ArticleMedicare & medicaid research review2013
Expansion of Medicaid covered smoking cessation services: maternal smoking and birth outcomes.
Article in Medicare & medicaid research review, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Evaluation of Population-Level Tobacco Control Interventions and Health Outcomes: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- A systematic review of possible serious adverse health effects of nicotine replacement therapy.Archives of toxicology · 2017Pooled it
- The effect of e-cigarette taxes on prepregnancy and prenatal smoking.Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management] · 2023Article
- 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
- Maternal Prenatal Hair Cortisol Is Associated with Child Wheeze among Mothers and Infants with Tobacco Smoke Exposure and Who Face High Socioeconomic Adversity.International journal of environmental research and public health · 2021Article
- Public insurance expansions and smoking cessation medications.Economic inquiry · 2019Article
- Does State Medicaid Coverage of Smoking Cessation Treatments Affect Quitting?Health services research · 2018Article
- Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis.The Lancet. Public health · 2017Article
- Medicaid Coverage of Smoking Cessation Counseling and Medication Is Underutilized for Pregnant Women.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017Article
- Health insurance, alcohol and tobacco use among pregnant and non-pregnant women of reproductive age.Drug and alcohol dependence · 2016Article
- Postpartum Smoking Relapse After Quitting During Pregnancy: Pregnancy Risk Assessment Monitoring System, 2000-2011.Journal of women's health (2002) · 2016Article
- Estimating the Potential Impact of Tobacco Control Policies on Adverse Maternal and Child Health Outcomes in the United States Using the SimSmoke Tobacco Control Policy Simulation Model.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016Article
- Disparities in Maternal Child and Health Outcomes Attributable to Prenatal Tobacco Use.Maternal and child health journal · 2016Article
- Use of pharmacotherapies for smoking cessation: analysis of pregnant and postpartum Medicaid enrollees.American journal of preventive medicine · 2015Article
- Examining the timing of changes in cigarette smoking upon learning of pregnancy.Preventive medicine · 2014Article
- Medicaid enrollment policy increased smoking cessation among pregnant women but had no impact on birth outcomes.Health affairs (Project Hope) · 2014Article
- Clinicians' awareness of the Affordable Care Act mandate to provide comprehensive tobacco cessation treatment for pregnant women covered by Medicaid.Preventive medicine reportsArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess whether Medicaid coverage of smoking cessation services reduces maternal smoking and improves birth outcomes.
methodsPooled, cross-sectional data for 178,937 women with live births from 1996 to 2008, who were insured by Medicaid in 34 states plus New York City, were used to analyze self-reported smoking before pregnancy (3 months), smoking during the last 3 months of pregnancy, smoking after delivery (3-4 months), infant birth weight, and gestational age at delivery. Maternal socio-demographic and behavior variables from survey data and birth outcomes from vital records were merged with annual state data on Medicaid coverage for nicotine replacement therapies (NRT), medications and cessation counseling. Probit and OLS regression models were used to test for effects of states' Medicaid cessation coverage on mother's smoking and infant outcomes relative to mothers in states without coverage.
resultsMedicaid coverage of NRT and medications is associated with 1.6 percentage point reduction (p<.05) in smoking before pregnancy among Medicaid insured women relative to no coverage. Adding counseling coverage to NRT and medication coverage is associated with a 2.5 percentage point reduction in smoking before pregnancy (p<.10). Medicaid cessation coverage during pregnancy was associated with a small increase (<1 day) in infant gestation (p<.05).
conclusionsIn this sample, Medicaid coverage of smoking cessation only affected women enrolled prior to pregnancy. Expansions of Medicaid eligibility to include more women prior to pregnancy in participating states, and mandated coverage of some cessation services without co-pays under the Affordable Care Act (ACA) should reduce the number of women smoking before pregnancy.
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