New York City Taxi Drivers’ Knowledge and Perceptions of the Affordable Care Act

Francesca Gany, Cristina Flores, Gary Winkel, Ishtiaq Alam, Margaux Genoff, Jennifer Leng

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


This study was conducted to assess New York City taxi drivers’ knowledge and perceptions of the Affordable Care Act (ACA). A cross-sectional street-intercept study design was used to assess drivers’ knowledge about the ACA. A 146-item questionnaire was administered from September 12 to December 6, 2013 to 175 yellow taxi and for-hire vehicle drivers. 91 % of drivers were foreign-born; 50 % were uninsured. Mean knowledge about the ACA was quite low; 78 % of the sample either knew nothing or only a little bit about the ACA. 77 % wanted more information about the ACA. Greater English proficiency, more years driving a taxi, and knowledge of having or not having a pre-existing health condition (vs. not knowing) were related to higher ACA knowledge levels. Knowledge of a pre-existing condition (whether they had one or not) compared to those who lacked such knowledge was also an important predictor of the perception of whether the ACA would have a positive impact. To facilitate enrollment, efforts should focus on occupationally-focused initiatives that educate drivers at their places of work and leisure, to raise the overall knowledge levels and enrollment of the community.

Original languageEnglish
Pages (from-to)1130-1139
Number of pages10
JournalJournal of Community Health
Issue number6
StatePublished - 15 May 2015


  • Affordable Care Act
  • Knowledge
  • Perceptions
  • Taxi drivers


Dive into the research topics of 'New York City Taxi Drivers’ Knowledge and Perceptions of the Affordable Care Act'. Together they form a unique fingerprint.

Cite this