Medicaid expansion and postpartum depressive symptoms: evidence from the 2009-2018 Pregnancy Risk Assessment Monitoring System survey
Medicaid expansion and postpartum depressive symptoms: evidence from the 2009-2018 Pregnancy Risk Assessment Monitoring System survey
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DOI：
10.1016/j.annepidem.2021.12.011
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发表时间：
2022-01-25
影响因子：
5.6
通讯作者：
Rowland, Caroline
中科院分区：
文献类型：
--
作者：
Austin, Anna E.;Sokol, Rebeccah L.;Rowland, Caroline
目的：这项人口代表性的研究探讨了根据患者保护和平价医疗法案（ACA）与产后抑郁症状低收入women.Methods的关联医疗补助扩张：我们使用的数据从2009 - 2018年怀孕风险评估监测系统（PRAMS）调查13医疗补助扩张和7个非扩张状态。我们使用了广义的差异中的差异的方法和对数二项回归模型来计算患病率（PR）和95%的置信区间（CI）比较产后抑郁症状的可能性低收入妇女（138%的联邦贫困水平。结论：我们的研究结果表明，医疗补助的扩大可能与产后抑郁症状的可能性小的减少。未来的研究应审查实施多种支持性政策的潜力，以在治疗和预防方面取得更大的进展。(c)2021爱思唯尔公司All rights reserved.
Purpose: This population-representative study examined the association of Medicaid expansion under the Patient Protection and Affordable Care Act (ACA) with postpartum depressive symptoms among low-income women.Methods: We used data from the 2009 - 2018 Pregnancy Risk Assessment Monitoring System (PRAMS) surveys for 13 Medicaid expansion and 7 non-expansion states. We used a generalized difference-in-differences approach and log-binomial regression models to calculate prevalence ratios (PRs) and 95% confidence intervals (CIs) comparing the likelihood of postpartum depressive symptoms among lowincome women ( 138% of the federal poverty level.Conclusion: Our results indicate that Medicaid expansion may be associated with a small reduction in the likelihood of postpartum depressive symptoms. Future research should examine the potential for implementation of multiple supportive policies to achieve larger gains in treatment and prevention. (c) 2021 Elsevier Inc. All rights reserved.