Evidence map›Paper›PMID 39009037›Full record

ArticleHealth services research2024

Lifetime abortion incidence when abortion care is covered by Medicaid: Maryland versus five comparison states.

Heide M Jackson, Michael S Rendall

Abstract read
In one paragraph

Article in Health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Making sense of the economics of abortion in the United States.Perspectives on sexual and reproductive health · 2024
    Article
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

2 authors.

Heide M JacksonMaryland Population Research Center, University of Maryland at College Park, College Park, Maryland, USA.ORCID 0000-0002-0228-3855
Michael S RendallMaryland Population Research Center and Department of Sociology, University of Maryland at College Park, College Park, Maryland, USA.

Funding

MARYLAND POPULATION RESEARCH CENTERR24HD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI HOFFERTH, SANDRA L · 2001 to 2016
$6.6M
Sci-Tech Core-Maryland Population Research CenterP2CHD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI Susan W Parker · 2018 to 2026
$3.9M
Evaluating indirect survey question methods on reproductive health behaviorR21HD111912 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI JACKSON, HEIDE MARIE, RENDALL, MICHAEL S. · 2023 to 2023
$451k
Development of methods to assess geographic variation in reproductive health behaviors and outcomes over the life courseR03HD112882 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI JACKSON, HEIDE MARIE, RENDALL, MICHAEL S. · 2023 to 2023
$156k
Eunice Kennedy Shriver National Institute of Child Health and Human Development 1R03HD112882-01Eunice Kennedy Shriver National Institute of Child Health and Human Development 1R21HD111912-01A1Eunice Kennedy Shriver National Institute of Child Health and Human Development P2C-HD041041NICHD NIH HHS P2C HD041041NICHD NIH HHS R03 HD112882NICHD NIH HHS R21 HD111912NICHD NIH HHS R24 HD041041
6 · The paper itself

Abstract

objectiveTo estimate the association of Medicaid coverage of abortion care with cumulative lifetime abortion incidence among women insured by Medicaid. DATA SOURCES AND STUDY

settingWe use 2016-2019 (Pre-Dobbs) data from the Survey of Women studies that represent women aged 18-44 living in six U.S. states. One state, Maryland, has a Medicaid program that has long covered the cost of abortion care. The other five states, Alabama, Delaware, Iowa, Ohio, and South Carolina, have Medicaid programs that do not cover the cost of abortion care. Our sample includes 8972 women residing in the study states. STUDY

designOur outcome, cumulative lifetime abortion incidence, is identified using an indirect survey method, the double list experiment. We use a multivariate regression of cumulative lifetime abortion on variables including whether women were Medicaid-insured and whether they were residing in Maryland versus in one of the other five states. DATA COLLECTION/EXTRACTION

methodsThis study used secondary survey data. PRINCIPAL

findingsWe estimate that Medicaid coverage of abortion care in Maryland is associated with a 37.0 percentage-point (95% CI: 12.3-61.4) higher cumulative lifetime abortion incidence among Medicaid-insured women relative to women not insured by Medicaid compared with those differences by insurance status in states whose Medicaid programs do not cover the cost of abortion care.

conclusionsWe found that Medicaid coverage of abortion care is associated with a much higher lifetime incidence of abortion among individuals insured by Medicaid. We infer that Medicaid coverage of abortion care costs may have a very large impact on the accessibility of abortion care for low-income women.

Indexed as

Abortion, InducedMedicaidAdolescentAdultFemaleHealth Services AccessibilityHumansIncidenceInsurance CoverageMarylandPregnancySocioeconomic FactorsUnited StatesYoung Adulthealth care disparitiesMedicaidstate health policies

Identifiers

PMID39009037
PMCPMC11366969

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LicenceCC BY-NC-ND
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Registered trials

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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.