identification keys. ACS respondents were considered enrolled if they had full benefit Medicaid or expansion CHIP coverage on the date of interview. Principal Findings. On an aggregated basis, the ACS overcounts the MSIS. After merging the data, we estimate a false-negative rate in the 2009 ACS of 21.6 percent. The false-negative rate varies across states, demographic groups, and year. Of known Medicaid and expansion CHIP enrollees, 12.5 percent were coded to some other coverage and 9.1 percent were coded as uninsured. Conclusions. The false-negative rate in the ACS is on par with other federal surveys. However, unlike other surveys, the ACS overcounts the MSIS on an aggregated basis. Future work is needed to disentangle the causes of the ACS overcount.

Although NBCCEDP provided cervical cancer screening services to 775,312 low-income, uninsured women, this number represented a small percentage of those eligible. In 2005, more than 34% of NBCCEDP-eligible women (3.1 million women) did not receive recommended Pap tests from either NBCCEDP or other sources.

1 This is the authors' final corrected manuscript version of : Downs, Nathan, Schouten, Peter, Parisi, Alfio and Turner, Joanna (2009) Background. Geographically, Queensland presents an extreme ultraviolet exposure climate to members of the public engaged in outdoor recreational activity. The risk of developing a skin cancer or an eye disease as a result of incidental exposure to naturally occurring ultraviolet radiation in the outdoor environment is proportionately high in a Queensland population compared to fair skinned population groups residing in comparable Northern Hemisphere latitudes. In contrast to these risks, elderly members of this high growth population group have been reported to be vitamin D deficient. The risks and potential benefits of exposure to sunlight in southern Queensland are assessed in this study with respect to recreational golfing. This sport is a popular recreational activity for the Queensland population and must be played during daylight hours.

Ultraviolet (UV) radiation affects human life and UV exposure is a significant everyday factor that individuals must be aware of to ensure minimal damaging biological effects to themselves. UV exposure is affected by many complex factors.Albedo is one factor, involving reflection from flat surfaces. Albedo is defined as the ratio of reflected (upwelling) irradiance to incident (downwelling) irradiance and is generally accepted only for horizontal surfaces. Incident irradiance on a non horizontal surface from a variety of incident angles may cause the reflectivity can change. Assumptions about the reflectivity of a vertical surface are frequently made for a variety of purposes but rarely quantified. As urban structures are dominated by vertical surfaces, using albedo to estimate influence on UV exposure is limiting when incident (downwelling) irradiance is not normal to the surface. Changes to the The RRG shows variability in reflective capacities of surface according to the above mentioned factors and present a more realistic influence on UV exposure than albedo for future investigations. Errors in measuring RRG at large solar zenith angles is explored, which equally highlights the errors in albedo measurement at large solar zenith angles.

Erythemal UV exposure for individuals involved in outside activities are affected according to surrounding structures in an urban environment. Occupational UV exposure is likely to increase by the effects of surrounding structures. UV reflections from surrounding structures, in this case vertical metal walls, were investigated for their influence on erythemal UV exposure in the southern hemisphere. Multiple dosimeters were placed at specific features on head forms, for three different vertical wall conditions, measured at hourly intervals, providing a more detailed representation of the effect of nearby (north facing) reflective wall, non-reflective wall and no wall on UV exposure for a construction worker facing the wall direction. Two types of metal sheeting walls were investigated, with the first type (shiny and smooth in appearance) showing results that indicate the UV reflectance from this surface can increase the average erythemal UV exposure by at least 20% and up to an average of 50% for certain facial positions, compared to no wall and up to 300% compared to a non reflective wall. A second metal sheeting type coated with colour, does not show as much influence on UV exposure for larger solar zenith angles compared to the first type of metal sheeting, but for smaller solar zenith angles provides an influence that approaches similar erythemal UV exposure to that when no wall is present. The time to reach the exposure limits defined by regulatory bodies for occupational UV exposure can be decreased if the first type of metal sheeting is in proximity to an outdoor worker. The experimental method of this study leads to discussion of how metal surfaces used in the construction industry physically reflect UV radiation. The conclusion is that albedo, which is traditionally used to measure UV reflection, is not an appropriate quantity to explore UV reflection from vertical metal surfaces. This may be due to the reason that metal surfaces seem to involve specular reflection as well as diffuse reflection.

Purpose We examine changes to health insurance coverage and access to health care among children, adolescents, and young adults since the implementation of the Affordable Care Act. Methods Using the National Health Interview Survey, bivariate and logistic regression analyses were conducted to compare coverage and access among children, young adolescents, older adolescents, and young adults between 2010 and 2016. Results We show significant improvements in coverage among children, adolescents, and young adults since 2010. We also find some gains in access during this time, particularly reductions in delayed care due to cost. While we observe few age-group differences in overall trends in coverage and access, our analysis reveals an age-gradient pattern, with incrementally worse coverage and access rates for young adolescents, older adolescents, and young adults. Conclusions Prior analyses often group adolescents with younger children, masking important distinctions. Future reforms should consider the increased coverage and access risks of adolescents and young adults, recognizing that approximately 40% are low income, over a third live in the South, where many states have not expanded Medicaid, and over 15% have compromised health.

Sport is an integral and enduring part of many societies, such as Australia. Participation in outdoor sports, such as tennis, comes with a very real risk of dangerous solar ultraviolet exposure which can result in erythema (sunburn), serious conditions such as skin cancer, including melanoma, and eye conditions such as cataracts and pterygium. This study remotely assesses the effective ultraviolet exposures in response to the increased sun safety awareness at a major summertime tennis tournament in Australia. The assessment only uses publicly accessible data and information. It was found that tournament organizers have effectively adopted sun‐safe protocols into the uniform policy that the court officials (judges and ball kids) are mandated to follow. The combination of sun‐participant geometry and the photoprotection provided by uniforms significantly reduced the ambient ultraviolet exposure, which was recorded to be as high as 9.9 SED h−1, to just 1.0 and 0.5 SED h−1 for ball kids and judges, respectively, compared to up to 2.0 SED h−1 for players. Even though caution is needed against complacency with sun safety, with the need for the court officials and the players to still apply sunscreen, the court officials provided persistent visual role modeling of sun‐safe behaviors.

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