Journal article
Effects of Recent Medicaid Expansions on Infant Mortality by Race and Ethnicity
American journal of preventive medicine, Vol.64(3), pp.377-384
03/2023
DOI: 10.1016/j.amepre.2022.09.026
PMID: 36481185
Abstract
The purpose of this study is to examine year-by-year effects of the 2014 Affordable Care Act Medicaid expansion on infant mortality by race and ethnicity over the first 6 years.
Publicly available 2011-2019 Multiple Cause of Death data were extracted in October and analyzed by November 2021. A difference-in-differences event-study design compared infant mortality changes in states that expanded in 2014 to nonexpansion states.
In the main model, the 2014 Medicaid expansions were associated with a statistically significant decline in Black infants' mortality in 2018 and 2019 by 1.19 (95% CI= -2.27, -0.12) and 1.35 (95% CI= -2.45, -0.26) deaths per 1,000 live births, respectively. There was also a decline in mortality for Hispanic infants in 2015-2019, including by 0.8 (95% CI= -1.25, -0.36) and 1.28 (95% CI= -1.88, -0.68) deaths per 1,000 live births in 2015 and 2019, respectively. Overall, infant mortality declined by 0.37 (95% CI= -0.70, -0.05) deaths per 1,000 live births in 2019.
The study adds evidence on the association of the Affordable Care Act Medicaid expansions with a decline in mortality of Black and Hispanic infants. The findings shed light on the importance of examining year-by-year effects over multiple years.
Details
- Title: Subtitle
- Effects of Recent Medicaid Expansions on Infant Mortality by Race and Ethnicity
- Creators
- Joanne Constantin - University of IowaGeorge L Wehby - University of Iowa
- Resource Type
- Journal article
- Publication Details
- American journal of preventive medicine, Vol.64(3), pp.377-384
- DOI
- 10.1016/j.amepre.2022.09.026
- PMID
- 36481185
- ISSN
- 0749-3797
- eISSN
- 1873-2607
- Language
- English
- Electronic publication date
- 12/05/2022
- Date published
- 03/2023
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Economics; Public Policy Center (Archive)
- Record Identifier
- 9984339151102771
Metrics
17 Record Views