Marian Jarlenski
Biographic Data
| ID | 3557025 |
|---|---|
| NAME | Marian Jarlenski |
| GIVEN NAMES | Marian |
| FAMILY NAME | Jarlenski |
| SIGNATURE | JARLENSKI M |
| AFFILIATIONS | University of Pittsburgh |
| ORCID | 0000-0001-6907-5447 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 16 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
“A lot of hoops … to jump through”: Doula experiences serving Medicaid clients in states with and without Medicaid doula coverage
Introduction Doula care is cost effective and improves maternal and child health, especially for Medicaid enrollees. Many states reimburse doula care through Medicaid, but coverage varies and it is unclear how doulas have experienced these Medicaid changes. Methods Researchers conducted 16 focus groups with 58 doulas in 4 states with reimbursement and 2 without reimbursement. Transcripts were analyzed using memoing, deductive and inductive coding…
Doulas as Facilitators to Black Birthing People’s Needs in Pennsylvania in the Context of Medicaid Coverage
Introduction: Longstanding racial inequities in maternal mortality require tailored approaches to improving outcomes for Black birthing people. Doulas provide continuous emotional, physical, and informational support and have been shown to improve perinatal outcomes, particularly for Black birthing people. In response, some states have implemented Medicaid doula benefits. In January 2025, Pennsylvania—where ∼35% of births are Medicaid-covered—lau…
Spatial Patterns of Delivery Hospitalizations with Opioid Use Disorder in Pennsylvania
BACKGROUND: Opioid use disorder (OUD) in pregnancy has substantially increased throughout the drug overdose crisis, but little is known about how local community environments are associated with OUD in pregnancy. This study investigates spatial patterns and residential ZIP code-level factors associated with delivery hospitalizations with OUD in Pennsylvania and compares these patterns to those for all delivery hospitalizations and all OUD-related…
State Policy Changes and Unconditional Cash Transfers to Improve Maternal and Child Health
Advanced Child Tax Credit Monthly Payments and Substance Use Among US Parents
The study results suggest that 2021 ACTC monthly payments were not associated with increased parental substance use
Prenatal drug use criminalization and health system avoidance: Evidence from births in Alabama, South Carolina, and Tennessee, 1989-2019
MCO Perspectives on Medicaid Policy: Racial Equity in Pregnancy and Child Health
Introduction: In 2020 and 2021, Pennsylvania implemented the Equity Incentive Program and the Maternity Care Bundled Payment program, two unique pay-for-performance (P4P) programs that provide financial incentives for managed care organizations (MCOs) that make improvements in utilization and quality metrics for Black women and children. The current study addresses gaps in the research about MCO perceptions regarding the ability of financial poli…
Punitive legal responses to prenatal drug use in the United States: A survey of state policies and systematic review of their public health impacts
Opioid Use Disorder and Overdose in the First Year Postpartum: A Rapid Scoping Review and Implications for Future Research
Design, Implementation, and Evolution of the Medicaid Outcomes Distributed Research Network (MODRN)
BACKGROUND: In the US, Medicaid covers over 80 million Americans. Comparing access, quality, and costs across Medicaid programs can provide policymakers with much-needed information. As each Medicaid agency collects its member data, multiple barriers prevent sharing Medicaid data between states. To address this gap, the Medicaid Outcomes Distributed Research Network (MODRN) developed a research network of states to conduct rapid multi-state analy…
Screening for Sexually Transmitted Infections After Cervical Cancer Screening Guideline and Medicaid Policy Changes: A Population-based Analysis
BACKGROUND: Sexually transmitted infection (STI) screening prevents complications and is cost-effective. Annual screening is recommended in sexually active women below 25 years and older women at increased risk. Cervical cancer (CC) screening guideline changes in 2009 and 2012 recommended less frequent screening, causing concern that STI screening would decrease. Pennsylvania Medicaid implemented a family planning program in 2007 which covered wo…
Prenatal and Postpartum Care Disparities in a Large Medicaid Program
Characterization of U.S. State Laws Requiring Health Care Provider Reporting of Perinatal Substance Use
Medicaid Coverage Expansions and Cigarette Smoking Cessation Among Low-income Adults
INTRODUCTION: Expanding Medicaid coverage to low-income adults may have increased smoking cessation through improved access to evidence-based treatments. Our study sought to determine if states' decisions to expand Medicaid increased recent smoking cessation. METHODS: Using pooled cross-sectional data from the Behavioral Risk Factor Surveillance Survey for the years 2011-2015, we examined the association between state Medicaid coverage and the pr…
Pregnant Women's Access to Information About Perinatal Marijuana Use: A Qualitative Study
Association between Support from a Health Professional and Breastfeeding Knowledge and Practices Among Obese Women: Evidence from the Infant Practices Study II
Support for exclusive breastfeeding is an important predictor of breastfeeding initiation and duration among obese and nonobese women. Health educational interventions tailored to obese women might improve their breastfeeding initiation and continuation
The Politics of Opposition to the Enactment of the Patient Protection and Affordable Care Act in the United States
All non-essential functions of the United States federal government were shut down during the first two weeks of October 2013, due to a lapse in appropriations for fiscal year 2014. This disruption has a root in the Patient Protection and Affordable Care Act, which was passed in March 2010 to overhaul the US healthcare system. The law was a compromise reached to reconcile opposition from various interest groups. By examining the politics of oppos…
News Media Framing of Serious Mental Illness and Gun Violence in the United States, 1997-2012
Recent mass shootings by persons seemingly afflicted with serious mental illness (SMI) have received extensive news media coverage and prompted national dialogue about the causes of, and policy responses to, mass shootings. News media framing of SMI as a cause of gun violence may influence public attitudes about persons with SMI and support for gun violence prevention proposals. We analyzed the content of a 25% random sample of news stories on SM…
Insurance Coverage and Prenatal Care Among Low-Income Pregnant Women: An Assessment of States’ Adoption of the “Unborn Child” Option in Medicaid and CHIP
BACKGROUND: The "Unborn Child" (UC) option provides state Medicaid/Children's Health Insurance Program (CHIP) programs with a new strategy to extend prenatal coverage to low-income women who would otherwise have difficulty enrolling in or would be ineligible for Medicaid. OBJECTIVES: To examine the association of the UC option with the probability of enrollment in Medicaid/CHIP during pregnancy and probability of receiving adequate prenatal care.…
News Coverage of Sugar-Sweetened Beverage Taxes: Pro- and Antitax Arguments in Public Discourse
Objectives. We examined news coverage of public debates about large taxes on sugar-sweetened beverages (SSBs) to illuminate how the news media frames the debate and to inform future efforts to promote obesity-related public policy. Methods. We conducted a quantitative content analysis in which we assessed how frequently 30 arguments supporting or opposing SSB taxes appeared in national news media and in news outlets serving jurisdictions where SS…
Health Inequalities: Trends, Progress, and Policy
Health inequalities, which have been well documented for decades, have more recently become policy targets in developed countries. This review describes time trends in health inequalities (by sex, race/ethnicity, and socioeconomic status), commitments to reduce health inequalities, and progress made to eliminate health inequalities in the United States, United Kingdom, and other OECD countries. Time-trend data in the United States indicate a narr…
News Media Framing of Serious Mental Illness and Gun Violence in the United States, 1997-2012
Recent mass shootings by persons seemingly afflicted with serious mental illness (SMI) have received extensive news media coverage and prompted national dialogue about the causes of, and policy responses to, mass shootings. News media framing of SMI as a cause of gun violence may influence public attitudes about persons with SMI and support for gun violence prevention proposals. We analyzed the content of a 25% random sample of news stories on SM…
News Coverage of Sugar-Sweetened Beverage Taxes: Pro- and Antitax Arguments in Public Discourse
Objectives. We examined news coverage of public debates about large taxes on sugar-sweetened beverages (SSBs) to illuminate how the news media frames the debate and to inform future efforts to promote obesity-related public policy. Methods. We conducted a quantitative content analysis in which we assessed how frequently 30 arguments supporting or opposing SSB taxes appeared in national news media and in news outlets serving jurisdictions where SS…
The Politics of Opposition to the Enactment of the Patient Protection and Affordable Care Act in the United States
All non-essential functions of the United States federal government were shut down during the first two weeks of October 2013, due to a lapse in appropriations for fiscal year 2014. This disruption has a root in the Patient Protection and Affordable Care Act, which was passed in March 2010 to overhaul the US healthcare system. The law was a compromise reached to reconcile opposition from various interest groups. By examining the politics of oppos…
Health Inequalities: Trends, Progress, and Policy
Health inequalities, which have been well documented for decades, have more recently become policy targets in developed countries. This review describes time trends in health inequalities (by sex, race/ethnicity, and socioeconomic status), commitments to reduce health inequalities, and progress made to eliminate health inequalities in the United States, United Kingdom, and other OECD countries. Time-trend data in the United States indicate a narr…
News Coverage of Sugar-Sweetened Beverage Taxes: Pro- and Antitax Arguments in Public Discourse
Objectives. We examined news coverage of public debates about large taxes on sugar-sweetened beverages (SSBs) to illuminate how the news media frames the debate and to inform future efforts to promote obesity-related public policy. Methods. We conducted a quantitative content analysis in which we assessed how frequently 30 arguments supporting or opposing SSB taxes appeared in national news media and in news outlets serving jurisdictions where SS…
Association between Support from a Health Professional and Breastfeeding Knowledge and Practices Among Obese Women: Evidence from the Infant Practices Study II
Support for exclusive breastfeeding is an important predictor of breastfeeding initiation and duration among obese and nonobese women. Health educational interventions tailored to obese women might improve their breastfeeding initiation and continuation
The Politics of Opposition to the Enactment of the Patient Protection and Affordable Care Act in the United States
All non-essential functions of the United States federal government were shut down during the first two weeks of October 2013, due to a lapse in appropriations for fiscal year 2014. This disruption has a root in the Patient Protection and Affordable Care Act, which was passed in March 2010 to overhaul the US healthcare system. The law was a compromise reached to reconcile opposition from various interest groups. By examining the politics of oppos…
News Media Framing of Serious Mental Illness and Gun Violence in the United States, 1997-2012
Recent mass shootings by persons seemingly afflicted with serious mental illness (SMI) have received extensive news media coverage and prompted national dialogue about the causes of, and policy responses to, mass shootings. News media framing of SMI as a cause of gun violence may influence public attitudes about persons with SMI and support for gun violence prevention proposals. We analyzed the content of a 25% random sample of news stories on SM…
Insurance Coverage and Prenatal Care Among Low-Income Pregnant Women: An Assessment of States’ Adoption of the “Unborn Child” Option in Medicaid and CHIP
BACKGROUND: The "Unborn Child" (UC) option provides state Medicaid/Children's Health Insurance Program (CHIP) programs with a new strategy to extend prenatal coverage to low-income women who would otherwise have difficulty enrolling in or would be ineligible for Medicaid. OBJECTIVES: To examine the association of the UC option with the probability of enrollment in Medicaid/CHIP during pregnancy and probability of receiving adequate prenatal care.…
Pregnant Women's Access to Information About Perinatal Marijuana Use: A Qualitative Study
Prenatal and Postpartum Care Disparities in a Large Medicaid Program
Characterization of U.S. State Laws Requiring Health Care Provider Reporting of Perinatal Substance Use
Medicaid Coverage Expansions and Cigarette Smoking Cessation Among Low-income Adults
INTRODUCTION: Expanding Medicaid coverage to low-income adults may have increased smoking cessation through improved access to evidence-based treatments. Our study sought to determine if states' decisions to expand Medicaid increased recent smoking cessation. METHODS: Using pooled cross-sectional data from the Behavioral Risk Factor Surveillance Survey for the years 2011-2015, we examined the association between state Medicaid coverage and the pr…
Screening for Sexually Transmitted Infections After Cervical Cancer Screening Guideline and Medicaid Policy Changes: A Population-based Analysis
BACKGROUND: Sexually transmitted infection (STI) screening prevents complications and is cost-effective. Annual screening is recommended in sexually active women below 25 years and older women at increased risk. Cervical cancer (CC) screening guideline changes in 2009 and 2012 recommended less frequent screening, causing concern that STI screening would decrease. Pennsylvania Medicaid implemented a family planning program in 2007 which covered wo…
Design, Implementation, and Evolution of the Medicaid Outcomes Distributed Research Network (MODRN)
BACKGROUND: In the US, Medicaid covers over 80 million Americans. Comparing access, quality, and costs across Medicaid programs can provide policymakers with much-needed information. As each Medicaid agency collects its member data, multiple barriers prevent sharing Medicaid data between states. To address this gap, the Medicaid Outcomes Distributed Research Network (MODRN) developed a research network of states to conduct rapid multi-state analy…
Opioid Use Disorder and Overdose in the First Year Postpartum: A Rapid Scoping Review and Implications for Future Research
MCO Perspectives on Medicaid Policy: Racial Equity in Pregnancy and Child Health
Introduction: In 2020 and 2021, Pennsylvania implemented the Equity Incentive Program and the Maternity Care Bundled Payment program, two unique pay-for-performance (P4P) programs that provide financial incentives for managed care organizations (MCOs) that make improvements in utilization and quality metrics for Black women and children. The current study addresses gaps in the research about MCO perceptions regarding the ability of financial poli…
Punitive legal responses to prenatal drug use in the United States: A survey of state policies and systematic review of their public health impacts
Spatial Patterns of Delivery Hospitalizations with Opioid Use Disorder in Pennsylvania
BACKGROUND: Opioid use disorder (OUD) in pregnancy has substantially increased throughout the drug overdose crisis, but little is known about how local community environments are associated with OUD in pregnancy. This study investigates spatial patterns and residential ZIP code-level factors associated with delivery hospitalizations with OUD in Pennsylvania and compares these patterns to those for all delivery hospitalizations and all OUD-related…
State Policy Changes and Unconditional Cash Transfers to Improve Maternal and Child Health
Advanced Child Tax Credit Monthly Payments and Substance Use Among US Parents
The study results suggest that 2021 ACTC monthly payments were not associated with increased parental substance use
Prenatal drug use criminalization and health system avoidance: Evidence from births in Alabama, South Carolina, and Tennessee, 1989-2019
“A lot of hoops … to jump through”: Doula experiences serving Medicaid clients in states with and without Medicaid doula coverage
Introduction Doula care is cost effective and improves maternal and child health, especially for Medicaid enrollees. Many states reimburse doula care through Medicaid, but coverage varies and it is unclear how doulas have experienced these Medicaid changes. Methods Researchers conducted 16 focus groups with 58 doulas in 4 states with reimbursement and 2 without reimbursement. Transcripts were analyzed using memoing, deductive and inductive coding…
Doulas as Facilitators to Black Birthing People’s Needs in Pennsylvania in the Context of Medicaid Coverage
Introduction: Longstanding racial inequities in maternal mortality require tailored approaches to improving outcomes for Black birthing people. Doulas provide continuous emotional, physical, and informational support and have been shown to improve perinatal outcomes, particularly for Black birthing people. In response, some states have implemented Medicaid doula benefits. In January 2025, Pennsylvania—where ∼35% of births are Medicaid-covered—lau…
Medicine (14 works) · Environmental health (10 works) · Health care (10 works) · Medicaid (8 works) · Political science (8 works) · Family medicine (7 works) · Business (6 works) · Demography (6 works) · Healthcare Policy and Management (6 works) · Prenatal Substance Exposure Effects (6 works)