Medicaid Family Planning Expansions: The Effect of State Plan Amendments on Postpartum Contraceptive Use
| Autor: | Kelli Stidham Hall, Sara K. Redd |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Plan (drawing) Health Services Accessibility Insurance Coverage Young Adult Contraceptive Agents Pregnancy medicine Humans Contraception Behavior Health policy Reproductive health Medicaid business.industry Postpartum Period Pregnancy Unplanned Original Articles General Medicine Waiver United States Contraceptive use Family planning Family Planning Services Family medicine Female business |
| Zdroj: | Journal of Women's Health. 28:551-559 |
| ISSN: | 1931-843X 1540-9996 |
| DOI: | 10.1089/jwh.2018.7129 |
| Popis: | Objective: To determine the effect of state Medicaid family planning (FP) programs transitioning from a Section 1115 waiver to a State Plan Amendment (SPA) on reproductive health outcomes. Materials and Methods: Data were from the Pregnancy Risk Assessment Monitoring System on 75,082 women who had a live birth between 2007 and 2013 and were living in one of nine states. We performed a difference-in-differences analysis to quantify the effect of the transition on postpartum contraceptive (PPC) use and unintended births (UBs). Results: Over 80% of the sample reported using PPC; half reported an UB. The odds of PPC use among women who were living in a study state and gave birth after the transition were 1.14 times that of women who were living in a comparison state and/or gave birth before the transition (95% confidence interval: 1.04–1.24). Conclusions: Findings suggest that women living in states that transitioned from a waiver to SPA experienced an increased likelihood of PPC compared with those living in comparison states. |
| Databáze: | OpenAIRE |
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