Medicaid Expansion Associated With Some Improvements In Perinatal Mental Health.

Autor:	Margerison CE; Claire E. Margerison (margeris@msu.edu) is an associate professor in the Department of Epidemiology and Biostatistics, Michigan State University, in East Lansing, Michigan., Hettinger K; Katlyn Hettinger is a graduate research assistant in the Department of Epidemiology and Biostatistics and a doctoral student in the Department of Economics, Michigan State University., Kaestner R; Robert Kaestner is a research professor in the Harris School of Public Policy, University of Chicago, in Chicago, Illinois., Goldman-Mellor S; Sidra Goldman-Mellor is an associate professor of public health at the University of California Merced, in Merced, California., Gartner D; Danielle Gartner is a research associate in the Department of Epidemiology and Biostatistics, Michigan State University.
Jazyk:	angličtina
Zdroj:	Health affairs (Project Hope) [Health Aff (Millwood)] 2021 Oct; Vol. 40 (10), pp. 1605-1611.
DOI:	10.1377/hlthaff.2021.00776
Abstrakt:	Poor perinatal mental health is a common pregnancy-related morbidity with potentially serious impacts that extend beyond the individual to their family. A possible contributing factor to poor perinatal mental health is discontinuity in health insurance coverage, which is particularly important among low-income people. We examined impacts of Medicaid expansion on prepregnancy depression screening and self-reported depression and postpartum depressive symptoms and well-being among low-income people giving birth. Medicaid expansion was associated with a 16 percent decline in self-reported prepregnancy depression but was not associated with postpartum depressive symptoms or well-being. Associations between Medicaid expansion and prepregnancy mental health measures increased with time since expansion. Expanding health insurance coverage to low-income people before pregnancy may improve perinatal mental health.
Databáze:	MEDLINE
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