ArticleHealth affairs (Project Hope)2020
Medicaid Expansion Increased Preconception Health Counseling, Folic Acid Intake, And Postpartum Contraception.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled 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.
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
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health Insurance Coverage and Postpartum Outcomes in the US: A Systematic Review.JAMA network open · 2023Pooled it
- Contraception use and satisfaction among mothers with low income: Evidence from the Baby's First Years study.Contraception · 2024Trial
- Reproductive Planning and Preconception Counseling in Kidney Disease (REPKID):A Cross-Sectional Survey.Kidney medicine · 2026Article
- Racial and Ethnic Differences in Labor Duration and Cesarean Indications Among Low-Risk Nulliparous Term Singleton Vertex Births: A Retrospective Analysis.Journal of clinical medicine · 2026Article
- Fertility Rates Among Women With Intellectual and Developmental Disability Enrolled in Medicaid and/or Medicare, 2011-2022.Paediatric and perinatal epidemiology · 2026Article
- New York's Basic Health Program Increased Subsidized Insurance Coverage From Preconception To The Postpartum Period.Health affairs (Project Hope) · 2025Article
- Bending the Curve in Maternal Mortality: Pregnancy as a Moment for Cardiovascular Disease Prevention.Circulation · 2025Article
- Effects of the continuous Medicaid coverage provision of the family first coronavirus response act on postpartum Medicaid coverage, depression symptoms, and birth control use.Health services research · 2025Article
- Sunscreen Coverage as Preventive Care Under the Affordable Care Act: A Low-Cost Way to Reduce the Prevalence of the Most Common Cancer.The Journal of clinical and aesthetic dermatology · 2025Article
- Article
- The Association Between ACE Score and Having Pre-Pregnancy Health Conversations with a Healthcare Provider (2016-2020).Maternal and child health journal · 2024Article
- Racial and Socioeconomic Disparities in Preconception Health Risk Factors and Access to Care.Journal of women's health (2002) · 2024Article
- Insurance Instability for Patients With Opioid Use Disorder in the Year After Diagnosis.JAMA health forum · 2024Article
- Optimizing Postpartum Care in Rural Communities: Insights from Women in Arizona and Implications for Policy.Maternal and child health journal · 2024Article
- Association of Medicaid expansion with birth outcomes: evidence from a natural experiment in Texas.BMC public health · 2024Article
- Examining the impact of Medicaid payments for immediate postpartum long-acting reversible contraception on the mental health of low-income mothers.Health services research · 2024Article
- Policy solutions to eliminate racial and ethnic child health disparities in the USA.The Lancet. Child & adolescent health · 2024Review
- The impact of the affordable care act on perinatal mood and anxiety disorder diagnosis and treatment rates among Michigan Medicaid enrollees 2012-2018.BMC health services research · 2024Article
- Structural barriers to health care as risk factors for preterm and small-for-gestational-age birth among US-born Black and White mothers.Health & place · 2024Article
- Affordable Care Act Medicaid expansions and maternal morbidity.Health economics · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
The period before pregnancy is critically important for the health of a woman and her infant, yet not all women have access to health insurance during this time. We evaluated whether increased access to health insurance under the Affordable Care Act Medicaid expansions affected ten preconception health indicators, including the prevalence of chronic conditions and health behaviors, birth control use and pregnancy intention, and receipt of preconception health services. By comparing changes in outcomes for low-income women in expansion and nonexpansion states, we document greater preconception health counseling, prepregnancy folic acid intake, and postpartum use of effective birth control methods among low-income women associated with Medicaid expansion. We do not find evidence of changes on the other preconception health indicators examined. Our findings indicate that expanding Medicaid led to detectable improvements on a subset of preconception health measures.
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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.