ArticleAmerican journal of preventive medicine2015
Use of pharmacotherapies for smoking cessation: analysis of pregnant and postpartum Medicaid enrollees.
Article in American journal of preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- Smoking Cessation Pharmacotherapy Use in Pregnancy.JAMA network open · 2024Article
- Tobacco use by pregnant Medicaid beneficiaries: Validating a claims-based measure in Oregon.Preventive medicine reports · 2020Article
- The effect of e-cigarette indoor vaping restrictions on adult prenatal smoking and birth outcomes.Journal of health economics · 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
- How Medicaid and Other Public Policies Affect Use of Tobacco Cessation Therapy, United States, 2010-2014.Preventing chronic disease · 2016Article
- Medicaid Tobacco Cessation: Big Gaps Remain In Efforts To Get Smokers To Quit.Health affairs (Project Hope) · 2016Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe Affordable Care Act requires state Medicaid programs to cover pharmacotherapies for smoking cessation without cost sharing for pregnant women. Little is known about use of these pharmacotherapies among Medicaid-enrolled women. PURPOSE: To describe the prevalence of prescription fills for smoking-cessation pharmacotherapies during pregnancy and postpartum among Medicaid-enrolled women and to examine whether certain pregnancy complications or copayments are associated with prescription fills.
methodsInsurance claims data for women enrolled in a Medicaid managed care plan in Maryland and who used tobacco during pregnancy from 2003 to 2010 were obtained (N=4,709) and analyzed in 2014. Descriptive statistics were used to calculate the prevalence of smoking-cessation pharmacotherapy use during pregnancy and postpartum. Generalized estimating equations were employed to examine the relationship of pregnancy complications and copayments with prescription fills of smoking-cessation pharmacotherapies during pregnancy and postpartum.
resultsFew women filled any prescription for a smoking-cessation pharmacotherapy during pregnancy or postpartum (2.6% and 2.0%, respectively). Having any smoking-related pregnancy complication was positively associated with filling a smoking-cessation pharmacotherapy prescription during pregnancy (OR=1.69, 95% CI=1.08, 2.65) but not postpartum. Copayments were associated with significantly decreased odds of filling any prescription for smoking-cessation pharmacotherapies in the postpartum period (OR=0.38, 95% CI=0.22, 0.66).
conclusionsSmoking-related pregnancy complications and substance use are predictive of filling a prescription for pharmacotherapies for smoking cessation during pregnancy. Low use of pharmacotherapies during pregnancy is consistent with clinical guidelines; however, low use postpartum suggests an unmet need for cessation aids in Medicaid populations.
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