Featured Research

from universities, journals, and other organizations

Medicaid enrollment policies help pregnant women quit smoking but have little impact on adverse birth outcomes

Date:
June 3, 2014
Source:
Johns Hopkins Bloomberg School of Public Health
Summary:
A Medicaid policy that fast-tracks applications of pregnant women contributed to a nearly 8% reduction in smoking during pregnancy but did not significantly improve preterm birth rates or low birth weights, researchers have found. The study is the first of its kind to examine the effects of Medicaid’s presumptive eligibility and the unborn-child option – which provides Medicaid coverage for prenatal care -- on smoking cessation and smoking-related adverse birth outcomes.

Researchers at the Johns Hopkins Bloomberg School of Public Health, in a paper that appears in the June issue of Health Affairs, found that a Medicaid policy that fast-tracks applications of pregnant women contributed to a nearly 8% reduction in smoking during pregnancy but did not significantly improve preterm birth rates or low birth weights. The study is the first of its kind to examine the effects of Medicaid's presumptive eligibility and the unborn-child option -- which provides Medicaid coverage for prenatal care -- on smoking cessation and smoking-related adverse birth outcomes.

Related Articles


"Although the prevalence of prenatal smoking in the United States has declined in recent decades, it is nearly twice as high among low-income women enrolled in Medicaid than it is in the U.S. population as a whole," said Marian Jarlenski, PhD, lead author of the paper. Jarlenski conducted the research while completing her Ph.D. at the Bloomberg School. "Our research shows that Medicaid's presumptive eligibility policy led to a nearly 8 percentage-point decrease in smoking during pregnancy, but neither policy significantly improved rates of preterm birth or babies born small for their gestational age."

Since the late 1990s, many state Medicaid programs have provided more generous coverage of services that help pregnant women stop smoking, but the complex process of enrolling in Medicaid may be a barrier to obtaining these services. Presumptive eligibility, introduced in 1986, sought to smooth out the application process. The policy assumes that pregnant women are eligible for Medicaid when they arrive for care at participating organizations and can receive care while their Medicaid applications are still pending. The second option, the unborn-child option, allows states to consider a fetus to be a "targeted low-income child" and to provide coverage of prenatal care and delivery to low-income pregnant women even if they cannot provide the documentation of citizenship or residency that is required for eligibility in Medicaid's pregnancy category.

For their paper, the researchers studied 24,544 low-income women in 19 states who smoked prior to pregnancy and participated in the Pregnancy Risk Assessment Monitoring System from 2004 to 2010. The authors conclude presumptive eligibility will continue to be an important policy to promote timely prenatal care, but that additional research is needed on the effectiveness of combining smoking cessation interventions with interventions targeting other risk factors to reduce adverse birth outcomes in the population eligible for Medicaid.


Story Source:

The above story is based on materials provided by Johns Hopkins Bloomberg School of Public Health. Note: Materials may be edited for content and length.


Journal Reference:

  1. M. Jarlenski, S. N. Bleich, W. L. Bennett, E. A. Stuart, C. L. Barry. Medicaid Enrollment Policy Increased Smoking Cessation Among Pregnant Women But Had No Impact On Birth Outcomes. Health Affairs, 2014; 33 (6): 997 DOI: 10.1377/hlthaff.2013.1167

Cite This Page:

Johns Hopkins Bloomberg School of Public Health. "Medicaid enrollment policies help pregnant women quit smoking but have little impact on adverse birth outcomes." ScienceDaily. ScienceDaily, 3 June 2014. <www.sciencedaily.com/releases/2014/06/140603161944.htm>.
Johns Hopkins Bloomberg School of Public Health. (2014, June 3). Medicaid enrollment policies help pregnant women quit smoking but have little impact on adverse birth outcomes. ScienceDaily. Retrieved February 26, 2015 from www.sciencedaily.com/releases/2014/06/140603161944.htm
Johns Hopkins Bloomberg School of Public Health. "Medicaid enrollment policies help pregnant women quit smoking but have little impact on adverse birth outcomes." ScienceDaily. www.sciencedaily.com/releases/2014/06/140603161944.htm (accessed February 26, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Thursday, February 26, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Sleeping Too Much Or Too Little Might Increase Stroke Risk

Sleeping Too Much Or Too Little Might Increase Stroke Risk

Newsy (Feb. 26, 2015) People who sleep more than eight hours per night are 45 percent more likely to have a stroke, according to a University of Cambridge study. Video provided by Newsy
Powered by NewsLook.com
London Show Dissects History of Forensic Science

London Show Dissects History of Forensic Science

AFP (Feb. 25, 2015) Forensic science, which has fascinated generations with its unravelling of gruesome crime mysteries, is being put under the microscope in an exhibition of real criminal investigations in London. Duration: 00:53 Video provided by AFP
Powered by NewsLook.com
Michigan Couple Celebrates Identical Triplets

Michigan Couple Celebrates Identical Triplets

AP (Feb. 25, 2015) A suburban Detroit couple who have two older children are adjusting to life after becoming parents to identical triplets _ a multiple birth a doctor calls rare. (Feb. 25) Video provided by AP
Powered by NewsLook.com
Mayor Says District of Columbia to Go Ahead With Pot Legalization

Mayor Says District of Columbia to Go Ahead With Pot Legalization

Reuters - News Video Online (Feb. 25, 2015) Washington&apos;s mayor says the District of Columbia will move forward with marijuana legalization, despite pushback from Congress. Rough Cut (no reporter narration). Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins