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BioMed Research International
Volume 2014 (2014), Article ID 813851, 8 pages
Research Article

Health Care Reform: Understanding Individuals’ Attitudes and Information Sources

1Department of Communication Studies, Ball State University, Muncie, IN 47306, USA
2Department of Economics, Ball State University, Muncie, IN 47306, USA
3Global Health Institute, Ball State University, Muncie, IN 47306, USA
4Department of Physiology and Health Science, Ball State University, Muncie, IN 47306, USA

Received 23 February 2014; Accepted 29 May 2014; Published 19 June 2014

Academic Editor: Ramal Moonesinghe

Copyright © 2014 Carolyn K. Shue et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Since passage of the Affordable Care Act (ACA) was signed into law by President Barrack Obama, little is known about state-level perceptions of residents on the ACA. Perceptions about the act could potentially affect implementation of the law to the fullest extent. This 3-year survey study explored attitudes about the ACA, the types of information sources that individuals rely on when creating those attitudes, and the predictors of these attitudes among state of Indiana residents. The respondents were split between favorable and unfavorable views of the ACA, yet the majority of respondents strongly supported individual components of the act. National TV news, websites, family members, and individuals’ own reading of the ACA legislation were identified as the most influential information sources. After controlling for potential confounders, the respondent’s political affiliation, age, sex, and obtaining ACA information from watching national television news were the most important predictors of attitudes about the ACA and its components. These results mirror national-level findings. Implications for implementing health care reform at the state-level are discussed.