Preventive Health Care Utilization Among Mother-infant Dyads With Medicaid Insurance in the Year Following Birth
Bibliographic Data
| ID | 9104792 |
|---|---|
| Authors | Emily F Gregory (0000-0003-4230-5809, Department of Pediatrics, Division of General Pediatrics, corresponding author), Molly Passarella (Department of Pediatrics, Division of Neonatology, Children’s Hospital of Philadelphia), Lisa D Levine (0000-0002-6811-7980, University of Pennsylvania), Alexader G Fiks (Department of Pediatrics, Division of General Pediatrics, corresponding author), Scott A Lorch (0000-0003-3855-6752, Department of Pediatrics, Division of Neonatology, Children’s Hospital of Philadelphia) |
| Year | 2020 |
| Volume | 58 |
| Issue | 6 |
| Pages | 519-525 |
| Publication date | 2020-06-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001310 |
| PMID | 32149923 |
| OpenAlex | W3010679259 |
| Language | EN |
| Citations received | 3 |
| References cited | 33 |
BACKGROUND: Following birth, women may access preventive care in adult settings or, with their infants, in pediatric settings. Preventive care can improve future birth outcomes and long-term health, particularly for women with health risks. METHODS: This cohort study linked mother-infant Medicaid claims from 12 states for 2007-2011 births. Pregnancy claims identified health risk categories: maternal cardiovascular (diabetes, hypertension, pre-eclampsia, obesity), maternal mental health (depression, anxiety), and premature birth. Claims for 1 year following birth identified adult and pediatric preventive visits. Logistic regression assessed the relationship between visits and risks, adjusting for maternal demographics, perinatal health care utilization, year, and state. RESULTS: Of 594,888 mother-infant dyads with Medicaid eligibility for 1 year following birth, 36% had health risks. In total, 38% of all dyads, and 33% with health risks, had no adult preventive visits. Dyads had a median of 1 (IQR, 0-2) adult and 3 (IQR, 2-5) pediatric preventive visits. A total of 72% of dyads had more preventive visits in pediatric than adult settings. In regression, preterm birth was associated with lower odds of any adult preventive visits [odds ratio (OR), 0.97; 95% confidence interval (CI), 0.95-0.99], and maternal health risks with higher odds (cardiovascular OR, 1.19; 95% CI, 1.18-1.21; mental health OR, 1.87; 95% CI, 1.84-1.91), compared with dyads without risk. CONCLUSIONS: Maternal health risks were associated with increased adult preventive visits, but 38% of dyads had no adult preventive visits in the year following birth. Most dyads had more opportunities for preventive care in pediatric settings than adult settings
Family medicine · Health care · Health insurance · Medicaid · Gestational Diabetes Research and Management · Global Maternal and Child Health · Maternal Mental Health During Pregnancy and Postpartum · Medicine
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Translating Life Course Theory to Clinical Practice to Address Health Disparities
Healthcare Utilization in the Postpartum Period Among Illinois Women with Medicaid Paid Claims for Delivery, 2009–2010
Enabling Factors Associated with Receipt of Interconception Health Care
A Preconception Nomogram to Predict Preterm Delivery
Maternal Medical Complexity
Revisiting the Behavioral Model and Access to Medical Care
| Citations per year | 1 |
|---|---|
| Citation span | 2023 - 2025 (3) |
| Highly cited | No |