ArticleDrug and alcohol dependence2016
Health insurance, alcohol and tobacco use among pregnant and non-pregnant women of reproductive age.
Article in Drug and alcohol dependence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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.
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.
Who cites it
15 citing papers in PubMed.
- Sleep Motives and Expectancies for Cannabis Use in Pregnancy.Cannabis (Albuquerque, N.M.) · 2026Article
- Prevalence of prenatal alcohol use among Aboriginal and non-Aboriginal women in the Northern Territory, Australia: estimate from perinatal, emergency, and admission datasets.BMC pregnancy and childbirth · 2025Article
- Problem drinking as intentional risky behavior: Examining the association between state health insurance coverage and excessive alcohol consumption.Preventive medicine reports · 2021Article
- Prenatal risk factors for internalizing and externalizing problems in childhood.World journal of pediatrics : WJP · 2020Review
- Utilization of Health Care Among Perinatal Women in the United States: The Role of Depression.Journal of women's health (2002) · 2020Article
- The causal web of foetal alcohol spectrum disorders: a review and causal diagram.European child & adolescent psychiatry · 2020Review
- Treatment of Substance Use Disorders Among Women of Reproductive Age by Depression and Anxiety Disorder Status, 2008-2014.Journal of women's health (2002) · 2019Article
- Risk factors for alcohol use among pregnant women, ages 15-44, in the United States, 2002 to 2017.Preventive medicine · 2019Article
- The interaction of sociodemographic risk factors and measures of nicotine dependence in predicting maternal smoking during pregnancy.Drug and alcohol dependence · 2019Article
- Examining the relationship between pregnancy and quitting use of tobacco products in a U.S. national sample of women of reproductive age.Preventive medicine · 2018Article
- Patterns of Single and Multiple Tobacco Product Use Among US Women of Reproductive Age.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018Article
- Tobacco and nicotine delivery product use in a national sample of pregnant women.Preventive medicine · 2017Article
- Alcohol reduction in the first trimester is unrelated to smoking, patient or pregnancy characteristics.Addictive behaviors reports · 2017Article
- Demographic, Healthcare, and Contextual Factors Associated with Smoking Status Among Sexual Minority Women.LGBT health · 2017Article
- The Affordable Care Act and Changes in Women's Health Insurance Coverage Before, During, and After Pregnancy in California.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundUnderstanding the relationship between health insurance coverage and tobacco and alcohol use among reproductive age women can provide important insight into the role of access to care in preventing tobacco and alcohol use among pregnant women and women planning to become pregnant.
methodsWe examined the association between health insurance coverage and both past month alcohol use and past month tobacco use in a nationally representative sample of women age 12-44 years old, by pregnancy status. The women (n=97,788) were participants in the National Survey of Drug Use and Health (NSDUH) in 2010-2013. Logistic regression models assessed the association between health insurance (insured versus uninsured), past month tobacco and alcohol use, and whether this was modified by pregnancy status.
resultsPregnancy status significantly moderated the relationship between health insurance and tobacco use (p-value≤0.01) and alcohol use (p-value≤0.01). Among pregnant women, being insured was associated with lower odds of alcohol use (adjusted odds ratio [AOR]=0.47; 95% confidence interval [CI]=0.27-0.82), but not associated with tobacco use (AOR=1.14; 95% CI=0.73-1.76). Among non-pregnant women, being insured was associated with lower odds of tobacco use (AOR=0.67; 95% CI=0.63-0.72), but higher odds of alcohol use (AOR=1.23; 95% CI=1.15-1.32).
conclusionAccess to health care, via health insurance coverage is a promising method to help reduce alcohol use during pregnancy. However, despite health insurance coverage, tobacco use persists during pregnancy, suggesting missed opportunities for prevention during prenatal visits.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.