Medicaid Expansion Associated With Some Improvements In Perinatal Mental Health.
Medicaid Expansion Associated With Some Improvements In Perinatal Mental Health.
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DOI:
10.1377/hlthaff.2021.00776
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发表时间:
2021-10
期刊:
影响因子:
9.7
通讯作者:
Gartner, Danielle
中科院分区:
文献类型:
--
作者:
Margerison, Claire E.;Hettinger, Katlyn;Kaestner, Robert;Goldman-Mellor, Sidra;Gartner, Danielle
Poor perinatal mental health is a common pregnancy-related morbidity with potentially serious impacts that extend beyond the individual to their family. A possible contributing factor to poor perinatal mental health is discontinuity in health insurance coverage, which is particularly important among low-income people. We examined impacts of Medicaid expansion on prepregnancy depression screening and self-reported depression and postpartum depressive symptoms and well-being among low-income people giving birth. Medicaid expansion was associated with a 16 percent decline in self-reported prepregnancy depression but was not associated with postpartum depressive symptoms or well-being. Associations between Medicaid expansion and prepregnancy mental health measures increased with time since expansion. Expanding health insurance coverage to low-income people before pregnancy may improve perinatal mental health.
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