Evidence map›Paper›PMID 24889949›Full record

ArticleHealth affairs (Project Hope)2014

Medicaid enrollment policy increased smoking cessation among pregnant women but had no impact on birth outcomes.

Marian Jarlenski, Sara N Bleich, Wendy L Bennett, Elizabeth A Stuart, Colleen L Barry

Abstract readHistorical Article
In one paragraph

Article in Health affairs (Project Hope), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. 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 · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marian JarlenskiMarian Jarlenski (jarlenski@gmail.com) recently completed doctoral studies in health policy and management at the Johns Hopkins Bloomberg School of Public Health, in Baltimore, Maryland. In fall 2014 she will become an assistant professor of health policy and management at the Graduate School of Public Health, University of Pittsburgh, in Pennsylvania.
Sara N BleichSara N. Bleich is an associate professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health.
Wendy L BennettWendy L. Bennett is an assistant professor of medicine in the Division of General Internal Medicine, Johns Hopkins University School of Medicine, in Baltimore.
Elizabeth A StuartElizabeth A. Stuart is an associate professor of mental health and biostatistics at the Johns Hopkins Bloomberg School of Public Health.
Colleen L BarryColleen L. Barry is an associate professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health.

Funding

Reducing Cardiovascular Risk in Women with Hypertension or Diabetes in PregnancyK23HL098476 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BENNETT, WENDY LYNET · 2010 to 2014
$697k
Effects of State Medicaid Policies On Prenatal Smoking and Infant Health OutcomesF31DA035007 · NIDA · JOHNS HOPKINS UNIVERSITY · PI JARLENSKI, MARIAN PATRICIA · 2013 to 2013
$26k
NHLBI NIH HHS K23 HL098476NIDA NIH HHS F31 DA035007NIDA NIH HHS F31DA035007
6 · The paper itself

Abstract

Cigarette smoking during pregnancy is an important cause of poor maternal and infant health outcomes in the population eligible for Medicaid. These outcomes may be avoided or attenuated by timely, high-quality prenatal care. Using data from the Centers for Disease Control and Prevention's Pregnancy Risk Assessment Monitoring System for the period 2004-10, we examined the effects of two optional state Medicaid enrollment policies on smoking cessation, preterm birth, and having an infant who was small for gestational age. We used a natural experiment to compare outcomes before and after nineteen states adopted either of the two policies. The first policy, presumptive eligibility, permits women to receive prenatal care while their Medicaid application is pending. Its adoption led to a 7.7-percentage-point increase in smoking cessation but did not reduce adverse birth outcomes. The second policy, the unborn-child option, permits states to provide coverage to pregnant women who cannot document their citizenship or residency. Its adoption was not significantly associated with any of the three outcomes. The presumptive-eligibility enrollment policy will continue to be an important tool for promoting timely prenatal care and smoking cessation.

Indexed as

Cost-Benefit AnalysisFemaleHealth PolicyHistory, 16th CenturyHumansInfant, NewbornInsurance CoverageMedicaidPregnancyPregnancy ComplicationsPregnancy OutcomeSmoking CessationUnited StatesAccess To CareMedicaidPRAMSTobacco/Smoking

Identifiers

PMID24889949
PMCPMC4248559

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.