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The impact of the First Steps prenatal care program on birth outcomes among women receiving Medicaid in Washington State

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  • Arima, Yuzo
  • Guthrie, Brandon L.
  • Rhew, Isaac C.
  • De Roos, Anneclaire J.

Abstract

Objectives To evaluate the effectiveness of "First Steps", Washington State's expanded Medicaid prenatal and post-partum care program, we conducted a retrospective population-based cohort study using birth and hospital discharge records from Washington State for 1999-2002.Methods Birth outcomes of 19,668 First Steps participants receiving Medicaid were compared to those of 56,728 non-participating mothers receiving Medicaid. Using logistic regression, odds ratios (ORs) and 95% confidence intervals (CIs) were estimated for the association between First Steps participation and low birth weight (

Suggested Citation

  • Arima, Yuzo & Guthrie, Brandon L. & Rhew, Isaac C. & De Roos, Anneclaire J., 2009. "The impact of the First Steps prenatal care program on birth outcomes among women receiving Medicaid in Washington State," Health Policy, Elsevier, vol. 92(1), pages 49-54, September.
    • Handle: RePEc:eee:hepoli:v:92:y:2009:i:1:p:49-54
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    References listed on IDEAS

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    1. Baldwin, L.-M. & Larson, E.H. & Connell, F.A. & Nordlund, D. & Cain, K.C. & Cawthon, M.L. & Byrns, P. & Rosenblatt, R.A., 1998. "The effect of expanding Medicaid prenatal services on birth outcomes," American Journal of Public Health, American Public Health Association, vol. 88(11), pages 1623-1629.
    2. Witmer, A. & Seifer, S.D. & Finocchio, L. & Leslie, J. & O'Neil, E.H., 1995. "Community health workers: integral members of the health care work force," American Journal of Public Health, American Public Health Association, vol. 85(8), pages 1055-1058.
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    Cited by:

    1. Andrea M. Tilstra & Ryan K. Masters, 2020. "Worth the Weight? Recent Trends in Obstetric Practices, Gestational Age, and Birth Weight in the United States," Demography, Springer;Population Association of America (PAA), vol. 57(1), pages 99-121, February.
    2. Grytten, Jostein & Skau, Irene & Sørensen, Rune J., 2014. "Educated mothers, healthy infants. The impact of a school reform on the birth weight of Norwegian infants 1967–2005," Social Science & Medicine, Elsevier, vol. 105(C), pages 84-92.
    3. Grytten, Jostein & Skau, Irene & Sørensen, Rune, 2011. "Do expert patients get better treatment than others? Agency discrimination and statistical discrimination in obstetrics," Journal of Health Economics, Elsevier, vol. 30(1), pages 163-180, January.

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