Abstract:
:Objective To examine changes in the prevalence and odds of unmet healthcare needs and healthcare utilization among low-income women of reproductive age (WRA) after Ohio's 2014, ACA-associated Medicaid expansion, which extended coverage to non-senior adults with a family income ≤ 138% of the federal poverty level. Methods We analyzed publically available data from the 2012 and 2015 Ohio Medicaid Assessment Survey (OMAS), a cross-sectional telephone survey of Ohio's non-institutionalized adult population. The study included 489 low-income women in 2012 and 1273 in 2015 aged 19-44 years who were newly eligible for Medicaid after expansion in January 2014. Four unmet healthcare need and three healthcare utilization measures were examined. We fit survey-weighted logistic regression models adjusted for race/ethnicity, working status, and educational attainment to determine whether the odds of each measure differed between 2012 and 2015. Results In 2015, low-income WRA had a significantly lower odds of reporting an unmet dental care need (ORadj = 0.72, 95% CI 0.54, 0.95), unmet vision care need (ORadj = 0.68, 95% CI 0.50, 0.93), unmet mental health need (ORadj = 0.57, 95% CI 0.39, 0.83), and unmet prescription need (ORadj = 0.39, 95% CI 0.45, 0.80) compared to 2012. There were no significant differences in the odds of seeing a doctor or dentist in the past year or of having a usual source of care for low-income WRA in 2012 and 2015. Conclusions for Practice After Ohio's 2014 Medicaid expansion the odds of low-income WRA having unmet healthcare needs was reduced. Future research should examine outcomes after a longer period of follow-up and include additional measures, such as self-rated health status.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Farietta TP,Lu B,Tumin Rdoi
10.1007/s10995-018-2575-1subject
Has Abstractpub_date
2018-12-01 00:00:00pages
1771-1779issue
12eissn
1092-7875issn
1573-6628pii
10.1007/s10995-018-2575-1journal_volume
22pub_type
杂志文章abstract::Unintended pregnancies can have negative consequences for both mother and child. The focus of this study was to utilize perceived behavioral control measures (PBC; part of the theory of planned behavior) to identify relevant behavioral determinants of birth control use. This study also tested associations between dire...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1658-x
更新日期:2015-07-01 00:00:00
abstract::Introduction This study aimed to describe Maternal Child and Family Health Nurses' (MCaFHNs) perception of their role across Australia. MCaFHNs deliver services to positively influence the growth and development of children in the early years. Little is known about their role as they deliver care to children and famil...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2081-2
更新日期:2016-12-01 00:00:00
abstract::Sexual violence is a significant public health problem, and has been linked to adverse effects on women's physical and mental health. Although some advances in the research have been made, more scientific exploration is needed to understand the potential association between sexual violence and women's reproductive hea...
journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
doi:10.1023/a:1009574305310
更新日期:2000-06-01 00:00:00
abstract::Maternal exposure to environmental tobacco smoke (ETS) is a major health hazard as it contains lower doses of the toxins that smokers' inhale. Prenatal exposure to wood fuel smoke has been linked to delivering low birth weight (LBW) infants. The study aims to assess the association between prenatal exposure to ETS and...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0851-4
更新日期:2012-11-01 00:00:00
abstract::Objective Low birth weight (LBW) is a significant health problem in the United States, and the incidence is higher in women with low socioeconomic status. Observational and epidemiological studies have revealed that social support reduces the risk of adverse pregnancy outcomes. However, the current literature lacks re...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02789-2
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Hospital policies and practices related to breastfeeding may have long-term health effects. The Ten Steps to Successful Breastfeeding (WHO/UNICEF) provide an evidence-based standard, which may be used to assess individual hospitals. We assessed implementation, and factors related to implementation, of the Te...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-0065-8
更新日期:2006-05-01 00:00:00
abstract::Objective To describe associated perinatal behaviors among women using fertility treatment. Methods Data were obtained for 12,197 Maryland women who delivered live neonates from 2004 to 2011 and completed the Pregnancy Risk Assessment Monitoring System survey postpartum. We conducted weighted descriptive and multivari...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2056-3
更新日期:2016-11-01 00:00:00
abstract::Latino toddlers fall behind White peers at 24 months of age in oral language and interactive skills with their mothers in English or Spanish. But Latino children enter kindergarten with social skills that rival White peers, despite social-class disparities. We ask whether cognitive trajectories widen during the 24-48 ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1184-7
更新日期:2013-11-01 00:00:00
abstract::Pregnancy represents a unique period of time when women are at an increased risk of developing depression. Although the Beck Depression Inventory-Second Edition (BDI-II) is one of the most widely used self-report measures of depression symptomology, its psychometric properties and underlying factor structures have not...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1343-5
更新日期:2014-07-01 00:00:00
abstract::Background Vaccine preventable diseases are making a comeback in the US. However, research is lacking on illness representations of vaccine preventable diseases and their application in improving childhood immunization. Objective We utilized the common sense model of self-regulation to examine illness representations ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2363-3
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:The impact of programs, policies, and practices developed by professionals in the field of maternal and child health (MCH) epidemiology is highlighted biennially by 16 national MCH agencies and organizations, or the Coalition for Excellence in MCH Epidemiology. DESCRIPTION:In September 2014, multiple leading a...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1916-6
更新日期:2016-04-01 00:00:00
abstract::Middle-income countries in the intermediate stages of the nutrition transition are facing a complex picture of nutrition-related diseases with child stunting and maternal obesity coexisting within single households (SCOB). A debate exists as to whether SCOB is a true phenomenon or a statistical artefact. In this study...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1634-5
更新日期:2015-06-01 00:00:00
abstract::Objective To assess the potential impact of missing data on body mass index (BMI) on the association between prepregnancy obesity and specific birth defects. Methods Data from the National Birth Defects Prevention Study (NBDPS) were analyzed. We assessed the factors associated with missing BMI data among mothers of in...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1948-6
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:The Department of Health and Human Services (HHS) Advisory Committee on Heritable Disorders in Newborns and Children ("Advisory Committee") makes recommendations to the HHS Secretary regarding addition of new conditions to the national Recommended Uniform Screening Panel for newborns. The Advisory Committee'...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1869-9
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Injuries are a leading cause of death, significant disability, and utilization of acute medical care. This study describes patterns of acute care services use related to injury and associated costs among children and adolescents in a state Medicaid population. METHODS:A retrospective, cross-se...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0284-2
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:The primary purpose of this study was to determine the association between type of healthcare provider delivering prenatal care and intent to exclusively breastfeed. METHODS:A self-report survey was administered to 455 expectant mothers. Logistic regression was performed to determine the association between...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1884-x
更新日期:2016-05-01 00:00:00
abstract::The objective of this study was to investigate the possible modifying effect of medical home on the association between low birthweight and children's health outcomes. The analytic sample included children 5 years and under from the 2007 National Survey of Children's Health whose mothers were the primary respondents a...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1003-1
更新日期:2012-04-01 00:00:00
abstract::Evidence suggests that educational differences in perinatal outcomes have increased in some countries (Eastern Europe) while remained stable in others (Scandinavian countries). However, less is known about the experience of Southern Europe. This study aims to evaluate the association between maternal education and per...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1425-4
更新日期:2014-10-01 00:00:00
abstract::Obesity rates remain high among children in the United States (US), but children of low-income, minority families are at particularly high risk. Latinos are the largest and most rapidly growing US population group. Effective strategies will require attention to a wide array of culturally mediated variables that influe...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0804-y
更新日期:2012-05-01 00:00:00
abstract::Not using the infant back sleep position is an established risk factor for sudden unexpected infant death (SUID). Infant bed sharing may also increase SUID risk, particularly under certain circumstances. Both of these infant sleeping behaviors are disproportionately higher among Black mothers. We explored the relation...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0768-y
更新日期:2012-04-01 00:00:00
abstract::Objectives This study examines the associations between specific maternity care practices and breastfeeding duration for Spanish-speaking Hispanic, English-speaking Hispanic, non-Hispanic Native American, and non-Hispanic White women. Methods We analyzed data from the 2012-2014 New Mexico Pregnancy Risk Assessment Mon...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-02711-2
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:The pattern of gestational weight gain (GWG) reflects general nutrient availability to support growing fetal and maternal compartments and may contribute to later health, but how it relates to changes in maternal body composition is unknown. We evaluated how the pattern of GWG related to changes in maternal ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1747-5
更新日期:2015-10-01 00:00:00
abstract::The recent reoccurrence of several vaccine-preventable diseases demonstrates the need for new techniques to promote childhood vaccination. Many mothers make decisions regarding vaccination of their children during pregnancy. As a result, obstetricians have a unique opportunity to influence maternal decisions on this c...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0936-0
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVES:Antenatal care (ANC) is designed to improve pregnancy outcomes by providing screening and treatment for preventable and treatable diseases. However, data are lacking on whether ANC affects stillbirth risk. We hypothesized stillbirth risk in Uganda is lower in women attending the recommended ≥ 4 ANC visits co...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-03023-0
更新日期:2020-11-17 00:00:00
abstract:OBJECTIVES:To examine rates and correlates of depressive symptoms among pregnant reservation-based American Indian (AI) adolescents from the Southwestern United States (N = 53). METHODS:Data were derived from a study evaluating a home-visiting program designed to promote positive parenting among young families. Partic...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0352-2
更新日期:2008-07-01 00:00:00
abstract::Introduction Since 2001, the Health Resources and Services Administration's Maternal and Child Health Bureau (HRSA MCHB) has funded and directed the National Survey of Children's Health (NSCH) and the National Survey of Children with Special Health Care Needs (NS-CSHCN), unique sources of national and state-level data...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2526-x
更新日期:2018-08-01 00:00:00
abstract::The current COVID-19 pandemic in Kashmir along with lockdown measures-ordered to prevent the spread of the disease-has added further trauma to the fragile mental health system in Kashmir. There may be unquantifiable repercussions of the current epidemic on the emotional status of women during the perinatal period. The...
journal_title:Maternal and child health journal
pub_type: 信件
doi:10.1007/s10995-020-03004-3
更新日期:2020-11-01 00:00:00
abstract::Objective To better understand the knowledge, attitudes and practices of obstetrician-gynecologists with respect to screening and treatment for iron deficiency anemia (IDA). Methods A total of 1,200 Fellows and Junior Fellows of the American College of Obstetricians and Gynecologists were invited to participate in a s...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2252-1
更新日期:2017-08-01 00:00:00
abstract::To evaluate the impact of neonatal resuscitation and basic obstetric care on intrapartum-related neonatal mortality in low and middle-income countries, using the mathematical model, Maternal and Neonatal Directed Assessment of Technology (MANDATE). Using MANDATE, we evaluated the impact of interventions for intrapartu...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1699-9
更新日期:2015-08-01 00:00:00
abstract::The aim of this paper was to investigate the association between birthweight and prevalence of food allergies using a national sample of US children. Adult report of birthweight and child food allergies were obtained for years 2005-2009 from the National Health Interview Survey (NHIS), a cross-sectional household surv...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0960-8
更新日期:2013-01-01 00:00:00