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
Gartner, Danielle
中科院分区:
医学1区
文献类型:
--
作者:
Margerison, Claire E.;Hettinger, Katlyn;Kaestner, Robert;Goldman-Mellor, Sidra;Gartner, Danielle

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围产期精神健康不良是一种常见的与怀孕有关的发病率,其潜在的严重影响不仅限于个人,还包括其家庭。造成围产期心理健康状况不佳的一个可能因素是健康保险覆盖范围的中断,这在低收入人群中尤为重要。我们研究了扩大医疗补助对低收入生育人群孕前抑郁筛查和自我报告的抑郁以及产后抑郁症状和幸福感的影响。扩大医疗补助与自我报告的孕前抑郁下降16%有关,但与产后抑郁症状或幸福感无关。医疗补助的扩大与孕前心理健康措施之间的关联自扩大以来随着时间的推移而增加。将医疗保险覆盖范围扩大到怀孕前的低收入人群可能会改善围产期的心理健康。
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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