2023
Rural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum
Admon L, Daw J, Interrante J, Ibrahim B, Millette M, Kozhimannil K. Rural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum. Obstetrics And Gynecology 2023, 141: 570-581. PMID: 36735410, PMCID: PMC9928561, DOI: 10.1097/aog.0000000000005081.Peer-Reviewed Original ResearchConceptsUrban U.S. residentsRural residentsInsurance coverageUrban counterpartsUrban residentsCross-sectional analysis of survey dataMaternity care accessRural-urban differencesNon-Hispanic whitesU.S. residentsCross-sectional analysisRural–urban inequalityLogistic regression modelsNon-expansion statesCare accessMaternal healthPostpartum individualsUrban differencesIntended pregnancyOdds ratioUnadjusted estimatesPrepregnancyInsurance continuityClinical characteristicsMedicaid expansion
2022
Racial/Ethnic Disparities in Postpartum Health Insurance Coverage Among Rural and Urban U.S. Residents
Kozhimannil K, Interrante J, Ibrahim B, Chastain P, Millette M, Daw J, Admon L. Racial/Ethnic Disparities in Postpartum Health Insurance Coverage Among Rural and Urban U.S. Residents. Journal Of Women's Health 2022, 31: 1397-1402. PMID: 36040353, PMCID: PMC9618367, DOI: 10.1089/jwh.2022.0169.Peer-Reviewed Original ResearchConceptsHealth insurance coverageUrban U.S. residentsInsurance coverageMedicaid coveragePregnancy Risk Assessment Monitoring SystemHealth-related outcomesTime of childbirthUrban U.S. countiesU.S. residentsWhite peoplePolicy effortsMaternal deathsRacial/ethnic disparitiesPostpartum yearMeasure continuityInsurance disruptionsChildbirthRural residentsReduce inequalitiesPostpartumUrban residentsPrivate insuranceThree-quartersMedicaidU.S. countiesInequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents
Ibrahim B, Interrante J, Fritz A, Tuttle M, Kozhimannil K. Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents. Children 2022, 9: 1077. PMID: 35884061, PMCID: PMC9324486, DOI: 10.3390/children9071077.Peer-Reviewed Original ResearchRural residentsEvidence-based supportResponding hospitalsSocial Vulnerability IndexInfant healthChildbirth education classesPostpartum support groupVulnerable rural residentsInfant health outcomesPoor birth outcomesMultiple social risk factorsSocial risk factorsSVI scoresVulnerable countiesMidwifery careDoula supportPerinatal healthBirth supportRural hospitalsHealth outcomesBirth outcomesRural countiesHospital sizeLactation supportEducation classes