Prenatal healthcare after sentencing reform: heterogeneous effects for prenatal healthcare access and equity.
Prenatal healthcare after sentencing reform: heterogeneous effects for prenatal healthcare access and equity.
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DOI：
10.1186/s12889-022-13359-7
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发表时间：
2022-05-12
影响因子：
4.5
通讯作者：
Simes, Jessica T.
中科院分区：
文献类型：
--
作者：
Jahn, Jaquelyn L.;Simes, Jessica T.
美国的高监禁率对健康、社会和经济造成了重大影响，特别是对边缘化社区。本研究探讨监禁作为一个上下文驱动程序接受产前护理评估是否早期和充分的产前护理改善后，宾夕法尼亚州的刑事量刑改革减少监狱招生。我们将宾夕法尼亚州（2009-2015年）出生的个人出生证明微观数据（n = 999，503）与每月县级监狱入学率联系起来。我们采用中断的时间序列方法，对比政策后的变化，在早期和充分的产前护理县，监狱招生有效地减少或继续上升。然后，我们测试了产前护理的改善是否在黑人生育者和教育程度较低的人中更强。在政策实施后监狱接纳率下降最多的县，早期产前护理从69.0%上升到73.2%，产前护理不足从18.1%下降到15.9%。相比之下，早期产前护理的改善较小的县，监狱入院人数增加最后的政策（73.5%至76.4%），并没有改变产前护理不足（14.4%前和后）。我们发现这种改善模式在黑人生育者和教育程度较低的人中特别明显。宾夕法尼亚州的量刑改革与产前护理中种族和社会经济平等的微小进步有关。在线版本包含补充材料，可通过10.1186/s12889-022-13359-7获得。
High rates of imprisonment in the U.S. have significant health, social, and economic consequences, particularly for marginalized communities. This study examines imprisonment as a contextual driver of receiving prenatal care by evaluating whether early and adequate prenatal care improved after Pennsylvania’s criminal sentencing reform reduced prison admissions. We linked individual-level birth certificate microdata on births (n = 999,503) in Pennsylvania (2009–2015), to monthly county-level rates of prison admissions. We apply an interrupted time series approach that contrasts post-policy changes in early and adequate prenatal care across counties where prison admissions were effectively reduced or continued to rise. We then tested whether prenatal care improvements were stronger among Black birthing people and those with lower levels of educational attainment. In counties where prison admissions declined the most after the policy, early prenatal care increased from 69.0% to 73.2%, and inadequate prenatal care decreased from 18.1% to 15.9%. By comparison, improvements in early prenatal care were smaller in counties where prison admissions increased the most post-policy (73.5 to 76.4%) and there was no change to prenatal care inadequacy (14.4% pre and post). We find this pattern of improvements to be particularly strong among Black birthing people and those with lower levels of educational attainment. Pennsylvania’s sentencing reforms were associated with small advancements in racial and socioeconomic equity in prenatal care. The online version contains supplementary material available at 10.1186/s12889-022-13359-7.
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影响因子：
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作者：
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DOI：
10.1111/j.1552-6909.2009.01004.x
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