Changes in the Public Charge Rule and Health of Mothers and Infants Enrolled in New York State's Medicaid Program, 2014‒2019.
Changes in the Public Charge Rule and Health of Mothers and Infants Enrolled in New York State's Medicaid Program, 2014‒2019.
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公共负担规则的变化以及参加纽约州医疗补助计划的母亲和婴儿的健康，2014-2019 年。
DOI：
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发表时间：
2022
影响因子：
12.7
通讯作者：
A. Chaudry
中科院分区：
文献类型：
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作者：
S. Wang;Sherry Glied;Claudia Babcock;A. Chaudry
目标。调查 2017 年 1 月泄露的联邦政府打算扩大公共负担规则（使参与某些公共项目成为获得公民身份的障碍）对纽约州移民母亲和新生儿的影响。方法。我们使用纽约州医疗补助数据（2014-2019 年）来衡量规则泄漏（2017 年 1 月）对医疗补助登记、医疗保健利用、怀孕期间加入医疗补助的妇女的严重孕产妇发病率以及新生儿出生体重的影响。我们使用公民身份的模拟测量重复了我们的分析。结果。我们观察到移民母亲在全州范围内立即延迟参加产前医疗补助（优势比 = 1.49）。使用预测的公民身份，我们观察到移民母亲的婴儿出生体重下降幅度更大（-56 克）。结论。公共负担规则的泄露与移民妇女产前医疗补助登记的显着延迟以及新生儿出生体重的显着下降有关。在反移民情绪普遍存在的时期，当地公共卫生官员应考虑扩大移民社区的医疗服务和外展计划。 （美国公共卫生杂志。2022 年；112(12):1747-1756。https://doi.org/10.2105/AJPH.2022.307066）。
Objectives. To examine the effect of the January 2017 leak of the federal government's intent to broaden the public charge rule (making participation in some public programs a barrier to citizenship) on immigrant mothers and newborns in New York State. Methods. We used New York State Medicaid data (2014-2019) to measure the effects of the rule leak (January 2017) on Medicaid enrollment, health care utilization, and severe maternal morbidity among women who joined Medicaid during their pregnancies and on the birth weight of their newborns. We repeated our analyses using simulated measures of citizenship status. Results. We observed an immediate statewide delay in prenatal Medicaid enrollment by immigrant mothers (odds ratio = 1.49). Using predicted citizenship, we observed significantly larger declines in birth weight (-56 grams) among infants of immigrant mothers. Conclusions. Leak of the public charge rule was associated with a significant delay in prenatal Medicaid enrollment among immigrant women and a significant decrease in birth weight among their newborns. Local public health officials should consider expanding health access and outreach programs to immigrant communities during times of pervasive antiimmigrant sentiment. (Am J Public Health. 2022; 112(12):1747-1756. https://doi.org/10.2105/AJPH.2022.307066).