Evidence map›Paper›PMID 33216307›Full record

ArticleMaternal and child health journal2021

Assessing Health and Wellness Outcomes of Medicaid-Enrolled Infants Born to Adolescent Mothers.

Toyya A Pujol, Anna Smith, Nicoleta Serban, Melissa Kottke, Julie Swann

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Maternal and child health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 29% of its field
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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 4 institutions in 1 country.

Toyya A Pujol *School of Industrial Engineering, Purdue University, 315 N Grant St., West Lafayette, IN, 47906, USA. tpujol@purdue.edu.ORCID http://orcid.org/0000-0002-3992-2710
Anna SmithSchool of Industrial and Systems Engineering, Georgia Institute of Technology, 755 Ferst Dr. NW, Atlanta, GA, 30332, USA.
Nicoleta SerbanSchool of Industrial and Systems Engineering, Georgia Institute of Technology, 755 Ferst Dr. NW, Atlanta, GA, 30332, USA.
Melissa KottkeDepartment of Gynecology and Obstetrics, Emory University, Jane Fonda Center, 46 Armstrong Street, Atlanta, GA, 30303, USA.
Julie Swann *Department of Industrial and Systems Engineering, North Carolina State University University, 400 Daniels Hall, Raleigh, NC, 27695, USA.
Georgia Institute of Technology · USEmory University · USNorth Carolina State University · USPurdue University West Lafayette · US

Funding

A Computational Biology and Predictive Health Genomics Training Program at GTT32GM105490 · NIGMS · GEORGIA INSTITUTE OF TECHNOLOGY · PI GIBSON, GREGORY C · 2014 to 2018
$901k
Foundation for the National Institutes of Health CRP 10-2012-03NIGMS NIH HHS T32 GM105490
6 · The paper itself

Abstract

objectiveTo assess the effect of adolescent birth on the health and wellness of these infants within their first year of life.

methodsOur study focused on 2011 Medicaid births nationwide. The study group (infants born to adolescents, aged 10 to 19 at time of birth) was matched with infants born to adults (aged 20 to 44 at time of birth), based on demographics. Statistical tests (proportion test and Poisson test) were used to compare the outcomes of these two groups to determine if differences were significant.

resultsThe outcomes assessed were: low birth weight (LBW), substance exposure, foster care, health status, infant mortality, emergency department (ED) visits, and wellness visits. Of the 68,562 infant pairs included in the study, we found statistically significant higher rates of LBW (P ≤ 0·005), infant mortality (P = 0·05), and ED visits (P ≤ 0·005) for infants born to adolescents at the 95% confidence interval. The rate of wellness visits for all infants was well below the recommended amount. Additional differences were found at the race/ethnicity and urbanicity levels. CONCLUSION FOR PRACTICE: Infants born to adolescents had a higher rate of ED visits within the first year of life, however, the increased rates of LBW and mortality for the Medicaid population are not as significant as previous national studies suggest. Analysis of outcomes across stratification helped identify vulnerable populations (i.e. urban infants). Public health programs are urged to examine ED visits in infants born to adolescents among the Medicaid population. Improved health education or phone-based resources could help reduce unnecessary visits and reduce cost.

Indexed as

MedicaidMothersAdolescentAdultEmergency Service, HospitalFemaleFoster Home CareHumansInfantInfant, Low Birth WeightInfant, NewbornUnited StatesAdolescent birthAdolescent pregnancyEmergency department visitsInfant mortalityWellness visits

Identifiers

PMID33216307
PMCPMC8062277
OpenAlexW3106495669

What OpenQuestion holds

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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.