Jan 1, 2013

Expansion of Medicaid covered smoking cessation services: maternal smoking and birth outcomes

Medicare & Medicaid Research Review
E Kathleen AdamsVan T Tong


To assess whether Medicaid coverage of smoking cessation services reduces maternal smoking and improves birth outcomes. Pooled, cross-sectional data for 178,937 women with live births from 1996 to 2008, who were insured by Medicaid in 34 states plus New York City, were used to analyze self-reported smoking before pregnancy (3 months), smoking during the last 3 months of pregnancy, smoking after delivery (3-4 months), infant birth weight, and gestational age at delivery. Maternal socio-demographic and behavior variables from survey data and birth outcomes from vital records were merged with annual state data on Medicaid coverage for nicotine replacement therapies (NRT), medications and cessation counseling. Probit and OLS regression models were used to test for effects of states' Medicaid cessation coverage on mother's smoking and infant outcomes relative to mothers in states without coverage. Medicaid coverage of NRT and medications is associated with 1.6 percentage point reduction (p<.05) in smoking before pregnancy among Medicaid insured women relative to no coverage. Adding counseling coverage to NRT and medication coverage is associated with a 2.5 percentage point reduction in smoking before pregnancy (p<.10). Medicaid cess...Continue Reading

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Mentioned in this Paper

Prevalence Studies
Cessation of Smoking
Pregnancy Complications
Medical Assistance, Title 19
Pregnancy Outcome
Nicotine Measurement
Cigar smoker
Insurance Coverage

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