| The State Children's Health Insurance Program (SCHIP) and prepregnancy coverage of teenage mothers. | |
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MedLine Citation:
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PMID: 18815529 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The 1997 State Children's Health Insurance Program (SCHIP) program allowed states to expand Medicaid to uninsured children through age 18 in families under 200% of the federal poverty level. Prepregnancy insurance coverage of adolescents may help reduce unintended pregnancies, address other medical issues, and allow for early and adequate prenatal care for those carrying to term. OBJECTIVES: We tested the effects of SCHIP implementation on insurance coverage for teenage mothers and investigated whether these effects varied by type of state SCHIP program--Medicaid expansion, stand-alone program, or some combination of these. RESEARCH DESIGN: We used Pregnancy Risk Assessment Monitoring System data from 1996 through 2000 and difference-in-differences analysis to analyze coverage changes for teenage mothers (age <20) relative to those for mothers aged 20-24 years old, a group whose Medicaid eligibility was not affected by SCHIP policies. POPULATION STUDIED: Our raw sample of teenage and older mothers in Alaska, Oklahoma, South Carolina, Florida, Maine, New York, and West Virginia equaled 23,171 (811,638 weighted). RESULTS: SCHIP implementation was associated with an almost 10 percentage point increase in prepregnancy coverage among teens under age 17. Although there were increases in both public and private coverage only the latter was statistically significant. The only statistically significant increase in Medicaid coverage, equal to almost 16 percentage points, was among 18-year-olds in states with Medicaid expansion programs. CONCLUSIONS: The temporary extension of SCHIP allows time to consider how to maintain the program's potentially positive effect on the reproductive health of adolescents. |
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Authors:
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E Kathleen Adams; Norma I Gavin; M Femi Ayadi; Brenda Colley-Gilbert; Cheryl Raskind-Hood |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Medical care Volume: 46 ISSN: 1537-1948 ISO Abbreviation: Med Care Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-09-25 Completed Date: 2008-10-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0230027 Medline TA: Med Care Country: United States |
Other Details:
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Languages: eng Pagination: 1071-8 Citation Subset: IM |
Affiliation:
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Rollins School of Public Health, Emory University, Atlanta, Georgia, USA. eadam01@sph.emory.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adolescent Health Services / economics*, utilization Adult Age Factors Aid to Families with Dependent Children* Eligibility Determination Female Health Services Accessibility / economics* Humans Insurance Coverage Medicaid* Multivariate Analysis Patient Acceptance of Health Care / statistics & numerical data* Poverty Pregnancy Pregnancy in Adolescence* Prenatal Care / economics*, utilization Risk Assessment State Health Plans / organization & administration* United States |
| Grant Support | |
ID/Acronym/Agency:
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200-2002-00776 TO 27//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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