ArticleAmerican journal of preventive medicine2020
Impacts of Medicaid Expansion on Health Among Women of Reproductive Age.
Article in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Association of Economic Policies With Hypertension Management and Control: A Systematic Review.JAMA health forum · 2024Pooled it
- Factors affecting women's access to primary care in the United States since the Affordable Care Act: A mixed-methods systematic review.PloS one · 2024Pooled it
- A comprehensive assessment of preconception health needs and interventions regarding women of childbearing age: a systematic review.Journal of preventive medicine and hygiene · 2022Pooled it
- Effects of State Medicaid Expansions Affecting Parental Eligibility on Children's Healthcare Access and Health During the COVID-19 Pandemic.Maternal and child health journal · 2026Article
- The Effect of Medicaid Expansion on Racial/Ethnic and Gender Disparities in Access to Primary Care among Medicaid Patients.Journal of racial and ethnic health disparities · 2026Article
- Racial and Ethnic Differences in Labor Duration and Cesarean Indications Among Low-Risk Nulliparous Term Singleton Vertex Births: A Retrospective Analysis.Journal of clinical medicine · 2026Article
- Teenage Pregnancy Insurance Access, Outcome Disparities, and State Medicaid Expansion.Clinical pediatrics · 2026Article
- A comparison of social drivers of health identification and intervention rates by sex among patients receiving primary care.Biology of sex differences · 2025Article
- Effects of refundable state earned income tax credits on access to medical and dental services of low-income mothers.SSM - population health · 2025Article
- Health-seeking behaviour during times of illness among urban poor women: a cross-sectional study.BMC women's health · 2024Article
- Did the Affordable Care Act Promote Racial Equity in Pregnancy-Related Health? A Scoping Review.Population health management · 2024Article
- The impact of the affordable care act on perinatal mood and anxiety disorder diagnosis and treatment rates among Michigan Medicaid enrollees 2012-2018.BMC health services research · 2024Article
- Advocacy in neonatology: current issues and introduction to the series.Journal of perinatology : official journal of the California Perinatal Association · 2023Review
- Non-communicable diseases and maternal health: a scoping review.BMC pregnancy and childbirth · 2022Article
- Analysis of State Medicaid Expansion and Access to Timely Prenatal Care Among Women Who Were Immigrant vs US Born.JAMA network open · 2022Article
- Estimating the causal effect of the Medicaid expansion on heart transplant volume with a differences-in-differences model.JTCVS open · 2022Article
- Health care utilization among women of reproductive age living in public housing: Associations across six public housing sites in San Francisco.Preventive medicine reports · 2022Article
- Medicaid and moms: the potential impact of extending medicaid coverage to mothers for 1 year after delivery.Journal of perinatology : official journal of the California Perinatal Association · 2022Review
- Mortality Rates Among U.S. Women of Reproductive Age, 1999-2019.American journal of preventive medicine · 2022Article
- Catastrophic Health Expenditures With Pregnancy and Delivery in the United States.Obstetrics and gynecology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
introductionPreconception and interconception health care are critical means of identifying, managing, and treating risk factors originating before pregnancy that can harm fetal development and maternal health. However, many women in the U.S. lack health insurance, limiting their ability to access such care. State-level variation in Medicaid eligibility, particularly before and after the 2014 Medicaid expansions, offers a unique opportunity to test the hypothesis that increasing healthcare coverage for low-income women can improve preconception and interconception healthcare access and utilization, chronic disease management, overall health, and health behaviors.
methodsIn 2018-2019, data on 58,365 low-income women aged 18-44 years from the 2011-2016 Behavioral Risk Factor Surveillance System were analyzed, and a difference-in-difference analysis was used to examine the impact of Medicaid expansions on preconception health.
resultsExpanded Medicaid eligibility was associated with increased healthcare coverage and utilization, better self-rated health, and decreases in avoidance of care because of cost, heavy drinking, and binge drinking. Medicaid eligibility did not impact diagnoses of chronic conditions, smoking cessation, or BMI. Medicaid eligibility was associated with greater gains in health insurance, utilization, and health among married (vs unmarried) women. Conversely, women with any (vs no) dependent children experienced smaller gains in insurance following the Medicaid expansion, but greater take-up of insurance when eligibility increased and larger behavioral responses to gaining insurance.
conclusionsExpanded Medicaid coverage may improve access to and utilization of health care among women of reproductive age, which could ultimately improve preconception health.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.