Assessing Health and Wellness Outcomes of Medicaid-Enrolled Infants Born to Adolescent Mothers.

Maternal and Child Health Journal
Toyya A PujolJulie Swann

Abstract

To assess the effect of adolescent birth on the health and wellness of these infants within their first year of life. Our study focused on 2011 Medicaid births nationwide. The study group (infants born to adolescents, aged 10 to 19 at time of birth) was matched with infants born to adults (aged 20 to 44 at time of birth), based on demographics. Statistical tests (proportion test and Poisson test) were used to compare the outcomes of these two groups to determine if differences were significant. The outcomes assessed were: low birth weight (LBW), substance exposure, foster care, health status, infant mortality, emergency department (ED) visits, and wellness visits. Of the 68,562 infant pairs included in the study, we found statistically significant higher rates of LBW (P ≤ 0·005), infant mortality (P = 0·05), and ED visits (P ≤ 0·005) for infants born to adolescents at the 95% confidence interval. The rate of wellness visits for all infants was well below the recommended amount. Additional differences were found at the race/ethnicity and urbanicity levels. Infants born to adolescents had a higher rate of ED visits within the first year of life, however, the increased rates of LBW and mortality for the Medicaid population are not...Continue Reading

References

Jun 29, 2001·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·A J Cowden, E Funkhouser
Dec 19, 2002·Pediatric Emergency Care·Wendy J PomerantzUmar R Kotagal
Sep 8, 2004·Journal of Midwifery & Women's Health·Mary Alice Grady, Kathaleen C Bloom
Dec 26, 2006·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Norma I GavinE Kathleen Adams
Jan 11, 2007·International Journal of Epidemiology·Xi-Kuan ChenMark Walker
Jun 11, 2008·The American Journal of Clinical Nutrition·Matthew W Gillman
Nov 26, 2008·Paediatrics & Child Health·Charles P Larson
Jul 14, 2012·The Journal of Economic Perspectives : a Journal of the American Economic Association·Melissa S Kearney, Phillip B Levine
Mar 2, 2013·Public Health Reports·Ana Penman-AguilarAthena P Kourtis
Jan 27, 2015·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Gilda SedghSusheela Singh
May 9, 2015·International Journal of Environmental Research and Public Health·Xiaojia HeHafiz A Ahmad
Feb 24, 2016·International Journal of Preventive Medicine·Gerda-Maria HaasPeter Schwandt
May 5, 2016·Cardiovascular Diabetology·François R JornayvazPedro Marques-Vidal
Sep 15, 2016·Hospital Pediatrics·David A PaulDeborah Ehrenthal
Jun 8, 2017·Child Maltreatment·Ramesh RaghavanBenjamin T Allaire
Jan 19, 2018·Clinical Obstetrics and Gynecology·Elizabeth A Howell

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.