Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception.
Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception.
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DOI：
10.1377/hlthaff.2020.00106
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Wherry LR
中科院分区：
文献类型：
--
作者：
Myerson R;Crawford S;Wherry LR
怀孕前一段时间对妇女及其婴儿的健康至关重要，但并非所有妇女在此期间都能获得健康保险。我们评估了ACA医疗补助扩大下健康保险的增加是否影响了10个孕前健康指标，包括慢性病和健康行为的患病率、避孕措施的使用和怀孕意图，以及孕前健康服务的接受情况。通过比较扩展州和非扩展州低收入妇女结局的变化，我们记录了与医疗补助扩展相关的扩展州低收入妇女更多的孕前健康咨询、孕前叶酸摄入量和产后有效避孕方法的使用。我们所检查的其他孕前健康指标没有发现变化的证据。我们的研究结果表明，扩大医疗补助导致孕前健康措施的一个子集可检测到的改善。
The period prior to pregnancy is critically important for the health of a woman and her infant, yet not all women have access to health insurance during this time. We evaluated whether increased access to health insurance under the ACA Medicaid expansions affected ten preconception health indicators, including the prevalence of chronic conditions and health behaviors, birth control use and pregnancy intention, and receipt of preconception health services. By comparing changes in outcomes for low-income women in expansion and non-expansion states, we document greater preconception health counseling, prepregnancy folic acid intake, and postpartum use of effective birth control methods among low-income women in expansion states associated with Medicaid expansion. We do not find evidence of changes on the other preconception health indicators examined. Our findings indicate that expanding Medicaid led to detectable improvements on a subset of preconception health measures.
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影响因子：
5.3
作者：
Chen, Alice;Oster, Emily;Williams, Heidi
通讯作者：
Williams, Heidi
影响因子：
120.7
作者：
Bibbins-Domingo, Kirsten;Grossman, David C.;Tseng, Chien-Wen
通讯作者：
Tseng, Chien-Wen
DOI：
10.1056/nejmsa1212321
发表时间：
2013-05-02
期刊：
The New England journal of medicine
影响因子：
--
作者：
Baicker K;Taubman SL;Allen HL;Bernstein M;Gruber JH;Newhouse JP;Schneider EC;Wright BJ;Zaslavsky AM;Finkelstein AN;Oregon Health Study Group
通讯作者：
Oregon Health Study Group
影响因子：
8
作者：
Johnston, Emily M.;McMorrow, Stacey;Kenney, Genevieve M.
通讯作者：
Kenney, Genevieve M.
影响因子：
13.7
作者：
Bertrand, M;Duflo, E;Mullainathan, S
通讯作者：
Mullainathan, S