• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Obstetrics

Medicaid expansion associated with improved relative racial disparities in birth outcomes

byJason Nam, MDandDaniel Fisher
April 26, 2019
in Obstetrics, Pediatrics, Public Health
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. State Medicaid expansion was not associated with differences in overall rates of low birth weight or preterm birth outcomes.

2. There were improvements in relative disparities for black infants compared with white infants among the states that expanded versus the states that did not.

Evidence Rating Level: 2 (Good)

Study Rundown: Since 1990, states have been required to provide Medicaid coverage to pregnant women with family incomes up to 133% of the federal poverty level. Under the Affordable Care Act (ACA), states may expand Medicaid to adults with household incomes at or below 138% of the federal poverty level. Based on data from 2011-2016, state Medicaid expansion was not significantly associated with differences in rates of low birth weight or preterm birth outcomes. However, there were significant improvements in relative disparities for black infants compared with white infants in states that expanded Medicaid compared to those that did not.

Though this study suggests Medicaid expansions had minimal effects on neonatal health, this study has limitations. There was probable selection bias in using the Birth Data Files database, which may have missing data on maternal factors potentially related to birth outcomes. Second, it may take more time for the benefits of health insurance coverage to improve maternal health and access to care.

Click to read the study in JAMA

RELATED REPORTS

Social isolation is a marker of increased mortality and cardiovascular risk in patients with chronic kidney disease

#VisualAbstract: Extended Caffeine Does Not Reduce Hospitalization Time for Apnea in Moderately Preterm Infants

Atosiban does not improve neonatal outcomes in threatened preterm births between 30-34 weeks

Click to read an accompanying editorial in JAMA

Relevant Reading: Medicaid expansion and infant mortality in the United States

In-Depth [cross-sectional study]: This was an observational study of 15,631,174 live US births (~99% of all US births) from 2011 to 2016. A difference-in-differences (DID) approach was used to compare changes in outcomes in expansion vs non-expansion states. A difference-in-difference-in-differences (DDD) approach was used to assess the change in birth outcomes for minority infants in expansion states relative to non-expansion states compared with the change in birth outcomes for white infants. The outcomes were preterm birth (<37 weeks gestation), very preterm birth (<32 weeks gestation), low birth weight (<2500 g), and very low birth weight (<1500 g). The adjusted DID estimate for all 4 outcomes was not statistically significant, indicating no association of Medicaid expansion with preterm birth (0.00%; CI95 −0.14 to 0.15%), very preterm birth (−0.02%; CI95 −0.05 to 0.02%), low birthweight (−0.08%; CI95 −0.20 to 0.04), or very low birthweight (−0.03%; CI95 −0.06 to 0.01%). Disparities for black infants relative to white infants in Medicaid expansion states compared with non-expansion states declined for all 4 outcomes, indicated by a negative adjusted DDD coefficient for preterm birth (−0.43%; CI95 −0.84 to −0.02%), very preterm birth (−0.14%; CI95, −0.26 to −0.02%) low birth weight (−0.53% CI95 −0.96 to −0.10%), and very low birth weight (−0.13%; CI95 −0.25 to −0.01%).

Image: PD

©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: low birth weightmedicaidpreterm birthracial disparitiessocial determinants of health
Previous Post

Quick Take: Intimate Partner Homicide of Adolescents

Next Post

Nutrients from food, not supplements, linked to lower risks of death, cancer

RelatedReports

Shared decision-making may be limited in PICU end-of-life discussions
Chronic Disease

Social isolation is a marker of increased mortality and cardiovascular risk in patients with chronic kidney disease

May 27, 2025
#VisualAbstract: Extended Caffeine Does Not Reduce Hospitalization Time for Apnea in Moderately Preterm Infants
StudyGraphics

#VisualAbstract: Extended Caffeine Does Not Reduce Hospitalization Time for Apnea in Moderately Preterm Infants

May 21, 2025
Increased complications associated with emergent repeat cesarean
Obstetrics

Atosiban does not improve neonatal outcomes in threatened preterm births between 30-34 weeks

May 1, 2025
Intrapartum serum prolactin may predict risk of postpartum diabetes
Cardiology

Utilization of an early-life risk factor score to determine later life type 2 diabetes risk

April 29, 2025
Next Post
Parental nonmedical prescription opioid use linked to adolescent use

Nutrients from food, not supplements, linked to lower risks of death, cancer

Quick Take: Randomized Trial of Intravenous Versus Intraperitoneal Chemotherapy Plus Bevacizumab in Advanced Ovarian Carcinoma

Quick Take: Randomized Trial of Intravenous Versus Intraperitoneal Chemotherapy Plus Bevacizumab in Advanced Ovarian Carcinoma

Brain lesions on MRI linked with subsequent increased stroke risk

Quick Take: Levetiracetam versus phenytoin for second-line treatment of convulsive status epilepticus in children (ConSEPT)

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Sodium-glucose cotransporter 2 inhibitors may decrease risk of serious liver events in patients with cirrhosis
  • #VisualAbstract: Lactated Ringer’s Solution Does Not Improve Outcomes Relative to Normal Saline
  • 2MM: AI Roundup – FDA’s AI Push, Trial Speedups with Real-World Data, Smart Surgical Monitors, and Regulatory Overhaul Begins [July 2nd, 2025]
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.