Changes in prenatal care timing and low birth weight by race and socioeconomic status: implications for the Medicaid expansions for pregnant women.
OBJECTIVE
To conduct the first national study that assesses whether the Medicaid expansions for pregnant women, legislated by Congress over a decade ago, met the policy objectives of improved access to care and birth outcomes for poor and near-poor women.


METHODS
Data on 8.1 million births using the 1980, 1986, and 1993 National Natality Files. We use births from all areas of the United States except California, Texas, Washington, and upstate New York.


METHODS
We conduct a before and after analysis that compares obstetrical outcomes by race and socioeconomic status for the periods 1980-86 and 1986-93. We examine whether women of low socioeconomic status showed greater improvements in outcomes during the 1986-93 period compared to the 1980-86 period. We analyze two obstetrical outcomes: the rate of late initiation of prenatal care and the rate of low birth weight.


METHODS
Natality data were aggregated to race, socioeconomic status, age, and parity groups.


RESULTS
During the 1986-93 period, rates of late initiation of prenatal care decreased by 6.0 to 7.8 percentage points beyond changes estimated for the 1980-86 period for both white and African American women of low socioeconomic status. For some white women of low socioeconomic status, the rate of low birth weight was reduced by 0.26 to 0.37 percentage points between 1986 and 1993 relative to the earlier period. Other white women of low socioeconomic status and all African American women of low socioeconomic status showed no relative improvement in the rate of low birth weight during the 1986-93 period.


CONCLUSIONS
The expansions in Medicaid lead to significant improvements in prenatal care utilization among women of low socioeconomic status. The emerging lesson from the Medicaid expansions, however, is that increased access to primary care is not adequate if the goal is to narrow the gap in newborn health between poor and nonpoor populations.
Dubay
L
L
The Urban Institute, Washington, DC 20037, USA.
Joyce
T
T
Kaestner
R
R
Kenney
G M
GM
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D004522:Educational Status; D005260:Female; D005865:Gestational Age; D006291:Health Policy / Q000331:legislation & jurisprudence; D006297:Health Services Accessibility / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D017533:Marital Status; D008484:Medicaid / Q000458:organization & administration*; D009035:Mothers / Q000193:education / Q000706:statistics & numerical data; D009936:Organizational Innovation; D011203:Poverty / Q000706:statistics & numerical data*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011262:Pregnancy Trimester, Second; D011295:Prenatal Care / Q000191:economics / Q000458:organization & administration*; D013997:Time Factors; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data*