The effect of WIC and Medicaid on infant mortality in the United States
The effect of WIC and Medicaid on infant mortality in the United States
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DOI：
10.2105/ajph.88.9.1354
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发表时间：
1998-09-01
影响因子：
12.7
通讯作者：
Carver, K
中科院分区：
文献类型：
--
作者：
Moss, NE;Carver, K
目标.本研究探讨了参与妇女、婴儿和儿童特别补充营养计划（WIC）和医疗补助对美国婴儿死亡风险的影响。1988年全国母婴健康调查被用来考虑妇女参与WIC和医疗补助计划的婴儿在怀孕期间和婴儿的第一年的内源性和外源性死亡的风险。妊娠期和婴儿期参与WIC计划：与内源性和外源性婴儿死亡风险降低相关（优势比[OR] = 0.68和0.62）。分别）。母亲在怀孕期间参加医疗补助的婴儿内源性死亡的风险等于私人保险（OR= 1.04）。未参保婴儿内源性死亡风险较高（OR = 1.42）。这些结果表明，重要的是要考虑WIC和医疗补助参与的净效应，并区分计划接收的时间和死亡原因。有证据表明，WIC和医疗补助计划对贫困妇女及其婴儿有有益的影响。
Objectives. This study examined the impact of participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Medicaid on risk of infant death in the United States.Methods. The 1988 National Maternal and Infant Health Survey was used to consider the risk of endogenous and exogenous deaths among infants of women participating in WIC and Medicaid during pregnancy and the infant's first year.Results. Participation in the WIC program during pregnancy and infancy :vas associated with a reduced risk of endogenous and exogenous infant deaths (odds ratios [ORs] = 0.68 and 0.62. respectively). The risk of endogenous death among infants whose mothers participated in Medicaid during pregnancy was equal to that of the privately insured (OR= 1.04). Uninsured infants faced higher risks of endogenous death (:OR = 1.42).Conclusions. These results show that it is important to consider the net effect of WIC and Medicaid participation and to differentiate both the timing of program receipt and cause of death. Evidence suggests that WIC and Medicaid programs have beneficial effects for poor women and their infants.